Models for Integrating Buprenorphine Therapy into the Primary HIV Care Setting

Models for integrating buprenorphine therapy into the primary HIV care setting.

Opiate dependence among human immunodeficiency virus (HIV)-infected patients has been associated with negative clinical outcomes, yet few affected patients receive appropriate and coordinated treatment for both conditions. The introduction of buprenorphine maintenance therapy into HIV care settings provides an opportunity for providers to integrate treatment for opiate dependence into their pra...

Response: Integrating Buprenorphine Therapy Into Clinical Practice

Programs and strategies Van Zee: We are looking to buprenorphine as a possible solution to a very difficult situation. Our clinic is in the heart of Appalachia, in the southwestern corner of Virginia. Until about 3 years ago we had no large-scale opioid addiction, but the OxyContin epidemic changed that. There are now tens of thousands of new opioid addicts in our region. Methadone treatment pr...

Buprenorphine and HIV primary care: new opportunities for integrated treatment.

Drug abuse and infection with human immunodeficiency virus (HIV) are associated with high rates of morbidity and mortality, but, because of medical, social, and legal factors, opiate addiction/dependence is a major obstacle to successful treatment of disease--for example, treatment of acquired immunodeficiency syndrome (AIDS) with highly active antiretroviral therapy. In an effort to improve th...

Integrating Spirituality into Primary Care

Integrating tuberculosis and HIV care in the primary care setting in South Africa.

BACKGROUND In many countries including South Africa, the increasing human immunodeficiency virus (HIV) and tuberculosis (TB) epidemics have impacted significantly on already weakened public health services. This paper reviews the scope, process and performance of the HIV and TB services in a primary care setting where antiretroviral therapy is provided, in Khayelitsha, South Africa, in order to...