Integrated outpatient treatment of opioid use disorder and injection-related infections: A description of a new care model.

Integrated outpatient treatment of opioid use disorder and injection-related infections: A description of a new care model.

Publication date: Jun 25, 2019

Persons with opioid use disorder (OUD) hospitalized with severe, injection-related infections (SIRI) are frequently hospitalized for the duration of IV antibiotic treatment due to concerns regarding their eligibility for outpatient parenteral antimicrobial therapy (OPAT), which is the standard of care for prolonged IV antibiotic courses for patients without drug use. As part of a pilot study, a novel, integrated care model was developed where patients with OUD and SIRI receive addiction consultation and buprenorphine induction while hospitalized, followed by ongoing management in an outpatient clinic that combines office-based opioid treatment with buprenorphine pharmacotherapy and counseling services with OPAT. Through three illustrative case vignettes the outpatient model is described along with challenges, lessons learned and future directions.

Fanucchi, L.C., Walsh, S.L., Thornton, A.C., and Lofwall. Integrated outpatient treatment of opioid use disorder and injection-related infections: A description of a new care model. 03686. 2019 Prev Med.

Concepts Keywords
Addiction Counseling
Antibiotic Pharmacotherapy
Antimicrobial Opioids
Buprenorphine RTT
Counseling Morphinans
Opioid Drug rehabilitation
Parenteral Ethers
Pharmacotherapy Phenols
Vignettes OPAT
Buprenorphine
Addiction
Injection
Opioid use disorder

Semantics

Type Source Name
disease DOID Substance abuse
disease MESH Substance abuse
disease DOID Endocarditis
disease MESH Endocarditis
drug DRUGBANK Buprenorphine
gene UNIPROT EGR3
disease MESH infections

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