tailieunhanh - báo cáo khoa học: " Harm reduction in hospitals: is it time?"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Harm reduction in hospitals: is it time? | Harm Reduction Journal BioMed Central Open Access Harm reduction in hospitals is it time Beth S Rachlis1 2 Thomas Kerr1 3 Julio SG Montaner1 3 and Evan Wood 1 3 Address 1BC Centre for Excellence in HIV AIDS St. Paul s Hospital Vancouver Canada 2Dalla Lana School of Public Health University of Toronto Toronto Canada and 3Department of Medicine University of British Columbia Vancouver Canada Email Beth S Rachlis - brachlis@ Thomas Kerr - uhri@ Julio SG Montaner - uhri@ Evan Wood - uhri@ Corresponding author Published 29 July 2009 Received 23 December 2008 Harm Reduction Journal 2009 6 19 doi 1477-7517-6-19 Accepted 29 July 2009 This article is available from http content 6 1 19 2009 Rachlis et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Among persons who inject drugs IDU illicit drug use often occurs in hospitals and contributes to patient expulsion and or high rates of leaving against medical advice AMA when withdrawal is inadequately managed. Resultant disruptions in medical care may increase the likelihood of several harms including drug resistance to antibiotics as well as costly readmissions and increased patient morbidity. In this context there remains a clear need for the evaluation of harm reduction strategies versus abstinence-based strategies with respect to addressing ongoing issues related to substance use among addicted hospitalized patients. While hospitalization can be used to stabilize addicted patients as they recover from their acute illness and help them to achieve abstinence patients unable to maintain abstinence should not be penalized for failing to do so at the expense of their health. This article .

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