Patient selection: injection drug user requiring long-term parenteral antibiotic therapy (for bloodstream infection, endocarditis, soft tissue infection, etc)
Parameters:
(1) cravings
(2) unstable home environment
(3) dual psychiatric diagnosis
(4) history of drug overdose
(5) history of multiple relapses
(6) polysubstance abuse
(7) family history of addiction
(8) history of trauma
(9) limited willingness to change
|
Response
|
Points
|
|
absent
|
0
|
|
present
|
1
|
total score =
= SUM(points for all 9 parameters)
Interpretation:
• minimum score: 0
• maximum score: 9
• The higher the score the greater the risk of relapse.
• A patient at low risk can be treated as an outpatient.
• A patient at moderate or high risk should be managed as an inpatient and receive anti-addiction interventions in addition to antibiotics.
|
Total Score
|
Risk
|
|
1 to 3 (also 0)
|
mild
|
|
4 to 6
|
moderate
|
|
7 to 9
|
high
|
