Multi-centre evaluation of syringe exchange programmes in pharmacy

Résumé 0

Introduction: In France, infections with the human immunodeficiency virus, hepatitis B virus and hepatitis C virus are particularly present in the population of users of intravenous drugs. Syringe exchange programmes in pharmacy (SEPP) have been developed to improve the supply of free sterile injection equipment to drug users, to limit the infectious risks and to improve the care system. Method: Various questionnaires were made available to pharmacies and drug users in order to collect information about their practices, investments and feelings with regard to the SEPP. Interviews were conducted with the SEPP structures as well as with the officers belonging to the programme. Results: Pharmacies belonging to an SEPP are more likely to refer a drug user to a care facility. Injection equipment-sharing practices are virtually nil and are less frequent than reuse practices. More than half of the injections are performed under more secure conditions with clean syringes. Discussion/Conclusion: An SEPP is a vector of reduction of the damages linked to injections and a vector of entry in the course of care while enabling the improvement of the relations between the users and the pharmacists.