High Prevalence of Abscesses and Cellulitis Among Community-Recruited Injection Drug Users in San Francisco

Published in: Clinical Infectious Diseases, v. 30, no. 3, Mar. 2000, p. 579-581

Posted on RAND.org on December 31, 1999

by Ingrid A. Binswanger, Alex H. Kral, Ricky N. Bluthenthal, Daniel J. Rybold, Brian R. Edlin

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The prevalence of and risk factors for abscesses and cellulitis were investigated among a community sample of injection drug users (IDUs). Participants were interviewed, and those with symptoms were examined. Of 169 IDUS, 54 (32%) had abscesses (n = 35), cellulitis (n = 5), or both (n = 14); 27% had lanced their own abscesses; and 16% had self-treated with antibiotics they purchased on the street. IDUs who skin-popped (injected subcutaneously or intramuscularly) were more likely to have an abscess or cellulitis than those who had injected only intravenously (odds ratio, 4.9; 95% confidence interval, 2.2-1 1). The likelihood of abscesses and cellulitis increased with frequency of skin-popping and decreased with increasing duration of injection drug use. Abscesses are extremely prevalent among IDUs in San Francisco. Skin-popping is a major risk factor, and self-treatment is common.

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