Historique
Périodique
Hepatitis C and HIV infections: implications for clinical care in injection drug users
(Infections au VIH et hépatites C : conséquences pour la prise en charge des usagers de drogues par voie injectable.)
Auteur(s) :
SULLIVAN, L. E. ;
FIELLIN, D. A.
Année
2004
Page(s) :
1-20
Langue(s) :
Anglais
Refs biblio. :
160
Domaine :
Drogues illicites / Illicit drugs
Discipline :
MAL (Maladies infectieuses / Infectious diseases)
Note générale :
American Journal on Addictions, 2004, 13, (1), 1-20
Note de contenu :
tabl.
Résumé :
ENGLISH :
Our objective is to provide a state-of the-art review on hepatitis C (HCV) and the human immunodeficiency virus (HIV) in injection drug users (IDUs), highlighting important clinical issues. We performed a literature review from the MEDLINE database for research from 1966 to 2003, with an emphasis on recent consensus document. Of the estimated 15 million illicit drug users in the U.S., approximately 1.0 to 1.5 million inject drugs. IDUs are at significant risk of contracting HCV and HIV, with IDUs accounting for 60% of new HCV cases and 25% of new HIV infections. It is a major risk factor, for HCV/HIV coinfection, which significantly impacts on each disorder's progressiorn. It appears that treatment response in IDUs with HCV or HIV is similar to non-IDUs with these viruses and that medication adherence and treatment outcomes are optimized when linked with substance abuse treatment. Providers caring for patients who are or were IDUs must be aware of the management of these diseases and make efforts to integrate their medical care with the treatment of their substance abuse. (Review' s abstract)
Affiliation :
Yale Univ. School Med., 333 Cedar St., P.O. Box 208025, New Haven, CT 06520-8025 ; lynn.sullivanyale.edu
Etats-Unis. United States.
Etats-Unis. United States.