作者
Edward L Murphy, Deborah DeVita, Hui Liu, Eric Vittinghoff, Paul Leung, Daniel H Ciccarone, Brian R Edlin
发表日期
2001/7/1
期刊
Clinical Infectious Diseases
卷号
33
期号
1
页码范围
35-40
出版商
The University of Chicago Press
简介
Skin and soft-tissue abscesses, a common problem among injection drug users (IDUs), result in serious morbidity for the patient and costly hospitalizations for incision and drainage; however, there has been little etiologic or preventive epidemiologic research on this problem. We performed a case-control study that enrolled 151 IDUs who had been given a new diagnosis of abscess requiring incision and drainage (cases) and 267 IDUs who did not have abscess or other bacterial infection during the previous year and who were stratum-matched to cases according to age, sex, and race (controls). Subcutaneous or intramuscular, instead of intravenous, injection is a major risk factor for abscess among IDUs. The injection of a cocaine and heroin mixture, or “speedball,” may predispose patients to develop abscess by inducing soft-tissue ischemia. Cleaning the skin with alcohol before injection was found to have a …
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EL Murphy, D DeVita, H Liu, E Vittinghoff, P Leung… - Clinical Infectious Diseases, 2001