Home > Blood-borne infections in Dublin's opiate users.

Fitzgerald, Michael and Barry, Joseph and O'Sullivan, P and Thornton, Lelia (2001) Blood-borne infections in Dublin's opiate users. Irish Journal of Medical Science , 170 , (1) , pp. 32-34.

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Injecting drug users are at high risk of acquiring blood-borne infections. Ireland has had a harm reduction policy of methadone maintenance and needle exchange since 1992. The aim of this paper is to estimate prevalence of hepatitis B, hepatitis C and HIV infection and appropriate uptake of hepatitis B vaccine in methadone attendees and to make recommendations for a simple record-based surveillance system. The study involves a retrospective study of 138 client records for evidence of laboratory tests or test results for blood-borne viruses and appropriate immunisation against hepatitis B. A total of 60% of clients had evidence of one or more laboratory tests in their notes. Of those tested for individual viruses, 5.1% were positive for hepatitis B surface antigen, 78.8% had antibodies to hepatitis C and 16.7% were HIV positive. Nearly two-thirds of clients had no evidence of vaccination or information on prior immunity in their records. The authors concluded that a standardised written protocol for screening for blood-borne viruses and for immunisation against hepatitis B in methadone service attendees was clearly needed, and was subsequently introduced by the Eastern Region Health Authority.


Item Type:Article
Date:2001
Page Range:pp. 32-34
Publisher:Royal Academy of Medicine in Ireland
Volume:170
Number:1
EndNote:View
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Subjects:G Health and disease > Disorder by cause > Communicable disease > Hepatitis C
T Demographic characteristics > Intravenous / injecting drug user
G Health and disease > Disorder by cause > Communicable disease
VA Geographic area > Europe > Ireland
VA Geographic area > Europe > Ireland > Dublin
G Health and disease > State of health > Physical health
G Health and disease > Disorder by cause > Communicable disease > Hepatitis B
B Substances > Opioids (opiates)
HJ Treatment method > Substance disorder treatment method > Substance replacement method (substitution) > Methadone maintenance

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