Self-treatment of skin infections by people who inject drugs
Self-treatment of skin infections by people who inject drugs
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DOI：
10.1016/j.drugalcdep.2019.107695
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发表时间：
2020-01-01
影响因子：
4.2
通讯作者：
Stein, Michael D.
中科院分区：
文献类型：
--
作者：
Monteiro, Jordanna;Phillips, Kristina T.;Stein, Michael D.
背景和目标：注射毒品者（PWID）的皮肤和软组织感染（SSTI）率很高，经常需要急诊或住院治疗。然而，许多PWID不寻求护理和自我治疗部分或全部感染。本研究的目的是探讨SSTI的自我治疗的预测因素在一个样本的住院PWID，并描述的方法和原因自我treatment.Methods：PWID（N = 252）被招募从住院医疗单位在城市安全网医院参加行为干预试验。基线访谈集中在过去一年的SSTI发病率和相关的治疗，包括不访问医疗保健和自我治疗的方法的原因。结果：研究参与者，162（64%）报告有至少一个SSTI在过去一年。该亚组为59.9%的白色/高加索人，平均年龄为38.0岁（SD + 10.5）。三分之一的参与者（32.3%）报告在过去一年中曾自我治疗SSTI。在逻辑回归模型中，过去一年的感染次数（OR = 1.81，p <0.001）和积极的前景（OR = 2.46，p <0.001）与SSTI的自我治疗相关。常用的自我治疗方法包括机械引流溃疡、热敷/热敷和清洁受影响区域。继续使用药物和信念，感染并不严重，可以自我治疗的两个主要原因，不寻求专业medicalcare.Conclusions：针对SSTI的干预措施之间PWID应包括教育何时寻求医疗保健和严重感染的风险，并可以在当地诊所或减少伤害的计划，以增加访问。
Background and Aims: Persons who inject drugs (PWID) experience high rates of skin and soft tissue infections (SSTI) and often access emergency or inpatient treatment. However, many PWID do not seek care and self-treat some or all of their infections. The goal of the current study was to examine predictors of self-treatment of SSTI in a sample of hospitalized PWID, and describe methods of and reasons for self-treatment.Methods: PWID (N = 252) were recruited from inpatient medical units at an urban safety-net hospital to join a behavioral intervention trial. The baseline interview focused on past-year SSTI incidence and related treatment, including reasons for not accessing medical care and methods of self-treatment.Results: Of study participants, 162 (64%) reported having at least one SSTI in the past year. This subset was 59.9% White/Caucasian with a mean age of 38.0 (SD + 10.5). One-third of these participants (32.3%) reported ever self-treating SSTI in the past year. In a logistic regression model, number of past-year infections (OR = 1.81, p < .001) and positive outlook (OR = 2.46, p < .001) were associated with self-treatment of SSTI. Common methods of self-treatment included mechanically draining sores, applying heat/warm compress, and cleaning affected areas. Continued drug use and belief that infections were not serious and could be self-treated were two main reasons for not seeking professional medical care.Conclusions: Interventions targeting SSTI among PWID should include education on when to seek medical care and the risks of serious infection, and could be implemented at local clinics or harm reduction programs to increase access.