The Geography of Opioid Use Disorder
Opioid use disorder is complex and not easily quantified among US populations because there are no dedicated reporting systems in place. We review indicators of opioid use disorder available at the state and county (human immunodeficiency virus diagnoses among people who inject drugs, hepatitis C diagnosis in people (Source: Infectious Diseases Clinics of North America)
Source: Infectious Diseases Clinics of North America - August 13, 2020 Category: Infectious Diseases Authors: Patrick Sean Sullivan, Heather M. Bradley, Carlos del Rio, Eli S. Rosenberg Source Type: research

Soft Tissue, Bone, and Joint Infections in People Who Inject Drugs
Infections are a common complication among people who inject drugs (PWID). Skin and soft tissue infections (SSTI) as well as bone and joint infections comprise a significant source of morbidity and mortality among this population. The appropriate recognition and management of these infections are critical for providers, as is familiarity with harm-reduction strategies. This review provides an overview of the presentation and management of SSTI and bone and joint infections among PWID, as well as key prevention measures that providers can take. (Source: Infectious Diseases Clinics of North America)
Source: Infectious Diseases Clinics of North America - August 13, 2020 Category: Infectious Diseases Authors: Carlos S. Saldana, Darshali A. Vyas, Alysse G. Wurcel Source Type: research

Management of Opioid Use Disorder and Infectious Disease in the Inpatient Setting
Acute bacterial infections such as endocarditis and skin and soft tissue infections are a common cause of hospitalization among persons with opioid use disorder (OUD). These interactions with acute care physicians provide an opportunity to diagnose OUD and treat patients with medications for OUD, including buprenorphine. When available, Addiction Medicine Consultation can be effective at linking patients to addiction treatment and also engaging patients in care for acute bacterial infections. In health systems without access to addiction medicine experts, infectious diseases providers, hospitalists, and other clinicians se...
Source: Infectious Diseases Clinics of North America - August 13, 2020 Category: Infectious Diseases Authors: Ellen F. Eaton, Theresa Vettese Source Type: research

Outpatient Antimicrobial Treatment for People Who Inject Drugs
This article reviews the changing epidemiology of infections associated with injection drug use, perceived barriers to care, features of successful programs for outpatient antimicrobial treatment, models of shared decision making at the time of discharge, and linkage to preventative care after antimicrobial completion. In the search for patient-centered care associated with a rising substance use epidemic, one must continue to strive for novel collaborative approaches to ensure that each person is treated in the best way possible to successfully complete antimicrobial therapy, and then linked to a path of lifelong health c...
Source: Infectious Diseases Clinics of North America - August 13, 2020 Category: Infectious Diseases Authors: Hermione Hurley, Monica Sikka, Timothy Jenkins, Evelyn Villacorta Cari, Alice Thornton Source Type: research

Applying the Infectious Diseases Literature to People who Inject Drugs
People who inject drugs (PWID) presenting with injection drug use-associated infections are an understudied population excluded from most prospective infectious disease (ID) clinical trials. Careful application of the existing ID literature to PWID must consider their unique medical, psychological, and social challenges. Identification and treatment of the underlying substance use disorder are key underpinnings to any successful ID intervention. (Source: Infectious Diseases Clinics of North America)
Source: Infectious Diseases Clinics of North America - August 13, 2020 Category: Infectious Diseases Authors: David P. Serota, Teresa A. Chueng, Marcos C. Schechter Source Type: research