在注射药物的人中与严重细菌感染相关的因素:单中心观察性研究
Alexander Hrycko1, Pedro Mateu-Gelabert, Courtney Ciervo
1From the Division of Infectious Diseases and Immunology, New York University School of Medicine, New York, NY (AH, BE); Institute for Implementation Science in Population Health, City University of New York Graduate School of Public Health and Health Policy, New York, NY (PM-G, CC); Office of Behavioral Health, NYC Health and Hospitals, New York, NY (RL-W).
注射药物的人面临严重细菌感染的高风险,原因是注射器重复使用等非无菌的做法. 这凸显了改善危害降低策略和感染预防信息的急需.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
背景情况:
- 注射毒品的人 (PWID) 患有严重细菌感染的风险增加,包括细菌病,内心炎和骨髓炎.
- 这些感染导致显著的发病率,高的医疗保健费用,以及对相关药物注射实践的有限理解.
研究的目的:
- 调查与注射毒品的人群中严重细菌感染有关的人口和行为因素.
- 确定有助于感染风险的特定注射药物使用实践.
主要方法:
- 在2020年8月至2021年6月期间,对因严重细菌感染而入住纽约市医院的个人进行了一项调查.
- 该调查检查了人口统计数据和详细的注射药物使用行为.
主要成果:
- 招募了34名注射药物使用相关的严重细菌感染的参与者,56%接受了感染性内心炎的治疗.
- 参与者报告了每天注射的高率 (82%),每次注射频繁多次尝试 (50%) 和注射器重复使用 (94%).
- 长时间住院 (平均32.2天) 和阿片类药物使用障碍的治疗完成率低于最佳水平.
结论:
- 在PWID中,严重的细菌感染会导致复杂,长时间的住院治疗,结果不好.
- 确定的非无菌注射实践突显了当前减少危害和预防感染努力的差距.
- 需要加强信息和干预措施,以解决风险行为和降低感染率.
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