![]() Each of these five components aims to improve access to OST for all people who use opioids. The iHOST intervention involves five key components co-produced by people who use opioids. IHOST is an intervention that aims to improve hospital care for people who use opioids by removing barriers to opioid withdrawal management. … I wasn’t on the script, no.” What is iHOST? “Severe pain …then I had a fever and then eventually my girlfriend phoned the ambulance … Scared, it’s the fear of the not having drugs at the time and that sounds pathetic. Of being hospitalised and in withdrawal.“ When you go into the A&E smelly legs, it’s ** embarrassing man, having to sit there and people looking and you know, yeah, it’s horrible.” “It’s being so scared at turning up at the hospital and when they’ve got an ulcer … “oh we’re going to cut your hand off” seriously, it’s scared.” (Jay) People are delaying care because they are worried So, they said, “ If you don’t go you’re gonna die,” and it started to get really hot … I went to A&E … they were draining it and I saw the colour of the stuff was like a luminous green. My brother and my friend saw me struggling to walk to the toilet and my knee was almost trebled in size. (Lee) When they get care: usually an emergency and instigated by someone else It was mad, like I was homeless and the right side would just randomly, out of nowhere, it would just burst with blood, like blood everywhere! Within ten seconds my entire trousers would be covered in blood. Our qualitative data provided additional insight: We found that PWID are living with serious, painful health conditions and avoiding care Fear and experience of opioid withdrawal in hospital a primary barrier to treatment presentation & completion.SSTI severity & hospitalisation associated with time taken to access care (54% >5 days, 28% >10 days).High proportion hospitalised for SSTI: 44% (137/310).High reported lifetime prevalence of SSTI: 68% (310/455).The aim of Care and Prevent was to improve skin and soft tissue infection (SSTI) prevention, care and treatment for people who inject drugs. ![]() IHOST stems from the Care & Prevent project.
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