Type and Location of Injection Drug Use-Related Soft Tissue Infections Predict Hospitalization

Takahashi, Traci A.; Merrill, Joseph O.; Boyko, Edward J.; Bradley, Katharine A.

doi:10.1093/jurban/jtg127

Cited by 39 publications

(37 citation statements)

References 20 publications

(20 reference statements)

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“…The high prevalence of self-reported injection site infections found in this study, supports previous finding from England [8] and also elsewhere [3][4][5][6][7]. The costs associated with injection site infections are considerable, with conservative estimates for England suggesting total costs of at least £15.5-19.5 million per annum, but possibly as high as £47 million in 2006.…”

Section: Discussionsupporting

confidence: 87%

“…A community recruited study of IDUs in 2004 found that over a third (36 %) of IDUs in the seven sites sampled in England reported either an abscess or open wound at an injection site in the past year, and this study estimated a healthcare burden cost of between £15.5 and £47 million per annum [8]. These infections are thus likely to place a considerable burden on health services in the UK, as has been observed elsewhere [5,6,16,24], and this may be increasing [17,19].…”

Section: Introductionsupporting

confidence: 52%

“…These infections can be serious, requiring costly in-patient intervention and can also lead to death [1,2]. The prevalence of recent or current skin and soft tissue infections in IDUs has been reported to be one in ten in Vancouver and Sydney [3,4] ; however, other studies from North America and in Europe indicate prevalence can be as high as one in three [5][6][7][8]. In North America these infections are the most common diagnoses in IDUs presenting to emergency departments [9,10].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The extent of injection site infection in injecting drug users: findings from a national surveillance study

Hope¹,

Marongiu²,

Parry³

et al. 2010

Epidemiol. Infect.

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SUMMARYInjection site infections in injecting drug users (IDUs) are associated with serious morbidity and healthcare costs. Factors associated with symptoms of these were examined through annual (2006)(2007)(2008) unlinked-anonymous survey of IDUs in England, Wales and Northern Ireland. Overall 36% (1863/5209) self-reported having a symptom with no trend over time (35 % 2006, 37 % 2007, 34 % 2008). Symptoms were less common in the North East of England ; increased with years injecting ; and were higher in women, those recently homeless, those recently using a needle exchange, and those injecting both opiates and stimulants. Of those injecting during the previous 4 weeks (n=3733) symptoms were associated with : injecting daily ; injecting o10 times a day; injecting into hands, groin, or legs ; sharing filters; and reusing water to flush syringes. Symptoms of injection site infections are common in IDUs. Better-targeted preventive interventions are needed, and continued surveillance should assist with assessing the impact of new initiatives.

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Section: Discussionsupporting

confidence: 87%

Section: Introductionsupporting

confidence: 52%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The extent of injection site infection in injecting drug users: findings from a national surveillance study

Hope¹,

Marongiu²,

Parry³

et al. 2010

Epidemiol. Infect.

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“…Приблизительно через год употребления дезоморфина вены, в ко-торые его вводят, начинают гнить, а в местах введения образуется некроз тканей, внешне напоминающий крокодиловую кожу [9,19] (отсюда название данного продукта, употре-бляемое наркоманами, «крокодил»). Поэто-му наркоманы де-лают уколы дезомофина по всему телу, где только сохраняются более-ме-нее нормальные вены.…”

unclassified

“…У большинства больных наблюдались измене-ния внутренних органов. Поражение печени диагностировано в 4,6% [1,13,16], почек -в 20,2% [4], сердца в виде инфекционного эн-докардита -в 6,2% (в 6% был поражен три-куспидальный клапан) [13,16,19]. Течение пневмонии осложнялось инфекционно-ток-сическим шоком в 2,3% [16].…”

unclassified

Infectious Complications in Chronic De- Somorphine Addiction

Landyshev¹,

Goborov²,

Tsukanova³

2017

AMJ

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Амурский медицинский журнал №1 (17) 2017РЕЗЮМЕ В статье приведен литературный обзор, по-священный особенностям дезоморфиновой наркомании и инфекционным осложнениям, встречающимся при данной патологии. Ста-тья проиллюстрирована случаем из личной практики авторов. Особенностями пневмо-нии у дезоморфиновых наркоманов являются позднее обращение, затяжное течение, пре-обладание атипичной флоры и синегнойной палочки, выраженная интоксикация с ранней деструкцией лёгочной ткани, высокий уровень летальности.Ключевые слова: дезоморфиновая нарко-мания, инфекционные осложнения. DOI INFECTIOUS COMPLICATIONS IN CHRONIC DE-SOMORPHINE ADDICTIONY.S. Landyshev, N.D. Goborov, G.D. Tsukanova Abstract The paper presents a review of literature devoted to the peculiarities of desomorphine addiction and infectious complications occurring in this patholo-gy. The article is illustrated by the case of the personal experience of the authors. Features of pneumonia in desomorphine addicts are -the latest treatment, pro-longed duration, the prevalence of atypical flora and Pseudomonas aeruginosa, expressed intoxication with the early destruction of lung tissue, high level of mortality.

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Recreational Drug Use in People Living with HIV in Spain: Factors Associated with Drug Use and the Impact on Clinical Outcomes

Castro-Granell

Garin

Jaén³

et al. 2021

AIDS Behav

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We analysed the impact of recreational drug use (RDU) on different outcomes in people living with HIV (PLHIV). A multicentre retrospective cohort study was performed with two cohorts of PLHIV included: people using recreational drugs (PURD) vs. people not using recreational drugs (PNURD). Overall, 275 PLHIV were included. RDU was associated with men having sex with men (OR 4.14, 95% CI [1.14, 5.19]), previous sexually transmitted infections (OR 4.00, 95% CI [1.97, 8.13]), and current smoking (OR 2.74, 95% CI [1.44, 5.19]). While the CD4/CD8 ratio increased amongst PNURD during the follow-up year, it decreased amongst PURD (p = 0.050). PURD presented lower scores of self-reported and multi-interval antiretroviral adherence (p = 0.017, and p = 0.006, respectively), emotional well-being (p < 0.0001), and regular follow-up (p = 0.059), but paid more visits to the emergency unit (p = 0.046). RDU worsens clinical, immunological, and mental health outcomes amongst PLHIV.

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Type and Location of Injection Drug Use-Related Soft Tissue Infections Predict Hospitalization

Abstract: The prevalence of soft tissue infections (abscesses, cellulitides, infected ulcers)

Cited by 39 publications

References 20 publications

The extent of injection site infection in injecting drug users: findings from a national surveillance study

The extent of injection site infection in injecting drug users: findings from a national surveillance study

Infectious Complications in Chronic De- Somorphine Addiction

Recreational Drug Use in People Living with HIV in Spain: Factors Associated with Drug Use and the Impact on Clinical Outcomes

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