Infectious diseases & the opioid epidemic
Infectious diseases and the opioid epidemic are two major public health crises that intersect in complex and devastating ways. The misuse of opioids, including both prescription painkillers and illicit substances like heroin and fentanyl, has contributed to a surge in infections such as HIV, hepatitis C, and bacterial endocarditis, often spread through unsafe injection practices.
Understanding the connection between infectious diseases and opioid misuse is essential to developing effective prevention and treatment strategies that address both the biological and social dimensions of these intertwined epidemics.
Clinical Resources & Tools
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IDSA spoke with Dr. Alysse Wurcel from the Department of Geographic Medicine and Infectious Diseases at Tufts Medical Center in 2018 to discuss the infectious diseases impacts of the opioid epidemic. Dr. Wurcel, a clinician and researcher with expertise in HIV and hepatitis C, specializes in the care of individuals who inject drugs and those involved with the justice system. To watch the interview, click here.
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Review of types of chronic pain commonly seen among persons living with HIV (PLWH) and of the limited evidence base for treatment of chronic noncancer pain in this population. Also reviews the management of chronic pain in special populations of PLWH, including persons with substance use and mental health disorders, and possible pharmacokinetic interactions.
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Recommendations from the CDC for the prescribing of opioid pain medication for patients 18 and older in primary care settings (published in 2022).
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Online directory searchable by address, city and zip code for substance use and mental health service providers.
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Program funded by the Substance Abuse and Mental Health Services Administration to train providers in evidenced-based prevention and treatment of opioid use disorders and treatment of chronic pain. Offers Medication Assisted Treatment waiver training at no cost and an “Ask the Expert” feature for substance use treatment and pain management questions.
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Online directory of syringe exchange programs by state.
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Link to opioid related funding opportunities listed on grants.gov.
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Opioid & Health Indicator Database