scholarly journals Tuberculosis in Selected Drug Abuse Treatment and Rehabilitation Centers (DATRCs) in Luzon, Philippines

2020 ◽  
Vol 54 (5) ◽  
Author(s):  
Carl Abelardo T. Antonio ◽  
Jonathan P. Guevarra ◽  
Aubrey B. Lara ◽  
Eleanor C. Castillo ◽  
Lolita L. Cavinta ◽  
...  

Background and Objectives. Tuberculosis (TB) continues to be a public health concern in the Philippines. Vulnerablepopulations in congregate settings such as drug abuse treatment and rehabilitation centers (DATRCs) have higherrisks of TB transmission and infection. With the Duterte administration’s intensified campaign against illegaldrugs, government-retained DATRCs are filled to capacity. There is an identified need to profile drug users anddependents living in DATRCs. Furthermore, national guidelines for TB management specific to this population isabsent. A study was conducted to determine the profile of admitted clients diagnosed with TB, TB prevalence,treatment outcomes and choice of TB diagnostic modalities in six (6) Luzon-based DATRCs from 2013-2015. Methods. All medical records of drug users admitted in this period were reviewed. Information on the totalpatient census was sought from DATRC heads and used to compute for prevalence. Results. A total of 347 records were obtained. Overall TB prevalence in the study sites was 7,216 per 100,000population. The typical individual diagnosed with TB in a DATRC was male, with a mean age of 35 years, with at leasthigh school education, and unemployed. Weight loss and fatigue were the most common symptoms reported. Themajority (79.83%) completed TB treatment in the DATRCs. Sputum microscopy and chest x-ray were both used forTB diagnosis in 92.80% (322) of the cases. Conclusion. The high burden of TB in Luzon-based, government-retained DATRCs is alarming and underscorethe critical need for standards and guidelines in the National Tuberculosis Control Program addressing the uniquecontext of these facilities.

1998 ◽  
Vol 28 (2) ◽  
pp. 381-394 ◽  
Author(s):  
David Farabee ◽  
Carl G. Leukefeld ◽  
Lon Hays

The Presidential Commission on the Human Immunodeficiency Virus Epidemic (1988) developed a 10-year plan in 1987 that recommended: “Expanded drug abuse treatment programs sufficient to admit all IV drug users who desired services and, until that occurred, short-term detoxification and low-dose methadone for those on waiting lists.” This study presents data collected from a sample of 2,613 out-of-treatment and non-incarcerated injection drug users in 21 U.S. cities to examine their drug-treatment access during the past year. Analyses on injectors who tried but were unable to enter treatment revealed that program-based reasons (e.g., no room, too costly, or stringent admission criteria) are the most commonly given barriers to drug treatment (72%). However, a notable number of injectors (20%) also reported that individual-based reasons are important for not accessing drug treatment. Injectors giving program- and individual-based reasons for not entering treatment are profiled using logistic regression.


Author(s):  
Diogo Barbosa ◽  
Luciana Tricai Cavalini ◽  
Nádia Cristina Pinheiro Rodrigues

Background: The consumption of psychoactive drugs is growing in Brazil, as well as the access of social networks. This study is a preliminary short report about the contribution of online social networks for drug abuse treatment. The study aimed to evaluate the role of an online social network to engage psychoactive drug users in treatment. Methods: A descriptive study was undertaken from July to September 2015. The study population were psychoactive drugs users who accessed voluntarily the webpage “Stay Free of Drugs” (SFD) from the social network Facebook. Results: A total of 25 psychoactive drug users were enrolled in the study, and 16 (64%) accessed a healthcare centre seeking treatment. The average from the users’ online contact to their visit to the healthcare centre was 8.4 days. Half of the participants were exclusive alcohol users and accessed the webpage at night (65%). Conclusions: The use of a social network showed a potential importance in referring drug users to treatment, also acting as health education strategy.


1989 ◽  
Vol 19 (1) ◽  
pp. 141-162 ◽  
Author(s):  
Barry S. Brown ◽  
George M. Beschner

A review of recent study in drug abuse treatment suggests that by the 1980s there had developed a concern about melding drug abuse treatment techniques with strategies drawn from the field of mental health. The emergence of AIDS has made it necessary to augment treatment objectives to include containment of HIV infection as an appropriate goal and develop innovative strategies appropriate to achieving that goal. There is a review of new models of service delivery that can be initiated and/or have been initiated in three areas: outreach/recruitment of IV drug users and their cohabitants, education/counseling with regard to risk-reducing behaviors, and extending the period of treatment influence. The impact of AIDS on program administrators and line staff is also discussed.


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