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Surgical complications in parenteral Subutex abusers.
1Department of Orthopaedic Surgery, Changi General Hospital, 2 Simei Street 3, Singapore. lohongyee@yahoo.com
Singapore Medical Journal
|November 1, 2006
Summary
Parenteral Subutex abuse leads to significant surgical complications, primarily affecting young males. Most cases require conservative management, highlighting a growing public health concern.
Area of Science:
- Addiction Medicine
- Surgical Complications
- Public Health
Background:
- Anecdotal reports indicated an increase in parenteral Subutex (buprenorphine) abuse admissions.
- This case study investigated surgical complications and patient demographics associated with parenteral Subutex abuse.
Purpose of the Study:
- To analyze surgical complications in parenteral Subutex abusers.
- To describe the demographic profile of patients abusing parenteral Subutex.
Main Methods:
- Retrospective review of hospital admissions from July to November 2005.
- Inclusion criteria: patients admitted for parenteral Subutex abuse.
Main Results:
- 53 parenteral Subutex abusers admitted; 31 had surgical complications.
- Common surgical issues included cellulitis, thrombophlebitis, limb ischemia, gangrene, and abscesses.
- The patient group was predominantly young (mean age 34.2), male (92.4%), and Malay (72%).
Conclusions:
- Parenteral Subutex abuse presents a rising concern with significant limb and vascular complications.
- Surgical intervention has a limited role; conservative management is often preferred.
- Addressing this trend necessitates inter-hospital and ministerial collaboration.
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