[Prevention of HIV infection in the methadone program. A study of a drop-in clinic in Zurich].
We were able to show for 21 patients who were all HIV-negative at the beginning of the methadone maintenance program of the Drop-in in Zurich that they remained HIV-negative over an average period of 34 months. At the beginning of the program 48% of the patients had a good social integration with few contacts to the drug scene for buying or selling drugs. During the program this figure increased to 90%. Before starting the program 43% of these HIV-negative patients were at high risk (needle sharing). During the maintenance program 57% of the patients became clean of heroin and 76% clean of cocaine. The remaining obviously abstained from needle sharing due to a continuous information concerning HIV-prevention. We conclude that a well structured methadone maintenance program with a close, consistent and enduring relationship between staff and patients can be of great importance in HIV-prevention among IV drug abusers.
Huber-Stemich
F
F
Psychiatrische Beratungsstelle für Jugend- und Drogenprobleme, Sozialpsychiatrischer Dienst der Psychiatrischen Universitätsklinik, Zürich.
Haas
H
H
D000328:Adult; D005260:Female; D006679:HIV Seropositivity / Q000175:diagnosis; D015528:HIV Seroprevalence; D006801:Humans; D008297:Male; D008691:Methadone / Q000627:therapeutic use*; D012189:Retrospective Studies; D012307:Risk Factors; D019966:Substance-Related Disorders / Q000150:complications / Q000188:drug therapy*; D013557:Switzerland / Q000453:epidemiology
D008691:Methadone
Prävention der HIV-Infektion im Methadonprogramm. Eine Studie des Drop-in Zürich.