scholarly journals Predictors of skin and soft tissue infections among sample of rural residents who inject drugs

2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Amelia Baltes ◽  
Wajiha Akhtar ◽  
Jen Birstler ◽  
Heidi Olson-Streed ◽  
Kellene Eagen ◽  
...  
Keyword(s):  
Rural Communities ◽  
Soft Tissue ◽  
Soft Tissue Infections ◽  
Care Needs ◽  
Exchange Programs ◽  
The Usa ◽  
History Of ◽  
Socio Demographic Factors ◽  
Unsafe Injection ◽  
Injection Practices

Abstract Introduction Skin and soft tissue infections (SSTIs) are among the leading causes of morbidity and mortality for people who inject drugs (PWID). Studies demonstrate that certain injection practices correlate with SSTI incidence among PWID. The opioid epidemic in the USA has particularly affected rural communities, where access to prevention and treatment presents unique challenges. This study aims to estimate unsafe injection practices among rural-dwelling PWID; assess treatments utilized for injection related SSTIs; and gather data to help reduce the overall risk of injection-related SSTIs. Methods Thirteen questions specific to SSTIs and injection practices were added to a larger study assessing unmet health care needs among PWID and were administered at six syringe exchange programs in rural Wisconsin between May and July 2019. SSTI history prevalence was estimated based on infections reported within one-year prior of response and was compared to self-reported demographics and injection practices. Results Eighty responses were collected and analyzed. Respondents were white (77.5%), males (60%), between the ages 30 and 39 (42.5%), and have a high school diploma or GED (38.75%). The majority of respondents (77.5%) reported no history of SSTI within the year prior to survey response. Females were over three times more likely to report SSTI history (OR = 3.07, p = 0.038) compared to males. Water sources for drug dilution (p = 0.093) and frequency of injecting on first attempt (p = 0.037), but not proper skin cleaning method (p = 0.378), were significantly associated with a history of SSTI. Injecting into skin (p = 0.038) or muscle (p = 0.001) was significantly associated with a history of SSTI. Injection into veins was not significantly associated with SSTI (p = 0.333). Conclusion Higher-risk injection practices were common among participants reporting a history of SSTIs in this rural sample. Studies exploring socio-demographic factors influencing risky injection practices and general barriers to safer injection practices to prevent SSTIs are warranted. Dissemination of education materials targeting SSTI prevention and intervention among PWID not in treatment is warranted.

scholarly journals Predictors of Skin and Soft Tissue Infections Among Sample of Rural Residents Who Inject Drugs

2020 ◽  
Author(s):  
Amelia Baltes ◽  
Wajiha Akhtar ◽  
Jen Birstler ◽  
Heidi Olson-Streed ◽  
Kellene Eagen ◽  
...  
Keyword(s):  
Rural Communities ◽  
Soft Tissue ◽  
The United States ◽  
Soft Tissue Infections ◽  
Care Needs ◽  
Exchange Programs ◽  
History Of ◽  
Socio Demographic Factors ◽  
Unsafe Injection ◽  
Injection Practices

Abstract Introduction: Skin and soft tissue infections (SSTIs) are among the leading causes of morbidity and mortality for people who inject drugs (PWID). Studies demonstrate that certain injection practices correlate with SSTI incidence among PWID. The opioid epidemic in the United States has particularly affected rural communities, where access to prevention and treatment presents unique challenges. This study aims to estimate unsafe injection practices among rural-dwelling PWID; assess treatments utilized for injection related SSTIs; and gather data to help reduce the overall risk of injection-related SSTIs. Methods: Thirteen questions specific to SSTIs and injection practices were added to a larger study assessing unmet health care needs among PWID and were administered at six syringe exchange programs in rural Wisconsin between May and July 2019. SSTI history prevalence was estimated based on infections reported within one-year prior of response and was compared to self-reported demographics and injection practices. Results: Eighty responses were collected and analyzed. Respondents were white (77.5%), males (60%), between the ages 30-39 (42.5%), and have a high school diploma or GED (38.75%). The majority of respondents (77.5%) reported no history of SSTI within the year prior to survey response. Females were over three times more likely to report SSTI history (OR=3.07, p=0.038) compared to males. Water sources for drug dilution (p=0.093) and frequency of injecting on first attempt (p=0.037), but not proper skin cleaning method (p = 0.378), were significantly associated with a history of SSTI. Injecting into skin (p=0.038) or muscle (p=0.001) were significantly associated with a history of SSTI. Injection into veins was not significantly associated with SSTI (p=0.333).Conclusion: Higher-risk injection practices were common among participants reporting a history of SSTIs in this rural sample. Studies exploring socio-demographic factors influencing risky injection practices and general barriers to safer injection practices to prevent SSTIs are warranted. Dissemination of education materials targeting SSTI prevention and intervention among PWID not in treatment are warranted.

scholarly journals Predictors of Skin and Soft Tissue Infections Among Sample of Rural Residents Who Inject Drugs

2020 ◽  
Author(s):  
Amelia Baltes ◽  
Wajiha Akhtar ◽  
Jen Birstler ◽  
Heidi Olson-Streed ◽  
Kellene Eagen ◽  
...  
Keyword(s):  
Rural Communities ◽  
Soft Tissue ◽  
Soft Tissue Infections ◽  
Care Needs ◽  
Exchange Programs ◽  
Needle Exchange Programs ◽  
History Of ◽  
Socio Demographic Factors ◽  
One Year ◽  
Injection Practices

Abstract Introduction: Skin and soft tissue infections (SSTIs) are among the leading causes of morbidity and mortality for people who inject drugs (PWID). Studies demonstrate that certain injection practices correlate with SSTI incidence among PWID. The opioid epidemic has particularly affected rural communities, where access to prevention and treatment presents unique challenges. This study aims to understand current injection practices and SSTI history among a rural-dwelling PWID.Methods: Thirteen questions specific to SSTIs and injection practices were added to a larger study assessing unmet health care needs among PWID and were administered at six needle exchange programs in rural Wisconsin between May and July 2019. SSTI history prevalence was estimated based on infections reported within one-year prior of response and was compared to self-reported demographics and injection practices. Results: Eighty responses were collected and analyzed. Respondents were white (77.5%), males (60%), between the ages 30-39 (42.5%), and have a high school diploma or GED (38.75%). Females were over three times more likely to report SSTI history (OR=3.07, p=0.038) compared to males. Water sources for drug dilution (p=0.093) and frequency of injecting on first attempt (p=0.037), but not proper skin cleaning method (p = 0.378), were significantly associated with a history of SSTI. Injecting into skin (p=0.038) or muscle (p=0.001) significantly associated with a history of SSTI whereas injection into veins did not (p=0.333).Conclusion: Higher-risk injection practices were common among participants reporting a history of SSTIs in this rural sample. Studies exploring socio-demographic factors influencing risky injection practices and general barriers to safer injection practices to prevent SSTIs are warranted. Dissemination of education materials targeting SSTI prevention and intervention among PWID not in treatment are warranted.

scholarly journals Implications for Biologic Therapy:Staphylococcus aureusDecolonization of Individuals With a History of Recurrent Skin and Soft-Tissue Infections

2013 ◽  
Vol 149 (8) ◽  
pp. 986 ◽  
Author(s):  
Jennifer H. Ku ◽  
Kevin L. Winthrop ◽  
Cara D. Varley ◽  
Annika Sullivan ◽  
Benjamin D. Ehst ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Infections ◽  
History Of

scholarly journals Multifocal Keloids Associated with Mycobacterium fortuitum following Intralesional Steroid Therapy

2011 ◽  
Vol 3 (02) ◽  
pp. 127-129 ◽  
Author(s):  
Shailesh Kumar ◽  
Noyal Mariya Joseph ◽  
Joshy M Easow ◽  
Sivaraman Umadevi
Keyword(s):  
Soft Tissue ◽  
Steroid Injection ◽  
Late Onset ◽  
Mycobacterium Fortuitum ◽  
Soft Tissue Infections ◽  
Bacterial Cultures ◽  
Intralesional Steroid ◽  
Intralesional Steroid Injection ◽  
History Of ◽  
High Index Of Suspicion

ABSTRACTWe report a case of subcutaneous abscess formation with Mycobacterium fortuitum following intralesional steroid injection into multifocal keloids. A high index of suspicion of atypical mycobacteria infection is needed in patients with a history of skin and soft tissue infections, in particular late-onset infections, which are negative for routine bacterial cultures and without a clinical response to antibiotics used for acute pyogenic infections.

scholarly journals 436. Skin and Soft-tissue Infections Are a Common Reason for Potentially Inappropriate Antimicrobial Use among Inpatients in Sri Lanka

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S216-S217
Author(s):  
Tianchen Sheng ◽  
Gaya B Wijayaratne ◽  
Thushani M Dabrera ◽  
Ajith Nagahawatte ◽  
Champica K Bodinayake ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Sri Lanka ◽  
Public Hospitals ◽  
Common Reason ◽  
Antimicrobial Use ◽  
Soft Tissue Infections ◽  
Cross Sectional ◽  
Point Prevalence Study ◽  
Inpatient Settings ◽  
History Of

Abstract Background Skin and soft-tissue infections (SSTI) are a common reason for antimicrobial use in the outpatient and inpatient settings. Inappropriate antimicrobial use for SSTI is common. We determined the prevalence of SSTI and associated inappropriate antimicrobial use among inpatients in Sri Lanka. Methods A point-prevalence study of antimicrobial use was conducted using one-day cross-sectional surveys at five public hospitals in Southern Province, Sri Lanka from Jun-August 2017. Inpatients’ medical records were reviewed for clinical data including antimicrobials prescribed. Inappropriate antimicrobial use was identified as (1) antimicrobial use discordant with guidelines by the Sri Lanka College of Microbiologists (SLCM), and (2) redundant combinations of antimicrobials. Results Of 1,709 surveyed patients, 935 (54.7%) received antimicrobials, of whom 779 (83.3%) had a specified or inferred indication for antimicrobial use. Among patients with an indication for antimicrobial use, SSTI was the second leading indication (181 patients, 23.2%) after lower respiratory tract infection (194, 24.9%). One-third (62, 34.2%) of patients with SSTI had a history of diabetes. Commonly used antimicrobials for SSTI included amoxicillin and clavulanic acid (40.3%), extended-spectrum penicillins (24.9%), and metronidazole (22.1%). inappropriate antimicrobial use was observed in 53.0% of SSTI patients, with redundant antibiotic therapy in 35.9% and antimicrobials discordant with SLCM guidelines in 32.6%. Conclusion SSTI was a common reason for antimicrobial use among inpatients in Sri Lanka, with more than half of patients receiving potentially inappropriate antimicrobial therapy. We identified targets for future antimicrobial stewardship efforts. Disclosures All authors: No reported disclosures.

scholarly journals Delayed Nontuberculous Mycobacterium Manifestation 1 Year after a Dog Bite on the Hand

2020 ◽  
Vol 16 (1) ◽  
pp. 56-58
Author(s):  
Jong Keun Song ◽  
Jeong Hwan Shin ◽  
Jun Yong Lee
Keyword(s):  
Soft Tissue ◽  
Nontuberculous Mycobacteria ◽  
Clinical Manifestations ◽  
Nontuberculous Mycobacterium ◽  
Soft Tissue Infections ◽  
Dog Bite ◽  
Wound Site ◽  
Previous Trauma ◽  
History Of ◽  
Animal Bites

Nontuberculous mycobacteria infection can show various clinical manifestations as over 190 different species of nontuberculous mycobacteria have been identified. Among them, skin and soft tissue infections are commonly related with invasive procedures or trauma. The typical incubation period of rapidly growing mycobacteria is 3 to 6 weeks, whereas slowly growing mycobacteria takes 32 to 265 days of incubation. There have been a few cases of nontuberculous mycobacterium skin and soft tissue infections associated with animal bites, but none of them, not even mycobacteria with slow growth, had incubated for more than a year from the initial trauma. We present our case of delayed manifestation of nontuberculous mycobacterium skin and soft tissue infections at a year after receiving a dog bite on the hand. This case serves as a reminder that patients with delayed onset of local inflammation and granulation tissue on the hand must be reviewed for history of any previous trauma at the wound site and evaluated for the possibility of concealed nontuberculous mycobacterium infection.

scholarly journals Spectrum of Dermatological Manifestations among Travelers Presenting at aTravel Medicine Center in Western Nepal

2019 ◽  
Vol 17 (1) ◽  
pp. 58-62
Author(s):  
Sandeep Gupta ◽  
Saroj Pokhrel ◽  
Saraswoti Neupane ◽  
Prativa Pandey
Keyword(s):  
Staphylococcus Aureus ◽  
Soft Tissue ◽  
Travel Medicine ◽  
Soft Tissue Infections ◽  
Skin Disorders ◽  
Limited Data ◽  
History Of ◽  
Animal Bites ◽  
A Prospective Study ◽  
Bacterial Skin Infections

Introduction: Skin disorders are among the most common reasons for travelers to seek medical care during and after travel. There is limited data on the spectrum of dermatoses reported among travelers during travel especially in South Asian continent. Objective: To review the spectrum of skin disorder manifested among the traveler population attending a travel medicine hospital in western Nepal. Materials and Methods: We performed a prospective study of the travelers visiting The Canadian International Water and Energy Consultants (CIWEC) Hospital, and Travel Medicine Center in Pokhara with history of skin disorders. This study was done from September 2014 until December 2015. Results: A total of 130 (14.7%) patients presenting with dermatological manifestations were enrolled in the study.  The most common diagnoses were bacterial skin infections 0.4%, arthropod bites 3.6% followed by animal bites and skin laceration due to trauma,each were 12.1%. Among patients with bacterial skin and soft tissue infections, pus culture and sensitivity were recorded in 13 patients. In almost fifty percent of our sample Staphylococcus aureus growth was seen, of which 38.5% were Methicillin Resistant Staphylococcus aureus.  Conclusion: Bacterial skin and soft tissue infections, arthropod bites and animal bites were common reasons for travelers to seek medical consultations during travel in Nepal. This information will be useful for the medicine professionals while taking care of travelers and also while providing pre-travel consultation to the prospective travelers.

scholarly journals A case of fever and rash; Dilemma of MRSA versus Kawasaki disease

2016 ◽  
Vol 3 (3) ◽  
Author(s):  
Doaa Youssef
Keyword(s):  
Infectious Disease ◽  
Case Report ◽  
Soft Tissue ◽  
Kawasaki Disease ◽  
General Population ◽  
Systemic Vasculitis ◽  
Autoimmune Disorder ◽  
Soft Tissue Infections ◽  
Common Pathogen ◽  
The Usa

<div><p><em>Kawasaki disease (KD) is an acute febrile systemic vasculitis that was first described by Kawasaki et.al in 1974. [1]. KD is regarded as an autoimmune disorder rather than an infectious disease. [2]. in the USA, where community acquired methicilline resistant staph (CA-MRSA) is now the most common pathogen (&gt;50%) causing skin and soft tissue infections (particularly abscesses) acquired by outpatients, the number of these infections has nearly doubled in six years, and the main burden of MRSA infections, measured as the incidence per 100 000 inhabitants, now falls on the general population [3]. We present here a case report of a girl came with fever and rash and it had criteria of both diseases KD and CA-MRSA.</em></p></div>

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