Table 2.
Baseline characteristics of patients who inject opioids admitted with serious injection related infections (SIRI)
| Baseline characteristics | |||
|---|---|---|---|
| Referred to EPICC program N= 76 |
Not Referred to EPICC program N= 244 |
P value | |
| Demographics | |||
| Age (mean) | 39.5 | 39.2 | 0.789 |
| Female | 43 (56.6%) | 110 (45.1%) | 0.079 |
| African American | 43 (56.6%) | 96 (39.3%) | 0.008 |
| Unhoused | 20 (26.3%) | 24 (9.8%) | <.001 |
| Substance Use History (all persons in this cohort also used heroin or fentanyl at the time of admission) | |||
| Addiction Medicine Consult | 69 (90.7%) | 82 (33.6%) | <.001 |
| Prior IDU-related infections | 2.1 | 1.9 | 0.353 |
| Methamphetamine | 16 (21.1%) | 70 (28.7%) | 0.182 |
| Cocaine | 27 (35.5%) | 57 (23.4%) | 0.039 |
| Benzodiazepine | 1 (1.3%) | 7 (2.9%) | 0.417 |
| Comorbidities | |||
| Hypertension | 10 (13.2%) | 29 (11.9%) | 0.768 |
| Diabetes Mellitus | 3 (3.9%) | 20 (8.2%) | 0.183 |
| Psychiatric comorbidity | 16 (21.1%) | 29 (11.9%) | 0.053 |
| Hepatitis C infection | 66 (86.8%) | 147 (60.3%) | <.001 |
| HIV infection | 3 (3.9%) | 14 (5.7%) | 0.531 |
| Type of SIRI* | |||
| Infective endocarditis | 37 (48.7%) | 126 (51.6%) | 0.652 |
| Osteomyelitis | 25 (32.9%) | 77 (31.6%) | 0.827 |
| Septic Arthritis | 10 (13.2%) | 38 (15.6%) | 0.602 |
| Epidural Abscess | 8 (10.5%) | 22 (9.0%) | 0.697 |
| Necrotizing Skin and Soft Tissue Infection | 10 (13.2%) | 25 (10.2%) | 0.485 |
| Septic Thrombophlebitis | 5 (6.7%) | 7 (2.9%) | 0.417 |
| Isolated Bacteremia or fungemia | 6 (7.9%) | 20 (8.2%) | 0.933 |
| Causative Organism | |||
| Staphylococcus aureus | 51 (67.1%) | 165 (67.6%) | 0.933 |
| Candida species | 5 (6.7%) | 21 (8.6%) | 0.563 |
| Outcomes | |||
| 90-day Readmission | 18 (23.7%) | 100 (40.9%) | 0.005 |
| Death post-discharge | 2 (2.6%) | 10 (4.1%) | 0.541 |
IDU, injection drug use; HIV, human immunodeficiency virus; SIRI, serious injection related infection.
Patients may have more than one type of infection concurrently