Historique
Périodique
Risk factors for skin and soft-tissue abscesses among injection drug users: a case-control study
(Facteurs de risques pour les abcès cutanés et des tissus mous chez les usagers de drogues par injection : une étude contrôlée.)
Auteur(s) :
MURPHY, E. L. ;
DE VITA D. ;
LIU, H. ;
VITTINGHOFF, E. ;
LEUNG, P. ;
CICCARONE, D. H. ;
EDLIN, B. R.
Année
2001
Page(s) :
35-40
Langue(s) :
Anglais
Refs biblio. :
33
Domaine :
Drogues illicites / Illicit drugs
Thésaurus mots-clés
ABCES
;
PEAU
;
PATHOLOGIE ORGANIQUE
;
HEROINE
;
COCAINE
;
INJECTION
;
VOIE SOUSCUTANEE
;
VOIE INTRAVEINEUSE
;
VOIE INTRAMUSCULAIRE
;
ETIOLOGIE
;
FACTEUR DE RISQUE
Note générale :
Journal of Infectious Diseases, 2001, 33, (1), 35-40
Note de contenu :
tabl.
Résumé :
ENGLISH :
Skin and soft-tissue abscesses, a common problem among injection drug users (IDUs), result in serious morbidity for the patient and costly hospitalizations for incision and drainage, however, there has been little etiologic or preventive epidemiologic research on this problem. We performed a case-control study that enrolled 151 IDUs who had been given a new diagnosis of abscess requiring incision and drainage (cases) and 267 IDUs who did not have abscess or other bacterial infection during the previous year and who were stratummatched to cases according to age, sex, and race (controls). Subcutaneous or intramuscular instead of intravenous, injection is a major risk factor for abscess among IDUs. The injection of a cocaine and heroin mixture, or "speedball" may predispose patients to develop abscess by inducing soft-tissue ischemia. Cleaning the skin with alcohol before injection was found to have a protective effect. Neither human immunodeficiency virus nor human T-lymphotropic virus type II seropositivity was significantly associated with abscess. (Author' s abstract)
Affiliation :
Dprt of Laboratory Medicine, Univ of California, San Francisco, CA.
Etats-Unis. United States.
Etats-Unis. United States.