|Titre :||Medical complications of intravenous drug use (1990)|
|Titre original:||(Complications médicales dues à la toxicomanie intra-veineuse)|
|Auteurs :||M. D. STEIN|
|Type de document :||Article : Périodique|
|Dans :||Journal of General Internal Medicine (Vol.5, n°3, May/June 1990)|
|Article en page(s) :||249-257|
|Discipline :||PAT (Pathologie organique / Organic pathology)|
Thésaurus TOXIBASEVOIE INTRAVEINEUSE ; INFECTION ; APPAREIL CARDIOVASCULAIRE ; APPAREIL RESPIRATOIRE ; APPAREIL GENITAL ; APPAREIL URINAIRE ; SYSTEME NERVEUX CENTRAL ; HEPATITE
Revue très synthétique des différentes infections et pathologies liées à l'usage des drogues par voie intraveineuse.
Intravenous drug users (IVDUs) have entered public discourse as one of the groups most at risk for contracting and transmitting AIDS. The medical community has long experience with problems particular to this population. HIV infection is only the current epidemic. In the 1940s falciparum malaria was frequently passed between addicts. In the 1950s, in New York City, 8.3% of deaths among addicts reported by the city's chief medical examiner were due to tetanus. In the late 1960s, acute hepatitis was the "foremost cause of addict admissions... to municipal hospitals." By the 1970s, infections accounted for only 27.5 % of hospital admissions among addicts. Over the past decade, novel noninfectious syndromes have been identified among the estimated 1.3 million IVDUs in the United States.
Illicit drug injection continues to be the second most common risk behavior associated with AIDS. HIV seroprevalence in drug users varies with geography, but through January 2, 1989, 22,025 cases of AIDS among intravenous drug users, 27% of all adult cases, had been reported to the Centers for Disease Control. Although not the subject of this review, prevention, screening, and control of HIV infection in this population remain major health policy issues.
Up to 10% of all inner-city hospital admissions are addiction-related, s HIV infection has dramatically widened the spectrum of diseases seen among addicts. Indeed, determining HIV-related illnesses in addicts can be difficult without a clear understanding of the pathophysiologic changes secondary to drug use itself. [Extract]
|Domaine :||Drogues illicites / Illicit drugs|
|Refs biblio. :||152|
|Affiliation :||Division of General Internal Medicine, Brown University, Rhode Island Hospital, Providence, Rhode Island, USA|
|Numéro Toxibase :||800642|
|Centre Emetteur :||08 CAS Strasbourg|