High prevalence of abscesses and cellulitis among community-recruited injection drug users in San Francisco
High prevalence of abscesses and cellulitis among community-recruited injection drug users in San Francisco
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DOI：
10.1086/313703
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发表时间：
2000-03-01
影响因子：
11.8
通讯作者：
Edlin, BR
中科院分区：
文献类型：
--
作者：
Binswanger, IA;Kral, AH;Edlin, BR
在社区注射吸毒人群中调查了吸毒和蜂窝织炎的患病率和危险因素。参与者接受了采访，并对有症状的人进行了检查。在169名注射吸毒者中，54人（32%）患有乳房炎（n = 35）、蜂窝织炎（n = 5）或两者兼而有之（n = 14）; 27%的人曾切开自己的乳房; 16%的人曾用在街上购买的抗生素进行自我治疗。皮下或肌肉注射的注射吸毒者比仅静脉注射者更容易发生脓肿或蜂窝织炎（比值比，4.9; 95%置信区间，2.2-11）。脓肿和蜂窝织炎的可能性随皮下或肌肉注射的频率增加而增加，随注射吸毒时间的延长而减少。脓肿在弗朗西斯科的注射吸毒者中极其普遍。皮肤爆裂是一个主要的风险因素，自我治疗是常见的。
The prevalence of and risk factors for abscesses and cellulitis were investigated among a community sample of injection drug users (IDUs). Participants were interviewed, and those with symptoms were examined. Of 169 IDUs, 54 (32%) had abscesses (n = 35), cellulitis (n 5), or both (n = 14); 27% had lanced their own abscesses; and 16% had self-treated with antibiotics they purchased on the street. IDUs who skin-popped (injected subcutaneously or intramuscularly) were more likely to have an abscess or cellulitis than those who had injected only intravenously (odds ratio, 4.9; 95% confidence interval, 2.2-11), The likelihood of abscesses and cellulitis increased with frequency of skin-popping and decreased with increasing duration of injection drug use. Abscesses are extremely prevalent among IDUs in San Francisco. Skin-popping is a major risk factor, and self-treatment is common.