Centre for Infections, Health Protection Agency, London, UK.
Epidemiol Infect. 2010 Oct;138(10):1510-8. doi: 10.1017/S0950268810000324. Epub 2010 Feb 18.
Injection site infections in injecting drug users (IDUs) are associated with serious morbidity and healthcare costs. Factors associated with symptoms of these were examined through annual (2006-2008) unlinked-anonymous survey of IDUs in England, Wales and Northern Ireland. Overall 36% (1863/5209) self-reported having a symptom with no trend over time (35% 2006, 37% 2007, 34% 2008). Symptoms were less common in the North East of England; increased with years injecting; and were higher in women, those recently homeless, those recently using a needle exchange, and those injecting both opiates and stimulants. Of those injecting during the previous 4 weeks (n=3733) symptoms were associated with: injecting daily; injecting >or=10 times a day; injecting into hands, groin, or legs; sharing filters; and reusing water to flush syringes. Symptoms of injection site infections are common in IDUs. Better-targeted preventive interventions are needed, and continued surveillance should assist with assessing the impact of new initiatives.
在注射吸毒者（IDU）中，注射部位感染与严重的发病率和医疗保健费用有关。通过对英格兰、威尔士和北爱尔兰的 IDU 进行年度（2006-2008 年）非关联匿名调查，研究了与这些症状相关的因素。总体而言，36%（1863/5209）的人自我报告有症状，但没有随时间变化的趋势（2006 年为 35%，2007 年为 37%，2008 年为 34%）。在英格兰东北部，这些症状较少见；随着注射时间的增加而增加；在女性、最近无家可归的人、最近使用针具交换的人以及同时注射阿片类药物和兴奋剂的人中更为常见。在过去 4 周内注射过的人中（n=3733），症状与以下因素有关：每天注射；每天注射≥10 次；在手部、腹股沟或腿部注射；共用过滤器；以及重复使用水冲洗注射器。注射部位感染的症状在 IDU 中很常见。需要更有针对性的预防干预措施，并且应继续监测以评估新举措的影响。
