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J Epidemiol Community Health 58:286-287 doi:10.1136/jech.2003.010066
  • Evidence based public health policy and practice

Impact of injecting drug use on the interruption of antiretroviral therapies

  1. R Muga,
  2. J M Egea,
  3. A Sanvisens,
  4. J Arnal,
  5. C Tural,
  6. J Tor,
  7. C Rey-Joly
  1. Servicio de Medicina Interna, 4a planta, Hospital Universitari Germans Trias i Pujol, Badalona, Spain
  1. Correspondence to:
 Dr R Muga
 Hospital Universitari Germans Trias i Pujol, Servicio de Medicina Interna, 4a planta, Hospital Universitari Germans Trias i Pujol, Ctra. canyet s/n, 08916 Badalona, Spain; rmugans.hugtip.scs.es
  • Accepted 30 July 2003

It has been pointed out that HIV positive patients with a history of drug misuse are less likely to undergo antiretroviral therapy (ART) than those who belong to other categories of transmission.1,2 Moreover, inadequate use of ART in injecting drug users (IDUs) is controversial because of the risk of parenteral and/or sexual transmission of drug resistant HIV variants.3

The aim of this study was to describe the frequency of use and cessation of antiretroviral regimens over a period characterised by the introduction of highly active antiretroviral therapy (HAART) in Spain.

METHODS

Patients

Cross sectional study in HIV positive intravenous heroin misusers consecutively referred to detoxification in a tertiary hospital in metropolitan Barcelona between April 1997 and March 2000. Questionnaires on the characteristics of injecting drug use …