The medical management of opioid dependence in HIV primary care settings.

Abstract:

:Injecting drug use is a common mode of transmission among persons with HIV/AIDS. Many HIV-infected patients meet diagnostic criteria for opioid dependence, a chronic and relapsing brain disorder. Most HIV providers, however, receive little training in substance use disorders. Opioid agonist therapy (OAT) has a stabilizing effect on opioid-dependent patients and is associated with greater acceptance of antiretroviral (ARV) therapy, higher ARV adherence, and greater engagement in HIV-related health care. Although methadone maintenance has been the OAT gold standard, methadone is available for the treatment of opioid dependence only in strictly regulated narcotic treatment programs. Buprenorphine, a partial opioid agonist approved for the office-based treatment of opioid dependence in 2002, may result in better health and substance use treatment outcomes for patients with HIV disease.

journal_name

Curr HIV/AIDS Rep

journal_title

Current HIV/AIDS reports

authors

Lum PJ,Tulsky JP

doi

10.1007/s11904-006-0016-z

subject

Has Abstract

pub_date

2006-11-01 00:00:00

pages

195-204

issue

4

eissn

1548-3568

issn

1548-3576

journal_volume

3

pub_type

杂志文章,评审
  • Understanding the etiology and management of HIV-associated peripheral neuropathy.

    abstract::HIV may cause several forms of peripheral neuropathy, the most common of which is distal symmetric polyneuropathy (DSP) characterized by pain and sensory deficits in a stocking-glove distribution. The pathophysiology of DSP remains largely unknown but is thought to be related both to the neurotoxicity of HIV-through i...

    journal_title:Current HIV/AIDS reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11904-014-0211-2

    authors: Stavros K,Simpson DM

    更新日期:2014-09-01 00:00:00

  • Human genetic variability and HIV treatment response.

    abstract::Access to potent antiretroviral medications greatly reduces morbidity and mortality due to HIV/AIDS, but drug toxicity limits treatment success in many individuals. The field of pharmacogenomics strives to understand the influence of human genetic variants in response to medications. Investigators have begun to identi...

    journal_title:Current HIV/AIDS reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11904-006-0018-x

    authors: Haas DW

    更新日期:2006-07-01 00:00:00

  • Ocular complications of HIV infection in sub-Sahara Africa.

    abstract::This article reviews the magnitude and spectrum of ocular complications of HIV infection in sub-Sahara Africa. A literature search was done using PubMed, Google, and UpToDate and by talking to ophthalmologists and HIV experts working in the region. Ocular complications of HIV infection, mostly retinal, are seen in 29%...

    journal_title:Current HIV/AIDS reports

    pub_type: 杂志文章

    doi:10.1007/s11904-008-0019-z

    authors: Nkomazana O,Tshitswana D

    更新日期:2008-08-01 00:00:00

  • Healthy Aging in Older Women Living with HIV Infection: a Systematic Review of Psychosocial Factors.

    abstract::Due to life-enhancing effects of antiretroviral therapy, HIV-positive persons have the potential for long life comparable to their uninfected peers. Older women (age 50+) living with HIV (OWLH) are often an under-recognized aging group. We conducted a systematic review to examine psychosocial factors that impact how O...

    journal_title:Current HIV/AIDS reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11904-017-0347-y

    authors: Rubtsova AA,Kempf MC,Taylor TN,Konkle-Parker D,Wingood GM,Holstad MM

    更新日期:2017-02-01 00:00:00

  • Pediatric HIV: the Potential of Immune Therapeutics to Achieve Viral Remission and Functional Cure.

    abstract:PURPOSE OF REVIEW:In the absence of antiretroviral therapy (ART), more than 50% of perinatally HIV-infected children die by 2 years of age. Early ART from infancy is therefore a global recommendation and significantly improves immune health, child survival, and disease outcome. However, even early treatment does not pr...

    journal_title:Current HIV/AIDS reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11904-020-00495-1

    authors: Berendam SJ,Nelson AN,Goswami R,Persaud D,Haigwood NL,Chahroudi A,Fouda GG,Permar SR

    更新日期:2020-06-01 00:00:00

  • Motivational interviewing targeting risk reduction for people with HIV: a systematic review.

    abstract::Due to the co-occurrence of sexual risk behaviors and substance use among HIV-positive individuals, there is often a need for HIV prevention efforts to target multiple behaviors. Motivational Interviewing (MI), a widely disseminated behavior change intervention, has demonstrated effectiveness in promoting behavior cha...

    journal_title:Current HIV/AIDS reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11904-012-0132-x

    authors: Naar-King S,Parsons JT,Johnson AM

    更新日期:2012-12-01 00:00:00

  • The role of viral co-infection in HIV-associated non-AIDS-related cancers.

    abstract::HIV-infected individuals are at increased risk for most types of cancer, including those typically classified as non-AIDS-defining cancers (NADCs). This increased risk is likely multifactorial, but a prominent risk factor for the increased rate of some cancers is co-infection with oncogenic viruses. Anal cancer, hepat...

    journal_title:Current HIV/AIDS reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11904-015-0276-6

    authors: Riedel DJ,Tang LS,Rositch AF

    更新日期:2015-09-01 00:00:00

  • Network-Based Research on Rural Opioid Use: an Overview of Methods and Lessons Learned.

    abstract:PURPOSE OF REVIEW:The purpose of this paper is to provide a thorough overview of methods used for recruitment, network data collection, and network data management in a network-based study of rural people who use drugs (PWUD) and to offer methodological recommendations for future research on rural drug use. RECENT FIN...

    journal_title:Current HIV/AIDS reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11904-018-0391-2

    authors: Young AM,Rudolph AE,Havens JR

    更新日期:2018-04-01 00:00:00

  • Adherence to HIV care after pregnancy among women in sub-Saharan Africa: falling off the cliff of the treatment cascade.

    abstract::Increased access to testing and treatment means HIV can be managed as a chronic illness, though successful management requires continued engagement with the health care system. Most of the global HIV burden is in sub-Saharan Africa where rates of new infections are consistently higher in women versus men. Pregnancy is...

    journal_title:Current HIV/AIDS reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11904-014-0252-6

    authors: Psaros C,Remmert JE,Bangsberg DR,Safren SA,Smit JA

    更新日期:2015-03-01 00:00:00

  • Interventions for body habitus changes associated with HIV infection and its treatment.

    abstract::Lipodystrophy and its two components lipo-accumulation and lipoatropy are very common among individuals with HIV infection on treatment, especially among those who started therapy in the late 1990s and early 2000s. This review discusses the current management of these complications of HIV and its treatment. For the pu...

    journal_title:Current HIV/AIDS reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11904-007-0013-x

    authors: Tebas P

    更新日期:2007-05-01 00:00:00

  • HIV and aging: time for a new paradigm.

    abstract::The population of patients with HIV infection achieving viral suppression on combination antiretroviral therapy is growing, aging, and experiencing a widening spectrum of non-AIDS diseases. Concurrently, AIDS-defining conditions are becoming less common and are variably associated with outcome. Nonetheless, the spectr...

    journal_title:Current HIV/AIDS reports

    pub_type: 杂志文章

    doi:10.1007/s11904-010-0041-9

    authors: Justice AC

    更新日期:2010-05-01 00:00:00

  • Realizing the potential of treatment as prevention: global ART policy and treatment coverage.

    abstract::This article reviews the antiretroviral therapy (ART) initiation criteria from published national guidelines for 94 countries (representing 86 % of global HIV burden) and compares them with the 2013 World Health Organization (WHO) ART guidelines. As of 31st of July 2014, 19 countries have adopted the WHO-recommended C...

    journal_title:Current HIV/AIDS reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11904-014-0230-z

    authors: Gupta S,Williams B,Montaner J

    更新日期:2014-12-01 00:00:00

  • Reducing HIV and AIDS in adolescents: opportunities and challenges.

    abstract::Adolescents are critical to efforts to end the AIDS epidemic. Few national AIDS strategies explicitly program for children in their second decade of life. Adolescents (aged 10-19 years) are therefore largely invisible in global, regional, and country HIV and AIDS reports making it difficult to assess progress in this ...

    journal_title:Current HIV/AIDS reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11904-013-0159-7

    authors: Kasedde S,Luo C,McClure C,Chandan U

    更新日期:2013-06-01 00:00:00

  • HIV/STI risk among venue-based female sex workers across the globe: a look back and the way forward.

    abstract::Female sex workers (FSWs) continue to represent a high-risk population in need of targeted HIV prevention interventions. Targeting environmental risk factors should result in more sustainable behavior change than individual-level interventions alone. There are many types of FSWs who operate in and through a variety of...

    journal_title:Current HIV/AIDS reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11904-012-0142-8

    authors: Pitpitan EV,Kalichman SC,Eaton LA,Strathdee SA,Patterson TL

    更新日期:2013-03-01 00:00:00

  • Use of Technology to Address Substance Use in the Context of HIV: A Systematic Review.

    abstract::Substance users are at elevated risk for HIV. HIV researchers, particularly at the intersection of HIV and substance use, have requested new methods to better understand and address this important area. New technologies, such as social media and mobile applications, are increasingly being used as research tools in stu...

    journal_title:Current HIV/AIDS reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11904-015-0295-3

    authors: Young SD,Swendeman D,Holloway IW,Reback CJ,Kao U

    更新日期:2015-12-01 00:00:00

  • Innovative Strategies for Scale up of Effective Combination HIV Prevention Interventions in Sub-Saharan Africa.

    abstract::For the last three decades, sub-Saharan Africa has been the epicentre of the HIV epidemic. Some key drivers of the epidemic are specific to this region and there is an urgent need to develop context-specific strategies to reduce HIV-related burden. Implementation frameworks should endeavour to combine structural, beha...

    journal_title:Current HIV/AIDS reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11904-015-0262-z

    authors: Shanaube K,Bock P

    更新日期:2015-06-01 00:00:00

  • Preventing bacterial disease in the HIV-infected of sub-Saharan Africa: the role of cotrimoxazole and the pneumococcal vaccines.

    abstract::Bacterial infection is a major cause of morbidity and mortality among patients with HIV living in Africa. Broadening the scope of cotrimoxazole (CTX) prophylaxis to cover patients whose CD4 counts are above 200 cells/mm(3) has been suggested as a means of improving the control of infectious disease on the continent. C...

    journal_title:Current HIV/AIDS reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11904-007-0021-x

    authors: Spencer DC

    更新日期:2007-08-01 00:00:00

  • Better Service by Doing Less: Introducing De-implementation Research in HIV.

    abstract::The course of HIV research has led to a multitude of interventions to prevent and treat HIV. With the arrival of more effective interventions comes the need to end, or de-implement, less effective interventions. PURPOSE OF REVIEW: To describe the state of de-implementation research in HIV and provide a rationale for e...

    journal_title:Current HIV/AIDS reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11904-020-00517-y

    authors: McKay VR,Tetteh EK,Reid MJ,Ingaiza LM

    更新日期:2020-10-01 00:00:00

  • HIV, Depression, and Cognitive Impairment in the Era of Effective Antiretroviral Therapy.

    abstract:PURPOSE OF REVIEW:Mental health disorders, especially depression, are prevalent among people living with HIV (PLWH) and are associated with cognitive impairment (CI) among HIV-uninfected (HIV-) individuals. We conducted a comprehensive review of the link between depression and cognition among PLWH. RECENT FINDINGS:Stu...

    journal_title:Current HIV/AIDS reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11904-019-00421-0

    authors: Rubin LH,Maki PM

    更新日期:2019-02-01 00:00:00

  • Application of Pathogen Discovery/Metagenomic Sequencing in CNS HIV.

    abstract:PURPOSE OF REVIEW:Neurological conditions associated with HIV/AIDS including central nervous system (CNS), opportunistic infections (OI), chronic conditions including HIV-associated neurocognitive disorder, and cerebrospinal fluid (CSF) viral escape remain major contributors to morbidity and mortality worldwide. CNS in...

    journal_title:Current HIV/AIDS reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11904-020-00514-1

    authors: Thakur KT

    更新日期:2020-10-01 00:00:00

  • Working With Persons Who Inject Drugs and Live in Rural Areas: Implications From China/Vietnam for the USA.

    abstract:PURPOSE OF REVIEW:To describe a small city/rural area HIV prevention project (the Cross Border Project) implemented in Ning Ming County, Guangxi Province, China, and Lang Son province, Vietnam, and consider its implications for addressing the opioid/heroin epidemic in small cities/rural areas in the USA. The descriptio...

    journal_title:Current HIV/AIDS reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11904-018-0405-0

    authors: Des Jarlais DC,Hammett TM,Kieu B,Chen Y,Feelemyer J

    更新日期:2018-08-01 00:00:00

  • Metabolic Complications and Glucose Metabolism in HIV Infection: A Review of the Evidence.

    abstract::HIV infection and antiretroviral therapy (ART) use are associated with perturbations in glucose and lipid metabolism. Increasing incidence of diabetes, cardiovascular disease, and obesity highlights the need for early identification and treatment of metabolic dysfunction. Newer ART regimens are less toxic for cellular...

    journal_title:Current HIV/AIDS reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11904-016-0330-z

    authors: Willig AL,Overton ET

    更新日期:2016-10-01 00:00:00

  • Point-of-care and Near Real-time Testing for Antiretroviral Adherence Monitoring to HIV Treatment and Prevention.

    abstract:PURPOSE OF REVIEW:In this report, we review the need for point-of-care (POC) or near real-time testing for antiretrovirals, progress in the field, evidence for guiding implementation of these tests globally, and future directions in objective antiretroviral therapy (ART) or pre-exposure prophylaxis (PrEP) adherence mon...

    journal_title:Current HIV/AIDS reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11904-020-00512-3

    authors: Drain PK,Bardon AR,Simoni JM,Cressey TR,Anderson P,Sevenler D,Olanrewaju AO,Gandhi M,Celum C

    更新日期:2020-10-01 00:00:00

  • How to Evolve the Response to the Global HIV Epidemic With New Metrics and Targets Based on Pre-Treatment CD4 Counts.

    abstract:PURPOSE OF THE REVIEW:Early diagnosis and treatment of HIV following seroconversion improves individual and population health. Using published data on pre-treatment CD4 cell counts, we benchmarked the level of immunodeficiency at HIV diagnosis and ART initiation in the "real world" against those of the treatment and co...

    journal_title:Current HIV/AIDS reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11904-019-00452-7

    authors: Nash D,Robertson M

    更新日期:2019-08-01 00:00:00

  • HIV and the kidney: a status report after 20 years.

    abstract::The first association between HIV-1 infection and kidney disease was made in 1984 and much has been learned over the past 20 years. In recent years, more effective therapies for HIV-1 infection and its associated opportunistic infections have led to improved patient survival. However, with prolonged survival, morbidit...

    journal_title:Current HIV/AIDS reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11904-004-0016-9

    authors: Cho ME,Kopp JB

    更新日期:2004-09-01 00:00:00

  • Compartmentalization, Viral Evolution, and Viral Latency of HIV in the CNS.

    abstract::Human immunodeficiency virus type 1 (HIV-1) infection occurs throughout the body and can have dramatic physical effects, such as neurocognitive impairment in the central nervous system (CNS). Furthermore, examining the virus that resides in the CNS is challenging due to its location and can only be done using samples ...

    journal_title:Current HIV/AIDS reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11904-015-0265-9

    authors: Bednar MM,Sturdevant CB,Tompkins LA,Arrildt KT,Dukhovlinova E,Kincer LP,Swanstrom R

    更新日期:2015-06-01 00:00:00

  • Defining T Cell Tissue Residency in Humans: Implications for HIV Pathogenesis and Vaccine Design.

    abstract:PURPOSE OF REVIEW:This review summarizes recent literature defining tissue-resident memory T cells (TRM) and discusses implications for HIV pathogenesis, vaccines, and eradication efforts. RECENT FINDINGS:Investigations using animal models and human tissues have identified a TRM transcriptional profile and elucidated ...

    journal_title:Current HIV/AIDS reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11904-020-00481-7

    authors: Shacklett BL,Ferre AL,Kiniry BE

    更新日期:2020-04-01 00:00:00

  • Factors Associated With Insulin Resistance in Adults With HIV Receiving Contemporary Antiretroviral Therapy: a Brief Update.

    abstract:PURPOSE OF REVIEW:This narrative review summarizes recent data on factors associated with insulin resistance (IR) in adults with HIV, including contemporary antiretroviral therapy (ART). RECENT FINDINGS:IR remains common in persons with HIV, even those receiving contemporary ART. Generalized and abdominal obesity and ...

    journal_title:Current HIV/AIDS reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11904-018-0399-7

    authors: Hulgan T

    更新日期:2018-06-01 00:00:00

  • Novel interventions to prevent HIV and HCV among persons who inject drugs.

    abstract::Persons who inject drugs (PWID) are at high risk for infection with and poor outcomes from HIV and hepatitis C virus (HCV). Well-established interventions for HIV/HCV prevention among PWID include syringe access, opioid agonist maintenance treatment, and supervised injection facilities, yet these interventions remain ...

    journal_title:Current HIV/AIDS reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11904-014-0248-2

    authors: Coffin PO,Rowe C,Santos GM

    更新日期:2015-03-01 00:00:00

  • Treatment of latent tuberculosis infection in HIV: shorter or longer?

    abstract::Nine months of daily isoniazid is efficacious in treating latent M. tuberculosis infection, but completion rates are low, limiting treatment effectiveness. In 2011, three important studies were published involving novel regimens for the treatment of latent M. tuberculosis infection. At least 36 months of isoniazid was...

    journal_title:Current HIV/AIDS reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11904-012-0120-1

    authors: Person AK,Sterling TR

    更新日期:2012-09-01 00:00:00