Preventing HIV Transmission


Book Description

This volume addresses the interface of two major national problems: the epidemic of HIV-AIDS and the widespread use of illegal injection drugs. Should communities have the option of giving drug users sterile needles or bleach for cleaning needs in order to reduce the spread of HIV? Does needle distribution worsen the drug problem, as opponents of such programs argue? Do they reduce the spread of other serious diseases, such as hepatitis? Do they result in more used needles being carelessly discarded in the community? The panel takes a critical look at the available data on needle exchange and bleach distribution programs, reaches conclusions about their efficacy, and offers concrete recommendations for public policy to reduce the spread of HIV/AIDS. The book includes current knowledge about the epidemiologies of HIV/AIDS and injection drug use; characteristics of needle exchange and bleach distribution programs and views on those programs from diverse community groups; and a discussion of laws designed to control possession of needles, their impact on needle sharing among injection drug users, and their implications for needle exchange programs.




Infections in IV Drug Users, An Issue of Infectious Disease Clinics of North America, E-Book


Book Description

Together with Consulting Editor, Dr. Helen Bucher, Guest Editors Dr. Carlos Del Rio and Dr. Sandra Springer have put together an important monograph that addresses infections in IV drug users. They have selected top experts to contribute clinical reviews for infectious disease physicians. Articles are devoted to the following topics: Medical and Surgical management of Infectious endocarditis in persons who use drugs; The Microbiology Laboratory and the Opioid epidemic; The Geography of Infectious Diseases Related to the Opioid Epidemic; Soft tissue, bone and joint infections related to illicit drug use; Management of opioid use disorder and infectious disease in the inpatient setting; Outpatient antimicrobial and OUD management in persons who use drugs; Novel approaches to antimicrobials for injection drug use associated infections; HCV treatment and reinfection risk in persons who use drugs on medication treatment for OUD: A systematic review in CJS settings; Treating opioid use disorder and related infectious diseases in the criminal justice system; Harm reduction services to prevent and treat infectious disease in persons who use drugs; Improving the management of patients with chronic opioid therapy in the outpatient setting; The Global Task Force for Chronic Pain in People Living with HIV (PLWH): Developing a research agenda in an emerging field; and Lessons learned from the response to the HIV epidemic that can inform addressing the opioid epidemic. Readers will come away with the clinical information they need to treat and improve outcomes in these patients.




Disease Control Priorities, Third Edition (Volume 6)


Book Description

Infectious diseases are the leading cause of death globally, particularly among children and young adults. The spread of new pathogens and the threat of antimicrobial resistance pose particular challenges in combating these diseases. Major Infectious Diseases identifies feasible, cost-effective packages of interventions and strategies across delivery platforms to prevent and treat HIV/AIDS, other sexually transmitted infections, tuberculosis, malaria, adult febrile illness, viral hepatitis, and neglected tropical diseases. The volume emphasizes the need to effectively address emerging antimicrobial resistance, strengthen health systems, and increase access to care. The attainable goals are to reduce incidence, develop innovative approaches, and optimize existing tools in resource-constrained settings.




Integrating Responses at the Intersection of Opioid Use Disorder and Infectious Disease Epidemics


Book Description

According to the Centers for Disease Control and Prevention (CDC), 115 Americans die each day from an opioid overdose, which averages one death every 12.5 minutes. Between 1999 and 2016, the number of drug overdoses catapulted by 300 percent, with injection drug use increasing by 93 percent between 2004 and 2014 and opioid-related hospital admissions increasing by 58 percent over the past decade. And an inexorable sequela of the opioid epidemic is the spread of infectious diseases. To address these infectious disease consequences of the opioid crisis, a public workshop titled Integrating Infectious Disease Considerations with Response to the Opioid Epidemic was convened on March 12 and 13, 2018, by the National Academies of Sciences, Engineering, and Medicine. Participants discussed strategies to prevent and treat infections in people who inject drugs, especially ways to work efficiently though the existing public health and medical systems. This publication summarizes the presentations and discussions from the workshop.




Bone and Joint Infections, An Issue of Infectious Disease Clinics of North America


Book Description

Dr. Schmitt has put together a comprehensive issue devoted to bone and joint infections. Top experts have created state-of-the-art clinical reviews devoted to the following topics: Native septic arthritis; Reactive arthritis; Prevention of infection in orthopedic prosthetic surgery; Infections of the spine; Radiologic approach to musculoskeletal infections; Infections associated with open fractures; Fungal musculoskeletal infections; Mycobacterial musculoskeletal infections; Diagnosis of prosthetic joint infections-cultures, biomarkers, and criteria; Management of Prosthetic Joint Infections; Osteomyelitis In adults; and Osteomyelitis in children. Readers will come away with clinical information that can be immediately applied to caring for patients recovering from orthopedic surgeries.







Harm Reduction : Evidence, Impacts and Challenges


Book Description

The EMCDDA's 10th scientific monograph, entitled Harm reduction: evidence, impacts and challenges provides a comprehensive overview of the harm reduction field. Part I of the monograph looks back at the emergence of harm reduction approaches and their diffusion, and explores the concept from different perspectives, including international organisations, academic researchers and drug users. Part II is dedicated to current evidence and impacts of harm reduction and illustrates how the concept has broadened to cover a wide range of behaviours and harms. Part III addresses the current challenges and innovations in the field. The core audience of the monograph comprises policymakers, healthcare professionals working with drug users, as well as the wider interested public -- EU Bookshop.




Heroin in the Age of Crack-Cocaine


Book Description

This book presents an historical overview of heroin use in the USA, as well as articles by experts in the field which focus on current developments and emerging trends in prevention, treatment, distribution and consumption. Filling a void in the literature on what is known about the `new' heroin users, this volume also updates the reader on the status of ageing heroin-addicted populations who initiated use of the drug prior to the `age of cocaine'.




Catheter-Related Infections


Book Description

This timely guide details, in a highly accessible manner, the pathogenesis, epidemiology, and major complications of catheter-related infections (CRIs) as well as the types of catheters and etiological agents involved-providing practical approaches to the diagnosis, management, and prevention of CRIs.




Skin and Soft Tissue Infections, An Issue of Infectious Disease Clinics of North America


Book Description

With collaboration of Consulting Editor Dr. Helen Boucher, Guest Editor Dr. Henry Chambers has assembled expert authors to provide current clinical reviews on the diagnosis and treatment of soft tissue and skin infections. Articles are specifically devoted to the following topics: Mimics of Skin and Soft Tissue Infections; Cellulitis; Staphylococcal Skin and Soft Tissue Infections; Necrotizing Fasciitis, Clostridial Skin and Soft Tissue Infections, and Streptococcal Toxic Shock Syndrome; Skin Infections from Bites; Skin and Soft Tissue Infections in Intravenous Drug Users; Gram-negative Skin and Soft Tissue Infections; Skin and Soft Tissue Infections in Diabetics; Skin and Soft Tissue Infections in Non-HIV Immunocompromised Hosts; Approach to the Patient with a Skin and Soft Tissue Infection; and Decolonization of Staphylococcus aureus. Readers will come away with the clinical information needed to improve outcomes in patients with soft tissue and skin infections.