PubMed Health⌕ Search

Biomedical subjects

R B Savage

Publications and source records attributed to R B Savage.

4 recordsLinked to original sources

Providing HIV counseling and testing services in methadone maintenance programs.

Counseling about AIDS and optional confidential testing for antibody to HIV-1 have been available in state-supported methadone maintenance programs in Connecticut since 1 January 1987. In the first 2 years of the program, 2118 people received pre-test counseling. Overall, 1521 people agreed to anti-HIV-1-antibody testing and 1010 received post-test counseling. Other than the pre- and post-test counseling sessions, a total of 1600 HIV counseling sessions were conducted. This is the first statewide program for providing HIV counseling and testing in methadone maintenance programs in the United States. Our experience suggests that the prevention of both drug use and HIV-1 transmission can be integrated in drug treatment centers.

AIDS Serodiagnosis↗

A successful approach to immunizing men who have sex with men against hepatitis B.

This paper reports the success of outreach efforts to immunize adults at high risk of acquiring hepatitis B virus (HBV) infection. Local health department testers recruited clients when they sought anonymous HIV testing. Interested clients were serologically tested for HBV infection. Susceptibles were offered a free hepatitis B vaccine. Of 189 clients who were tested, 161 (86%) were susceptible to HBV infection and 140 (74%) were men who have sex with men (MSM). Of the susceptibles, 82 (51%) started the hepatitis B vaccine series. Sixty-five (80%) received three doses of hepatitis B vaccine and an additional 10 (12%) received two doses. Completing the hepatitis B vaccine series was associated with being a MSM (odds ratio [OR] 8.8, confidence interval [CI] 1.5-56.0) and with not being an injection drug user (IDU) (OR 0.2, CI 0.02-1.0). One way to provide hepatitis B vaccine to MSM is to attach an immunization program to a successful anonymous HIV testing program. The feasibility of implementing such programs would increase if public vaccine policymakers made more federally purchased hepatitis B vaccine available for adults.

Adolescent↗

Modular nursing.

Explore the source record for details and available documents.

Aged↗