دورية أكاديمية
أعرض في EDS

Epidemiology of acute infections in people who inject drugs in Australia.

التفاصيل البيبلوغرافية
العنوان: Epidemiology of acute infections in people who inject drugs in Australia.
المؤلفون: Attwood LO; Department of Infectious Diseases, The Alfred Hospital and Central Clinical School, Monash University, Melbourne, Australia., O'Keefe D; Burnet Institute, Melbourne, Australia., Higgs P; Burnet Institute, Melbourne, Australia.; Department of Public Health, La Trobe University, Melbourne, Australia., Vujovic O; Department of Infectious Diseases, The Alfred Hospital and Central Clinical School, Monash University, Melbourne, Australia., Doyle JS; Department of Infectious Diseases, The Alfred Hospital and Central Clinical School, Monash University, Melbourne, Australia.; Burnet Institute, Melbourne, Australia., Stewardson AJ; Department of Infectious Diseases, The Alfred Hospital and Central Clinical School, Monash University, Melbourne, Australia.
المصدر: Drug and alcohol review [Drug Alcohol Rev] 2024 Jan; Vol. 43 (1), pp. 304-314. Date of Electronic Publication: 2023 Nov 23.
نوع المنشور: Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: Wiley-Blackwell Country of Publication: Australia NLM ID: 9015440 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1465-3362 (Electronic) Linking ISSN: 09595236 NLM ISO Abbreviation: Drug Alcohol Rev Subsets: MEDLINE
أسماء مطبوعة: Publication: Original Publication: Abingdon, Oxfordshire, U.K. : Carfax Pub. Co.,
مواضيع طبية MeSH: Substance Abuse, Intravenous*/epidemiology , Substance Abuse, Intravenous*/complications , Soft Tissue Infections*/complications , Soft Tissue Infections*/epidemiology , Drug Users*/psychology, Humans ; Risk Factors ; Australia/epidemiology
مستخلص: Issues: People who inject drugs are at risk of acute infections, such as skin and soft tissue infections, infective endocarditis, bone and joint infections and bloodstream infections. There has been an increase in these infections in people who inject drugs internationally over the past 10 years. However, the local data regarding acute infections in Australia has not been well described.
Approach: We review the epidemiology of acute infections and associated morbidity and mortality amongst people who inject drugs in Australia. We summarise risk factors for these infections, including the concurrent social and psychological determinants of health.
Key Findings: The proportion of people who report having injected drugs in the prior 12 months in Australia has decreased over the past 18 years. However, there has been an increase in the burden of acute infections in this population. This increase is driven largely by skin and soft tissue infections. People who inject drugs often have multiple conflicting priorities that can delay engagement in care.
Implications: Acute infections in people who inject drugs are associated with significant morbidity and mortality. Acute infections contribute to significant bed days, surgical requirements and health-care costs in Australia. The increase in these infections is likely due to a complex interplay of microbiological, individual, social and environmental factors.
Conclusion: Acute infections in people who inject drugs in Australia represent a significant burden to both patients and health-care systems. Flexible health-care models, such as low-threshold wound clinics, would help directly target, and address early interventions, for these infections.
(© 2023 The Authors. Drug and Alcohol Review published by John Wiley & Sons Australia, Ltd on behalf of Australasian Professional Society on Alcohol and other Drugs.)
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معلومات مُعتمدة: GNT1141398 National Health and Medical Research Council; GNT1166499 National Health and Medical Research Council; GNT2002670 National Health and Medical Research Council
فهرسة مساهمة: Keywords: epidemiology; health systems; injecting drug use; sepsis; skin and soft tissue infections
تواريخ الأحداث: Date Created: 20231123 Date Completed: 20240131 Latest Revision: 20240322
رمز التحديث: 20240322
مُعرف محوري في PubMed: PMC10952783
DOI: 10.1111/dar.13772
PMID: 37995135
قاعدة البيانات: MEDLINE
الوصف
تدمد:1465-3362
DOI:10.1111/dar.13772