Strategies to Improve Patient-Centered Care for Drug Use-Associated Infective Endocarditis: JACC Focus Seminar 2/4

Alysse G. Wurcel, Joji Suzuki, Asher J. Schranz, Ellen F. Eaton, Nicolas Cortes-Penfield, Larry M. Baddour

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations

Abstract

Drug use-associated infective endocarditis (DUA-IE) is a major cause of illness and death for people with substance use disorder (SUD). Investigations to date have largely focused on advancing the care of patients with DUA-IE and included drug use disorder treatment, decisions about surgery, and choice of antibiotics during the period of hospitalization. Transitions from hospital to outpatient care are relatively unstudied and frequently a key factor of uncontrolled infection, continued substance use, and death. In this paper, we review the evidence supporting cross-disciplinary care for people with DUA-IE and highlight domains that need further clinician, institutional, and research investment in clinicians and institutions. We highlight best practices for treating people with DUA-IE, with a focus on addressing health disparities, meeting health-related social needs, and policy changes that can support care for people with DUA-IE in the hospital and when transitioning to the community.

Original languageEnglish (US)
Pages (from-to)1338-1347
Number of pages10
JournalJournal of the American College of Cardiology
Volume83
Issue number14
DOIs
StatePublished - Apr 9 2024

Keywords

  • OPAT
  • care
  • drug use
  • endocarditis
  • management
  • outcomes

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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