A Cost Analysis of Hospitalizations for Infections Related to Injection Drug Use at a County Safety-Net Hospital in Miami, Florida
A Cost Analysis of Hospitalizations for Infections Related to Injection Drug Use at a County Safety-Net Hospital in Miami, Florida
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DOI：
10.1371/journal.pone.0129360
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发表时间：
2015-06-15
期刊：
影响因子：
3.7
通讯作者：
Doblecki-Lewis, Susanne
中科院分区：
文献类型：
--
作者：
Tookes, Hansel;Diaz, Chanelle;Doblecki-Lewis, Susanne
背景与注射毒品有关的感染很常见。减少伤害的战略，如注射器交换计划和皮肤护理诊所，旨在预防注射吸毒者（IDUs）的这些感染。注射器交换计划目前在佛罗里达是被法律禁止的。本研究的目的是估计佛罗里达迈阿密县安全网医院12个月期间注射药物使用相关细菌感染的死亡率和费用。此外，艾滋病毒和丙型肝炎病毒的患病率在这一队列的住院IDUsestimated.Methods和FindingsIDUs出院杰克逊纪念医院确定使用国际疾病分类，第九次修订，非法药物滥用和心内膜炎，菌血症或败血症，骨髓炎和皮肤软组织感染（SSTI）的代码。349名注射吸毒者被确定为图表摘要，92%没有保险或有公共资助的保险。SSTI是最常见的感染，在64%的注射吸毒者中报告。艾滋病毒血清阳性率为17%。17例患者（4.9%）在住院期间死亡。注射药物使用相关的感染治疗杰克逊纪念医院超过12个月的总费用为$11400000。ConclusionsInjection药物使用相关的细菌感染是一个显着的发病率为注射吸毒者在迈阿密戴德县和县医院的大量财务费用。旨在降低与注射吸毒相关的感染风险的战略可以降低与这些常见但可预防的感染相关的发病率和成本。
BackgroundInfections related to injection drug use are common. Harm reduction strategies such as syringe exchange programs and skin care clinics aim to prevent these infections in injection drug users (IDUs). Syringe exchange programs are currently prohibited by law in Florida. The goal of this study was to estimate the mortality and cost of injection drug use-related bacterial infections over a 12-month period to the county safety-net hospital in Miami, Florida. Additionally, the prevalence of HIV and hepatitis C virus among this cohort of hospitalized IDUs was estimated.Methods and FindingsIDUs discharged from Jackson Memorial Hospital were identified using the International Classification of Diseases, Ninth Revision, codes for illicit drug abuse and endocarditis, bacteremia or sepsis, osteomyelitis and skin and soft tissue infections (SSTIs). 349 IDUs were identified for chart abstraction and 92% were either uninsured or had publicly funded insurance. SSTIs, the most common infection, were reported in 64% of IDUs. HIV seroprevalence was 17%. Seventeen patients (4.9%) died during their hospitalization. The total cost for treatment for injection drug use-related infections to Jackson Memorial Hospital over the 12-month period was $11.4 million.ConclusionsInjection drug use-related bacterial infections represent a significant morbidity for IDUs in Miami-Dade County and a substantial financial cost to the county hospital. Strategies aimed at reducing risk of infections associated with injection drug use could decrease morbidity and the cost associated with these common, yet preventable infections.