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Evaluation of the Staying Alive programme: Training injection drug users to properly administer naloxone and save lives

机译:评估“保持生命”计划:培训注射吸毒者正确管理纳洛酮并挽救生命

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Background: In response to the high rates of opiate-related overdoses and deaths in the United States, a number of overdose preventionprogrammes have been implemented that include training drug users to administer naloxone, an opiate antagonist. The purpose of this studywas to evaluate the Staying Alive (S A) programme in Baltimore, Maryland, which trained drug users to prevent and respond to opiate overdoseusing techniques including mouth-to-mouth resuscitation and administration of naloxone.Methods: Participants for the SA programme were recruited from multiple locations by Baltimore City Health Department Needle Exchangeprogramme staff. A 1-h training was conducted by two facilitators. Participants who successfully completed the programme were providedwith a kit that contained naloxone. Participants in the evaluation study were enrolled prior to the training session. The present analysis includes85 participants who completed a pre- and post-test evaluation survey.Results: At both time points, 43 participants reported having witnessed an overdose. Post-training, naloxone was administered by 19 withno reported adverse effects. Post-training, a greater proportion of participants reported using resuscitation skills taught in the SA programmealong with increased knowledge specifically about naloxone.Conclusions: Results from this study provide additional evidence to support the effectiveness of overdose prevention training programmesthat include skills building for drug users to administer naloxone.
机译:背景:为应对美国与阿片剂相关的过量用药和死亡的高比率,已实施了许多预防过量用药的计划,其中包括培训吸毒者使用阿片拮抗剂纳洛酮。这项研究的目的是评估马里兰州巴尔的摩市的Staying Alive(SA)计划,该计划训练了吸毒者预防和应对鸦片药物过量使用的技术,包括口对口复苏和纳洛酮的管理方法。是由巴尔的摩市卫生局针头交换计划人员从多个地点招募的。两名主持人进行了1小时的培训。为成功完成该计划的参与者提供了包含纳洛酮的试剂盒。评估课程的参与者已在培训课程开始之前入选。本分析包括完成测试前和测试后评估调查的85位参与者。结果:在两个时间点,有43位参与者报告目睹药物过量。培训后,有19名患者接受了纳洛酮治疗,未见不良反应。培训后,有更大比例的参与者报告说,他们使用了SA计划中讲授的复苏技能,并增加了对纳洛酮的专门知识。结论:本研究的结果提供了额外的证据来支持药物过量预防培训计划的有效性,包括为吸毒者建立技能培训。使用纳洛酮。

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