Abstract
A 4-month prospective study of intravenous drug abusers attending an accident and emergency department was performed. A total of 92 patients presented with 104 new complaints. Seventy-eight per cent of patients were under 30 years of age and 28% were female. The primary reason for attendance was related to trauma in 30% of attendances, accidental or deliberate overdose in 26% and as a result of infection in 26%. A total of 37% of all attendances resulted in admission and two patients died in the department. Fifty-four patients (58%) had radioimmunoassay performed for hepatitis B markers and there was evidence of past or ongoing infection in 87% of these patients. Only three patients (5.6%) were HBsAg positive at the time of presentation. Accident and emergency staff should be made aware of the pattern of attendance of intravenous drug abusers and the particular problems they present.
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Selected References
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- Andersen B. M., Ellekjaer E. F., Ulstrup J. C. Hepatitis in non-hospitalized young drug addicts. Scand J Infect Dis. 1973;5(2):91–96. doi: 10.3109/inf.1973.5.issue-2.03. [DOI] [PubMed] [Google Scholar]
- Cherubin C. E., Kane S., Weinberger D. R., Wolfe E., McGinn T. Persistence of transaminase abnormalities in former drug addicts. Ann Intern Med. 1972 Mar;76(3):385–389. doi: 10.7326/0003-4819-76-3-385. [DOI] [PubMed] [Google Scholar]
- HUSSEY H. H., KATZ S. Infections resulting from narcotic addiction; report of 102 cases. Am J Med. 1950 Aug;9(2):186–193. doi: 10.1016/0002-9343(50)90021-0. [DOI] [PubMed] [Google Scholar]
- Hau T., Kallick C. A. Surgical infections in drug addicts. World J Surg. 1980 Jul;4(4):403–413. doi: 10.1007/BF02393159. [DOI] [PubMed] [Google Scholar]
- McGowan A., Steedman D., Schofield T. C., Robertson C. E. Parenteral drug misuse and the accident and emergency department. Health Bull (Edinb) 1984 Sep;42(5):252–257. [PubMed] [Google Scholar]
- Saslow A. R., Hammon W. M., Rycheck R. R., Streiff E., Lewis J. "Hippie" hepatitis: an epidemiologic investigation conducted within a population of "street-people". Am J Epidemiol. 1975 Mar;101(3):211–219. doi: 10.1093/oxfordjournals.aje.a112088. [DOI] [PubMed] [Google Scholar]
- Seeff L. B. Hepatitis in the drug abuser. Med Clin North Am. 1975 Jul;59(4):843–848. doi: 10.1016/s0025-7125(16)31981-2. [DOI] [PubMed] [Google Scholar]
- Webb D., Thadepalli H. Skin and soft tissue polymicrobial infections from intravenous abuse of drugs. West J Med. 1979 Mar;130(3):200–204. [PMC free article] [PubMed] [Google Scholar]