Missed Opportunities for Preexposure Prophylaxis Initiation in Hospitalized Persons With Opioid Use Disorder and Infectious Diseases

Kaley Parchinski; Victor Neirinckx; Cynthia Frank; Angela Di Paola; Adati Tarfa; Sheela Shenoi; Brent Vander Wyk; Prerana Roth; Tracy Ghantous; Mary Kay Wegman; Michelle Strong; Frances R Levin; Kathleen Brady; Edward Nunes; Alain H Litwin; Sandra A Springer

doi:10.1093/ofid/ofae366

Missed Opportunities for Preexposure Prophylaxis Initiation in Hospitalized Persons With Opioid Use Disorder and Infectious Diseases

Open Forum Infect Dis. 2024 Jul 10;11(7):ofae366. doi: 10.1093/ofid/ofae366. eCollection 2024 Jul.

Authors

Kaley Parchinski^{1

2}, Victor Neirinckx¹, Cynthia Frank¹, Angela Di Paola^{1

3}, Adati Tarfa^{1

3}, Sheela Shenoi^{1

3}, Brent Vander Wyk⁴, Prerana Roth^{5

6}, Tracy Ghantous¹, Mary Kay Wegman¹, Michelle Strong^{5

6}, Frances R Levin^{7

8}, Kathleen Brady⁹, Edward Nunes^{7

8}, Alain H Litwin^{5

6}, Sandra A Springer^{1

3}

Affiliations

¹ Section of Infectious Diseases, Department of Internal Medicine, AIDS Program, Yale School of Medicine, New Haven, Connecticut, USA.
² Medical School, Medical College of Georgia, Augusta, Georgia, USA.
³ Center for Interdisciplinary Research on AIDS, Yale University School of Public Health, New Haven, Connecticut, USA.
⁴ Section of Geriatrics, Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
⁵ Department of Medicine, Prisma Health Addiction Medicine Center, Greenville, South Carolina, USA.
⁶ Department of Medicine, University of South Carolina School of Medicine, Greenville, South Carolina, USA.
⁷ Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York City, New York, USA.
⁸ Department of Psychiatry, New York State Psychiatric Institute, New York City, New York, USA.
⁹ Department of Psychiatry, Medical University of South Carolina, Charleston, South Carolina, USA.

Abstract

Hospitalizations are increasing among persons who use opioids, secondary to overdose and infections. Our study identified acute hospitalization as a reachable moment for engaging people who use drugs in increased screening and education about human immunodeficiency virus risk and prevention (preexposure prophylaxis).

Keywords: HIV; buprenorphine; hospitalization; infection; opioid use disorder; preexposure prophylaxis.

Abstract

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