Historique
Article de Périodique
Factors associated with recent symptoms of an injection site infection or injury among people who inject drugs in three English cities (2014)
Auteur(s) :
V. D. HOPE ;
M. HICKMAN ;
J. V. PARRY ;
F. NCUBE
Article en page(s) :
303-307
Domaine :
Drogues illicites / Illicit drugs
Langue(s) :
Anglais
Discipline :
PAT (Pathologie organique / Organic pathology)
Thésaurus géographique
ROYAUME-UNI
Thésaurus mots-clés
FACTEUR DE RISQUE
;
INJECTION
;
INFECTION
;
USAGER
;
TRAUMATISME
Résumé :
BACKGROUND: People who inject drugs (PWID) are at risk of injection site infections and injuries. The factors associated with recent symptoms of these problems are examined.
METHOD: PWID recruited using respondent driven sampling, underwent a computer-assisted interview and provided a dried-blood spot sample. Weight data were examined using logistic regression.
RESULTS: The mean age of the 855 participants was 32 years, and 25% were women. During the preceding 28 days, 94% had injected heroin and 50% crack-cocaine; with 41% injecting into their arms and 47% their groin. The passing on of used needles/syringes was reported by 9.7% and receiving by 8.0%. During the preceding 28 days, 21% reported having redness, swelling and tenderness, 6.1% an abscess, and 5.2% a sore/open wound at an injection site; with a quarter (24%) reporting one or more of these. A range of factors were associated with these symptoms; all three symptoms were associated with more frequent injection and the use of multiple injection sites; two of the symptoms were also associated with having recently overdosed and the use of particular injection sites.
CONCLUSIONS: Injection site infections and injuries are common among PWID and targeted interventions are needed to reduce risk.
METHOD: PWID recruited using respondent driven sampling, underwent a computer-assisted interview and provided a dried-blood spot sample. Weight data were examined using logistic regression.
RESULTS: The mean age of the 855 participants was 32 years, and 25% were women. During the preceding 28 days, 94% had injected heroin and 50% crack-cocaine; with 41% injecting into their arms and 47% their groin. The passing on of used needles/syringes was reported by 9.7% and receiving by 8.0%. During the preceding 28 days, 21% reported having redness, swelling and tenderness, 6.1% an abscess, and 5.2% a sore/open wound at an injection site; with a quarter (24%) reporting one or more of these. A range of factors were associated with these symptoms; all three symptoms were associated with more frequent injection and the use of multiple injection sites; two of the symptoms were also associated with having recently overdosed and the use of particular injection sites.
CONCLUSIONS: Injection site infections and injuries are common among PWID and targeted interventions are needed to reduce risk.
Affiliation :
Centre for Infectious Disease Surveillance and Control, Public Health England, London, UK