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Scotland's National Naloxone Programme

Bird, Sheila M ; McAuley, Andrew

The Lancet (British edition), 2019-01, Vol.393 (10169), p.316-318 [Periódico revisado por pares]

England: Elsevier Ltd

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  • Título:
    Scotland's National Naloxone Programme
  • Autor: Bird, Sheila M ; McAuley, Andrew
  • Assuntos: Buprenorphine ; Drug overdose ; Drug Overdose - prevention & control ; Fatalities ; Government Programs - methods ; Government Programs - trends ; Heroin ; Humans ; Methadone ; Mortality, Premature - trends ; Naloxone ; Naloxone - administration & dosage ; Narcotic Antagonists - administration & dosage ; Narcotics ; Opioids ; Overdose ; Patient Discharge ; Prisons ; Risk ; Scotland
  • É parte de: The Lancet (British edition), 2019-01, Vol.393 (10169), p.316-318
  • Descrição: In Scotland and internationally, opioid-related overdose is a major cause of premature mortality that adequate distribution of take-home naloxone kits could help to mitigate.1–3 The risk of dying from drug overdose is particularly high soon after prison release and hospital discharge.1,2 Drug-related deaths averaged 500 per annum in Scotland (population: 5 million) during 2006–10; 1970 (79%) of these cases were opioid-related deaths (ORDs), in which heroin, methadone, or buprenorphine was implicated.1 In 2011, Scotland became the first country to implement a National Naloxone Programme (NNP)3 with naloxone kits available to those at risk of opioid-related overdose and after brief training in the community or in prisons. [...]the effectiveness of Scotland's NNP should not be based on a before-and-after comparison of Scotland's ORDs: because a further increase in ORDs, despite the NNP,2,3 could not be ruled out—and has occurred.1 The primary outcome for Scotland's NNP was a reduction from 10% to 7% in ORDs within 4 weeks of prison release (table), and the distribution target was 8000 naloxone kits per year.2 In 6 years (2011–16), Scotland's NNP supplied almost 36 000 naloxone kits, 90% of which were given to people at risk of opioid-related overdose. Norway's mean number of ORDs in 2009–13 was only half of Scotland's value, and the percentage of Norway's ORDs within 4 weeks of prison release5 was also only half of Scotland's value. [...]a Norwegian before and after evaluation of ORDs after prison would require substantially longer time to reach Scotland-equivalent power, but could be accomplished in 2–3 years in England.
  • Editor: England: Elsevier Ltd
  • Idioma: Inglês
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