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Management of hospitalized intravenous drug users: role of the internist.


Am J Med. 1994 Jun;96(6):551-8. Unique Identifier : AIDSLINE

Intravenous drug users present significant clinical challenges to internists. In this paper, we review common clinical dilemmas faced by internists when managing intravenous drug users in the inpatient hospital setting. Articles were identified through a MEDLINE search and bibliographies of published articles. Studies and reviews were selected for information relevant to the management of hospitalized intravenous drug users. Seventy-three papers were selected for this review. We summarize data and information from the relevant literature concerning common presenting medical problems (fever, musculoskeletal pain, and dyspnea), the importance of knowing patients' HIV status, common behavioral issues, special concerns of women, and the diagnosis and management of drug withdrawal in intravenous drug users. We also offer recommendations for hospital discharge planning. With appropriate knowledge of the epidemiology and management of important medical and substance use problems among intravenous drug users, internists may more effectively care for them in the hospital setting.

Dyspnea/THERAPY Female Fever/THERAPY Hospitalization Human *Internal Medicine Musculoskeletal Diseases/THERAPY Pain/THERAPY Patient Discharge *Physician's Role Substance Abuse, Intravenous/*COMPLICATIONS Substance Withdrawal Syndrome/ETIOLOGY/*THERAPY JOURNAL ARTICLE REVIEW REVIEW, TUTORIAL


Information in this article was accurate in September 30, 1994. The state of the art may have changed since the publication date. This material is designed to support, not replace, the relationship that exists between you and your doctor. Always discuss treatment options with a doctor who specializes in treating HIV.