2023-09-28 14:46:10 +00:00
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abstract: 'Background: Soft tissue infections are common among injection drug users
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(IDUs), but information on correlates and treatment in this highly
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marginalized population is lacking.
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Methods: Six hundred twenty-three community-recruited IDUs in Tijuana,
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Mexico, completed a detailed interview on abscess history and treatment.
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Univariate and multiple logistic regressions were used to identify
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factors independently associated with having an abscess in the prior 6
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months.
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Results: Overall, 46\% had ever had an abscess and 20\% had had an
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abscess in the past 6 months. Only 12\% had sought medical care for
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their most recent abscess; 60\% treated the abscess themselves. The most
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common self-treatment method was to apply heated (24\%) or unheated
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(23\%) Aloe vera leaf. Other methods included draining the wound with a
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syringe (19\%) or knife (11\%). Factors independently associated with
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recent abscess were having income from sex work (adjusted odds ratio
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(aOR) 4.56, 95\% confidence interval (CI) 2.08-10.00), smoking
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methamphetamine (aOR 1.65, 95\% CI 1.05-2.62), seeking someone to help
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with injection (aOR 2.06, 95\% CI 1.18-3.61), and reporting that police
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affected where they used drugs (aOR 2.14, 95\% CI 1.15-3.96).
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Conclusions: Abscesses are common among IDUs in this setting, but
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appropriate treatment is rare. Interventions to reduce barriers to
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medical care in this population are needed. Research on the
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effectiveness of Aloe vera application in this setting is also needed,
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as are interventions to provide IDU sex workers, methamphetamine
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smokers, and those who assist with injection with the information and
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equipment necessary to reduce abscess risk. (C) 2010 International
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Society for Infectious Diseases. Published by Elsevier Ltd. All rights
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reserved.'
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affiliation: 'Pollini, RA (Corresponding Author), Univ Calif San Diego, Dept Med,
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La Jolla, CA 92093 USA.
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Pollini, Robin A.; Hasan, Samreen; Minuto, Joshua; Vera, Alicia; Zuniga, Maria Luisa;
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Strathdee, Steffanie A., Univ Calif San Diego, Dept Med, La Jolla, CA 92093 USA.
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Gallardo, Manuel, PrevenCasa AC, Tijuana, Mexico.
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Lozada, Remedios, Pro COMUSIDA, Tijuana, Mexico.'
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author: Pollini, Robin A. and Gallardo, Manuel and Hasan, Samreen and Minuto, Joshua
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and Lozada, Remedios and Vera, Alicia and Zuniga, Maria Luisa and Strathdee, Steffanie
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A.
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author-email: rpollini@ucsd.edu
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author_list:
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- family: Pollini
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given: Robin A.
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- family: Gallardo
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given: Manuel
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- family: Hasan
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given: Samreen
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- family: Minuto
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given: Joshua
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- family: Lozada
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given: Remedios
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- family: Vera
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given: Alicia
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- family: Zuniga
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given: Maria Luisa
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- family: Strathdee
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given: Steffanie A.
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da: '2023-09-28'
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doi: 10.1016/j.ijid.2010.02.2238
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files: []
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issn: 1201-9712
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journal: INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES
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keywords: Abscess; Injection drug use; Soft tissue infection; Treatment seeking
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keywords-plus: 'RESISTANT STAPHYLOCOCCUS-AUREUS; ALOE-BARBADENSIS MILLER; SOFT-TISSUE
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INFECTIONS; RISK-FACTORS; SAN-FRANCISCO; VIRUS-INFECTION; HARM
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REDUCTION; COMMUNITY; SKIN; CRACK'
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language: English
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month: SEP
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number: '3'
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number-of-cited-references: '38'
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orcid-numbers: 'Strathdee, Steffanie/0000-0002-7724-691X
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HARVEY-VERA, ALICIA/0000-0002-8708-8169'
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pages: E117-E122
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papis_id: 5ab96f61f6f72eef66efe5d9608aca8b
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ref: Pollini2010highprevalence
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researcherid-numbers: 'Strathdee, Steffanie A/B-9042-2009
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'
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times-cited: '32'
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title: High prevalence of abscesses and self-treatment among injection drug users
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in Tijuana, Mexico
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000282643000025
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usage-count-last-180-days: '0'
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usage-count-since-2013: '2'
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volume: '14'
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web-of-science-categories: Infectious Diseases
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year: '2010'
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