Historique
Périodique
Severe illness and death among injecting drug users in Scotland: a case-control study
(Maladie grave ou mort chez les usagers de drogue par voie intraveineuse en Ecosse : une étude de cas l'atteste)
Auteur(s) :
TAYLOR, A. ;
HUTCHINSON, S. ;
LINGAPPA J. ;
WADD, S. ;
AHMED, S. ;
GRUER, L. ;
TAYLOR, T. H. Jr ;
ROY, K. ;
GILCHRIST, G. ;
MCGUIGAN C. ;
PENRICE G. ;
GOLDBERG, D.
Année
2004
Page(s) :
193-204
Langue(s) :
Français
Refs biblio. :
33
Domaine :
Drogues illicites / Illicit drugs
Discipline :
EPI (Epidémiologie / Epidemiology)
Thésaurus mots-clés
INJECTION
;
ETUDE CAS-TEMOINS
;
MORT
;
INFECTION
;
BACTERIE
Thésaurus géographique
ECOSSE
;
ROYAUME-UNI
Note générale :
Epidemiology and Infection, 2004, 133, (2), 193-204
Note de contenu :
tabl.
Résumé :
ENGLISH :
Between April and September 2000, 60 injecting drug users in Scotland died or were hospitalized with severe illness. Laboratory investigations suggested that Clostridium novyi and other bacteria were important aetiological agents. To determine associated environmental/behavioural factors a case-control study was undertaken with 19 'definite' and 32 'probable' cases in Glasgow, Scotland. For every deceased case (n=19), up to three proxy individuals were interviewed. Three controls were identified for each case. Multivariate logistic regression analyses compared (i) all cases and controls; (ii) definite cases and matched controls; (iii) probable cases and matched controls. In all three analyses injecting into muscle or skin and injecting most of the time with a filter used by someone else were the variables most strongly associated with illness. Comparing only muscle-injecting cases and controls, cases were significantly more likely to have injected larger amounts of heroin per average injection than were controls. The findings make an important epidemiological contribution to the understanding of the public health and clinical implications of the contamination of illicit drugs by histotoxic clostridia. (Author' s abstract)
Affiliation :
Institute for Applied Social and Health Research, School of Social Sciences, University of Paisley, High Street, Paisley PA1 2BE, Scotland. Email : avril.taylor@paisley.ac.uk
Royaume-Uni. United Kingdom.
Royaume-Uni. United Kingdom.
Cote :
A02185