"它吃掉了我的心":在住院患者中发现注射药物相关内心炎的知识差距
Kate E A Roberts1,2, Eunice A Okumu3, Bailey McInnes3
1Graduate School of Social Work and Social Research, Bryn Mawr College, Bryn Mawr, PA, USA.
Substance use & addiction journal
|July 22, 2025
概括
注射药物患者往往缺乏有关传染性内心炎 (IE) 和其预防的知识. 公共卫生工作应优先教育这一群体对IE风险,并提供无菌的注射设备以预防感染.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 成 药物 药物 药物 药物
背景情况:
- 传染性内心炎 (IE) 的发病率正在增加,主要是由于注射药物使用 (IDU).
- 目前对注射药物使用的公共卫生干预侧重于艾滋病毒和病毒性肝炎等传染病,忽视了IE.
- 这项研究评估了IDU相关IE的个体之间的IE知识.
研究的目的:
- 评估有注射药物使用史 (IDU) 的患者对传染性内心炎 (IE) 的认识和理解.
- 探索IE知识与IDU实践之间的关系.
- 识别公共卫生信息中关于注射药物使用人口中IE预防的差距.
主要方法:
- 进行了半结构化采访,对16名因注射药物相关的IE而住院的成年人进行了采访.
- 采访探讨了参与者与IE和IDU的知识和经验.
- 数据被录音,转录和主题编码.
主要成果:
- 确定的主题:有限的IE知识,非特定的IE症状,注射行为,以及对其他IDU感染 (HCV,HIV) 的知识.
- 大多数患者在入院前几乎没有IE知识,尽管之前有软组织感染.
- 由于未被识别的IE症状,患者经常推迟寻求护理;尽管意识到风险,但许多人重复使用注射设备.
结论:
- 个人注射药物并获得IE证明了对这种情况,其症状和预防策略的预先知识有限.
- 迫切需要开展公共卫生活动,以教育注射毒品者预防IE.
- 改善对无菌注射设备的准入对于减少与注射剂使用相关的细菌感染的发生率至关重要.
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