关于加拿大社区过量反应者的回家纳洛分发和使用的指导
Max Ferguson1, Katherine Rittenbach1, Pamela Leece1
1BC Centre for Disease Control (Ferguson, Adams, Burmeister, Choisil, Ng, Buxton), Vancouver, BC; Department of Psychiatry (Rittenbach), University of Calgary, Calgary, Alta.; Department of Psychiatry (Rittenbach), University of Alberta, Edmonton, Alta.; Public Health Ontario (PHO) (Leece); Dalla Lana School of Public Health (Leece, Elton-Marshall, Strike) and Department of Family and Community Medicine (Leece), University of Toronto; Institute for Mental Health Policy Research (Ali, Elton-Marshall), Centre for Addiction and Mental Health, Toronto, Ont.; School of Epidemiology and Public Health (Elton-Marshall), University of Ottawa, Ottawa, Ont.; Department of Medicine (Brothers), Dalhousie University, Halifax, NS; UCL Collaborative Centre for Inclusion Health (Brothers), University College London, London, UK; Center for Indigenous Health (Medley), Johns Hopkins Bloomberg School of Public Health, Baltimore, Md.; Overdose Emergency Response and Addictions Program (Medley), Vancouver Coastal Health, Vancouver, BC; Health Sciences Library (Lorenzetti), University of Calgary; Department of Community Health Sciences (Lorenzetti), Cumming School of Medicine, University of Calgary; O'Brien Institute for Public Health (Lorenzetti), University of Calgary, Calgary, Alta.; BC Centre on Substance Use (Gallant); School of Population and Public Health (Buxton), University of British Columbia, Vancouver, BC.
拿回家纳洛 (THN) 计划提供纳洛套件,以预防过量死亡. 本指南为加拿大THN计划提供了政策建议,由于现有证据有限,将社区的专业知识纳入其中.
科学领域:
- 公共卫生 公共卫生
- 药理学 药理学是指药理学的学科.
- 紧急医疗 紧急医疗
背景情况:
- 在不受监管的市场上,阿片类药物毒性的增加加剧了全球过量危机.
- 拿回家的纳洛 (THN) 是一种经过验证的干预措施,将纳洛套件分发给社区成员.
- 本指南针对加拿大THN计划的政策,利用11年的广泛数据.
研究的目的:
- 为加拿大的领地,省和联邦纳洛带回家计划提供政策建议.
- 用科学文献,灰色文献和社区证据来告知THN节目.
- 提供关于纳洛的管理,套装内容和过量反应协议的指导.
主要方法:
- 一个多学科的团队,包括具有实践经验的个人,使用AGREE II工具开发了指导.
- 对所有文献类型,社区证据和专家输入的系统审查,并提出了明智的建议 (2021年12月-2022年9月).
- 通过外部审查委员会和公众商过程收集了反.
主要成果:
- 现有的THN文献质量不佳,需要整合多种证据来源.
- 建议涵盖纳洛的使用途径,THN必需组件和过量反应策略.
- THN套件应提供肌肉内和鼻内纳洛配方;推内容包括纳洛,输送装置,个人防护设备,说明书和箱子.
结论:
- 本指南为加拿大THN计划提供了方向,而已公布的证据有限.
- 与各种利益相关者合作制定了建议,包括那些有生活和生活经验的人.
- 主要建议侧重于提供灵活的纳洛配方和全面的过量反应培训.
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