• Preventive medicine · Nov 2019

    Case Reports

    Integrated outpatient treatment of opioid use disorder and injection-related infections: A description of a new care model.

    • Laura C Fanucchi, Sharon L Walsh, Alice C Thornton, and Michelle R Lofwall.
    • Division of Infectious Disease, Center on Drug and Alcohol Research, University of Kentucky, 845 Angliana Ave., Lexington, KY 40508, United States of America. Electronic address: laura.fanucchi@uky.edu.
    • Prev Med. 2019 Nov 1; 128: 105760.

    AbstractPersons with opioid use disorder (OUD) hospitalized with severe, injection-related infections (SIRI) are frequently hospitalized for the duration of IV antibiotic treatment due to concerns regarding their eligibility for outpatient parenteral antimicrobial therapy (OPAT), which is the standard of care for prolonged IV antibiotic courses for patients without drug use. As part of a pilot study, a novel, integrated care model was developed where patients with OUD and SIRI receive addiction consultation and buprenorphine induction while hospitalized, followed by ongoing management in an outpatient clinic that combines office-based opioid treatment with buprenorphine pharmacotherapy and counseling services with OPAT. Through three illustrative case vignettes the outpatient model is described along with challenges, lessons learned and future directions.Copyright © 2019 Elsevier Inc. All rights reserved.

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