Nav: Home

Routine, coordinated treatment of opioid abuse can stem national epidemic

July 13, 2018

PORTLAND, Oregon - To help stem the nationwide opioid epidemic and related increases in HIV, hepatitis C and other infections, health care providers should routinely screen and treat patients for opioid abuse when they come to clinics and hospitals seeking other services.

That's one of five recommendations outlined in a paper published in the Annals of Internal Medicine. The paper supports a newly published document that outlines the proceedings of a March 12, 2018, workshop convened on the topic by the National Academies of Sciences, Engineering and Medicine.

"Treatment can save lives," said one of the paper's authors, Todd Korthuis, M.D., M.P.H. "The national opioid epidemic can turn around if we embrace opioid use disorder as a chronic medical condition that needs treatment instead of a moral issue or the result of poor willpower."

Korthuis, who is a professor of medicine (general internal medicine and geriatrics) and head of addiction medicine in the OHSU School of Medicine, also participated in the National Academies workshop and reviewed the resulting proceedings document. He co-wrote the paper with Sandra A. Springer, M.D., of the Yale School of Medicine and Carlos del Rio, M.D., of the Emory University School of Medicine, both of whom also participated in the workshop.

The workshop highlighted one of the many dire consequences of the opioid epidemic: more people are turning to injection drug use after their opioid prescriptions are cut off, which in turn has led to an increase in life-threatening infections of the skin, joint, blood, bone and more. These serious infections require expensive and lengthy hospital treatments, but most hospital staff don't regularly address the root cause: drug addiction.

OHSU is one of a few U.S. hospitals that already routinely screens and treats patients for opioid abuse when they come to OHSU for other services. Opioid use disorder treatment at OHSU is initiated through a novel service called Project IMPACT, or Improving Addiction Care Team, in which physicians, social workers, peer-recovery mentors and others meet with hospitalized patients who have drug use issues and begin addiction treatment during hospitalization. Honora Englander, M.D., an associate professor of medicine (hospital medicine) in the OHSU School of Medicine, presented Project IMPACT at the National Academies workshop.
-end-
EMBED VIDEO HERE: "Project IMPACT at OHSU," https://www.youtube.com/watch?v=oki4iYIttNI

Korthuis' drug addiction research is funded by the National Institutes of Health's National Institute of Drug Addiction (grants UG3DA044831, UG1DA015815, R01DA037441).

Links:Related:

Oregon Health & Science University

Related Infections Articles:

Implant infections could be banished thanks to scaffold breakthrough
Researchers in Ireland have taken a major step forward in the battle against medical implant infections.
Zika infections could be factor in more pregnancies
Zika virus infection passes efficiently from a pregnant monkey to its fetus, spreading inflammatory damage throughout the tissues that support the fetus and the fetus's developing nervous system, and suggesting a wider threat in human pregnancies than generally appreciated, University of Wisconsin-Madison researchers have found.
Researchers identify changes in lung cells following infections
When people develop a respiratory infection, recovery from their illness leaves behind an immunological memory that influences how they will respond to later infections.
Fighting infections with a silver sword
Silver has been used to fight infections since ancient times.
Nanosponges lessen severity of streptococcal infections
In a new study, researchers show that engineered nanosponges can reduce the severity of infections caused by the bacteria responsible for strep throat and flesh-eating disease.
A new test to rapidly identify worldwide TB infections
A group of scientists from Arizona, Texas and Washington, D.C., has teamed up to develop the first rapid blood test to diagnose and quantify the severity of active TB cases.
Most dengue infections transmitted in and around home
Transmission of the mosquito-borne dengue virus appears to be largely driven by infections centered in and around the home, with the majority of cases related to one another occurring in people who live less than 200 meters apart, new research led by the Johns Hopkins Bloomberg School of Public Health and the University of Florida suggests.
Most dengue infections transmitted in or near home
The majority of dengue virus infections appear to happen very close to home and are transmitted from the same family of mosquitoes, suggests new research led by the University of Florida and the Johns Hopkins Bloomberg School of Public Health.
One-two punch may floor worst infections
The scientists discovered the antiprotozoal drug pentamidine disrupts the cell surface of Gram-negative bacteria, even the most resistant.
How best to treat infections and tumors
A new research analysis provides physicians and patients with new information to help them make difficult decisions about how to treat tumors and infections.

Related Infections Reading:

DOXYCYCLINE (Hyclate): Treats Bacterial Infections (e.g. Pneumonia, Respiratory Tract Infections); Lyme Disease; Severe Acne or Rosacea; Infections of ... Systems; and Anthrax; also Prevents Malaria
by James Lee Anderson (Author)

Infections and Inequalities: The Modern Plagues, Updated with a New Preface
by Paul Farmer (Author)

Secrets of the Infection Control Exam Study Guide: DANB Test Review for the Infection Control Exam (Mometrix Test Preparation)
by DANB Exam Secrets Test Prep Team (Author)

Spillover: Animal Infections and the Next Human Pandemic
by David Quammen (Author)

Infection Control and Management of Hazardous Materials for the Dental Team
by Chris H. Miller BA MS PhD (Author)

amoxicillin: guide for 100% treatment of bacterial infections
by Dr Benson A John (Author)

Herbal Antivirals: Natural Remedies for Emerging & Resistant Viral Infections
by Stephen Harrod Buhner (Author)

LZR-1143: Infection: Book One of the LZR-1143 Zombie Apocalypse Series

CBIC Exam Secrets Study Guide: CBIC Test Review for the Certification Board of Infection Control and Epidemiology, Inc. (CBIC) Examination
by CBIC Exam Secrets Test Prep Team (Author)

Flashcard Study System for the Infection Control Exam: DANB Test Practice Questions & Review for the Infection Control Exam (Cards)
by DANB Exam Secrets Test Prep Team (Author)

Best Science Podcasts 2018

We have hand picked the best science podcasts for 2018. Sit back and enjoy new science podcasts updated daily from your favorite science news services and scientists.
Now Playing: TED Radio Hour

Circular
We're told if the economy is growing, and if we keep producing, that's a good thing. But at what cost? This hour, TED speakers explore circular systems that regenerate and re-use what we already have. Guests include economist Kate Raworth, environmental activist Tristram Stuart, landscape architect Kate Orff, entrepreneur David Katz, and graphic designer Jessi Arrington.
Now Playing: Science for the People

#504 The Art of Logic
How can mathematics help us have better arguments? This week we spend the hour with "The Art of Logic in an Illogical World" author, mathematician Eugenia Cheng, as she makes her case that the logic of mathematics can combine with emotional resonance to allow us to have better debates and arguments. Along the way we learn a lot about rigorous logic using arguments you're probably having every day, while also learning a lot about our own underlying beliefs and assumptions.