LymphedemaV1, Pmc, Corpus, bibRecord, 003592

TREATMENT OF OPIOID USE DISORDER IN AN INNOVATIVE COMMUNITY-BASED SETTING AFTER MULTIPLE TREATMENT ATTEMPTS IN A WOMAN WITH UNTREATED HIV

Identifieur interne : 003592 ( Pmc/Corpus ); précédent : 003591; suivant : 003593

TREATMENT OF OPIOID USE DISORDER IN AN INNOVATIVE COMMUNITY-BASED SETTING AFTER MULTIPLE TREATMENT ATTEMPTS IN A WOMAN WITH UNTREATED HIV

Auteurs : Pauline Voon ; Ronald Joe ; Christopher Fairgrieve ; Keith Ahamad

Source :

BMJ case reports [ 1757-790X ] ; 2016.

RBID : PMC:4956987

Abstract

SUMMARY

Opioid use disorder is associated with significant health and social harms. Various evidence-based interventions have proven successful in mitigating these harms, including harm reduction strategies and pharmacological treatment such as methadone. We present a case of a 35-year-old HIV-positive woman who was off antiretroviral therapy due to untreated opioid use disorder, and had a history of frequently self-discharging from hospital against medical advice. During the most recent hospital admission, the patient was transferred to an innovative community-based clinical support residence that supported harm reduction. Initially, she received methadone to only manage the withdrawal symptoms rather than for long-term maintenance therapy. However, with gradual dose increases to treat cravings and withdrawal, she ultimately discontinued all drug use and reinitiated antiretroviral therapy. This case highlights that patients whose goal is not abstinence can be successfully treated for acute medical illnesses and comorbid substance use disorders using harm reduction approaches, including appropriate dosing of pharmacotherapy.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4956987

DOI: 10.1136/bcr-2016-215557
PubMed: 27402654
PubMed Central: 4956987

Links to Exploration step

PMC:4956987

Le document en format XML

<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">TREATMENT OF OPIOID USE DISORDER IN AN INNOVATIVE COMMUNITY-BASED SETTING AFTER MULTIPLE TREATMENT ATTEMPTS IN A WOMAN WITH UNTREATED HIV</title>
<author><name sortKey="Voon, Pauline" sort="Voon, Pauline" uniqKey="Voon P" first="Pauline" last="Voon">Pauline Voon</name>
<affiliation><nlm:aff id="A1">Urban Health Research Initiative, BC Centre for Excellence in HIV/AIDS, UBC, Vancouver, British Columbia, Canada</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A2">Faculty of Medicine, School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Joe, Ronald" sort="Joe, Ronald" uniqKey="Joe R" first="Ronald" last="Joe">Ronald Joe</name>
<affiliation><nlm:aff id="A3">Department of Vancouver Community, Vancouver Coastal Health, Vancouver, British Columbia, Canada</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A4">Faculty of Medicine, Department of Family Medicine, University of British Columbia, Vancouver, British Columbia, Canada</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fairgrieve, Christopher" sort="Fairgrieve, Christopher" uniqKey="Fairgrieve C" first="Christopher" last="Fairgrieve">Christopher Fairgrieve</name>
<affiliation><nlm:aff id="A1">Urban Health Research Initiative, BC Centre for Excellence in HIV/AIDS, UBC, Vancouver, British Columbia, Canada</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ahamad, Keith" sort="Ahamad, Keith" uniqKey="Ahamad K" first="Keith" last="Ahamad">Keith Ahamad</name>
<affiliation><nlm:aff id="A1">Urban Health Research Initiative, BC Centre for Excellence in HIV/AIDS, UBC, Vancouver, British Columbia, Canada</nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">27402654</idno>
<idno type="pmc">4956987</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4956987</idno>
<idno type="RBID">PMC:4956987</idno>
<idno type="doi">10.1136/bcr-2016-215557</idno>
<date when="2016">2016</date>
<idno type="wicri:Area/Pmc/Corpus">003592</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003592</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">TREATMENT OF OPIOID USE DISORDER IN AN INNOVATIVE COMMUNITY-BASED SETTING AFTER MULTIPLE TREATMENT ATTEMPTS IN A WOMAN WITH UNTREATED HIV</title>
<author><name sortKey="Voon, Pauline" sort="Voon, Pauline" uniqKey="Voon P" first="Pauline" last="Voon">Pauline Voon</name>
<affiliation><nlm:aff id="A1">Urban Health Research Initiative, BC Centre for Excellence in HIV/AIDS, UBC, Vancouver, British Columbia, Canada</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A2">Faculty of Medicine, School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Joe, Ronald" sort="Joe, Ronald" uniqKey="Joe R" first="Ronald" last="Joe">Ronald Joe</name>
<affiliation><nlm:aff id="A3">Department of Vancouver Community, Vancouver Coastal Health, Vancouver, British Columbia, Canada</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A4">Faculty of Medicine, Department of Family Medicine, University of British Columbia, Vancouver, British Columbia, Canada</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fairgrieve, Christopher" sort="Fairgrieve, Christopher" uniqKey="Fairgrieve C" first="Christopher" last="Fairgrieve">Christopher Fairgrieve</name>
<affiliation><nlm:aff id="A1">Urban Health Research Initiative, BC Centre for Excellence in HIV/AIDS, UBC, Vancouver, British Columbia, Canada</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ahamad, Keith" sort="Ahamad, Keith" uniqKey="Ahamad K" first="Keith" last="Ahamad">Keith Ahamad</name>
<affiliation><nlm:aff id="A1">Urban Health Research Initiative, BC Centre for Excellence in HIV/AIDS, UBC, Vancouver, British Columbia, Canada</nlm:aff>
</affiliation>
</author>
</analytic>
<series><title level="j">BMJ case reports</title>
<idno type="eISSN">1757-790X</idno>
<imprint><date when="2016">2016</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><title>SUMMARY</title>
<p id="P1">Opioid use disorder is associated with significant health and social harms. Various evidence-based interventions have proven successful in mitigating these harms, including harm reduction strategies and pharmacological treatment such as methadone. We present a case of a 35-year-old HIV-positive woman who was off antiretroviral therapy due to untreated opioid use disorder, and had a history of frequently self-discharging from hospital against medical advice. During the most recent hospital admission, the patient was transferred to an innovative community-based clinical support residence that supported harm reduction. Initially, she received methadone to only manage the withdrawal symptoms rather than for long-term maintenance therapy. However, with gradual dose increases to treat cravings and withdrawal, she ultimately discontinued all drug use and reinitiated antiretroviral therapy. This case highlights that patients whose goal is not abstinence can be successfully treated for acute medical illnesses and comorbid substance use disorders using harm reduction approaches, including appropriate dosing of pharmacotherapy.</p>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
  <pmc-dir>properties manuscript</pmc-dir>
  <front><journal-meta><journal-id journal-id-type="nlm-journal-id">101526291</journal-id>
<journal-id journal-id-type="pubmed-jr-id">37883</journal-id>
<journal-id journal-id-type="nlm-ta">BMJ Case Rep</journal-id>
<journal-id journal-id-type="iso-abbrev">BMJ Case Rep</journal-id>
<journal-title-group><journal-title>BMJ case reports</journal-title>
</journal-title-group>
<issn pub-type="epub">1757-790X</issn>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">27402654</article-id>
<article-id pub-id-type="pmc">4956987</article-id>
<article-id pub-id-type="doi">10.1136/bcr-2016-215557</article-id>
<article-id pub-id-type="manuscript">NIHMS844362</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>TREATMENT OF OPIOID USE DISORDER IN AN INNOVATIVE COMMUNITY-BASED SETTING AFTER MULTIPLE TREATMENT ATTEMPTS IN A WOMAN WITH UNTREATED HIV</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Voon</surname>
<given-names>Pauline</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Joe</surname>
<given-names>Ronald</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Fairgrieve</surname>
<given-names>Christopher</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ahamad</surname>
<given-names>Keith</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Urban Health Research Initiative, BC Centre for Excellence in HIV/AIDS, UBC, Vancouver, British Columbia, Canada</aff>
<aff id="A2"><label>2</label>
Faculty of Medicine, School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada</aff>
<aff id="A3"><label>3</label>
Department of Vancouver Community, Vancouver Coastal Health, Vancouver, British Columbia, Canada</aff>
<aff id="A4"><label>4</label>
Faculty of Medicine, Department of Family Medicine, University of British Columbia, Vancouver, British Columbia, Canada</aff>
<author-notes><corresp id="FN1">Correspondence: Dr Keith Ahamad, <email>keithahamad@gmail.com</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>21</day>
<month>1</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub"><day>11</day>
<month>7</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="collection"><day>11</day>
<month>7</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>11</day>
<month>7</month>
<year>2017</year>
</pub-date>
<volume>2016</volume>
<elocation-id>bcr2016215557</elocation-id>
<abstract><title>SUMMARY</title>
<p id="P1">Opioid use disorder is associated with significant health and social harms. Various evidence-based interventions have proven successful in mitigating these harms, including harm reduction strategies and pharmacological treatment such as methadone. We present a case of a 35-year-old HIV-positive woman who was off antiretroviral therapy due to untreated opioid use disorder, and had a history of frequently self-discharging from hospital against medical advice. During the most recent hospital admission, the patient was transferred to an innovative community-based clinical support residence that supported harm reduction. Initially, she received methadone to only manage the withdrawal symptoms rather than for long-term maintenance therapy. However, with gradual dose increases to treat cravings and withdrawal, she ultimately discontinued all drug use and reinitiated antiretroviral therapy. This case highlights that patients whose goal is not abstinence can be successfully treated for acute medical illnesses and comorbid substance use disorders using harm reduction approaches, including appropriate dosing of pharmacotherapy.</p>
</abstract>
</article-meta>
</front>
</pmc>
</record>

Pour manipuler ce document sous Unix (Dilib)

EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/Pmc/Corpus

HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 003592 | SxmlIndent | more

HfdSelect -h $EXPLOR_AREA/Data/Pmc/Corpus/biblio.hfd -nk 003592 | SxmlIndent | more

Pour mettre un lien sur cette page dans le réseau Wicri

{{Explor lien
   |wiki=    Wicri/Sante
   |area=    LymphedemaV1
   |flux=    Pmc
   |étape=   Corpus
   |type=    RBID
   |clé=     PMC:4956987
   |texte=   TREATMENT OF OPIOID USE DISORDER IN AN INNOVATIVE COMMUNITY-BASED SETTING AFTER MULTIPLE TREATMENT ATTEMPTS IN A WOMAN WITH UNTREATED HIV
}}

Pour générer des pages wiki

HfdIndexSelect -h $EXPLOR_AREA/Data/Pmc/Corpus/RBID.i   -Sk "pubmed:27402654" \
       | HfdSelect -Kh $EXPLOR_AREA/Data/Pmc/Corpus/biblio.hfd   \
       | NlmPubMed2Wicri -a LymphedemaV1

This area was generated with Dilib version V0.6.31.
Data generation: Sat Nov 4 17:40:35 2017. Site generation: Tue Feb 13 16:42:16 2024

	Serveur d'exploration sur le lymphœdème
	Attention, ce site est en cours de développement ! Attention, site généré par des moyens informatiques à partir de corpus bruts. Les informations ne sont donc pas validées.

Serveur d'exploration sur le lymphœdème

TREATMENT OF OPIOID USE DISORDER IN AN INNOVATIVE COMMUNITY-BASED SETTING AFTER MULTIPLE TREATMENT ATTEMPTS IN A WOMAN WITH UNTREATED HIV

TREATMENT OF OPIOID USE DISORDER IN AN INNOVATIVE COMMUNITY-BASED SETTING AFTER MULTIPLE TREATMENT ATTEMPTS IN A WOMAN WITH UNTREATED HIV

Source :

Abstract

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki