ArticleEpidemiology and infection2015
Healthcare seeking and hospital admissions by people who inject drugs in response to symptoms of injection site infections or injuries in three urban areas of England.
Article in Epidemiology and infection, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
26 citing papers in PubMed.
- Opportunistic Treatment of Hepatitis C Infection Among Hospitalized People Who Inject Drugs (OPPORTUNI-C): A Stepped Wedge Cluster Randomized Trial.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024Trial
- Association of skin infections with sharing of injection drug preparation equipment among people who inject drugs.The International journal on drug policy · 2021Trial
- Improving opioid substitution therapy in the acute hospital setting: implementation of a best practice guideline.BMJ open quality · 2026Article
- Bacterial and fungal infections in persons who inject drugs.Clinical microbiology reviews · 2025Review
- Improving hospital care for people who use drugs: deliberative process development of a clinical guideline for opioid withdrawal management.Harm reduction journal · 2024Article
- Opioid-specific harm reduction in the emergency department: how staff provide harm reduction and contextual factors that impact their capacity to engage in harm reduction practice.Harm reduction journal · 2024Article
- Dalbavancin Use in Persons Who Use Drugs May Increase Adherence Without Increasing Cost.The Journal of pharmacy technology : jPT : official publication of the Association of Pharmacy Technicians · 2024Article
- Epidemiology of acute infections in people who inject drugs in Australia.Drug and alcohol review · 2024Review
- Prevalence and incidence of emergency department presentations and hospital separations with injecting-related infections in a longitudinal cohort of people who inject drugs.Epidemiology and infection · 2023Article
- Estimated Clinical Outcomes and Cost-effectiveness Associated With Provision of Addiction Treatment in US Primary Care Clinics.JAMA network open · 2023Article
- A community-based study of abscess self-treatment and barriers to medical care among people who inject drugs in the United States.Health & social care in the community · 2022Article
- Severe bacterial infections in people who inject drugs: the role of injection-related tissue damage.Harm reduction journal · 2022Article
- Barriers to management of opioid withdrawal in hospitals in England: a document analysis of hospital policies on the management of substance dependence.BMC medicine · 2022Article
- Prevalence and factors associated with chronic venous insufficiency, leg ulceration and deep-vein thrombosis among people who inject drugs in London, UK.Drug and alcohol review · 2022Article
- Simulated Cost-effectiveness and Long-term Clinical Outcomes of Addiction Care and Antibiotic Therapy Strategies for Patients With Injection Drug Use-Associated Infective Endocarditis.JAMA network open · 2022Article
- Long-term Infective Endocarditis Mortality Associated With Injection Opioid Use in the United States: A Modeling Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021Article
- Emergency physician perspectives on initiating buprenorphine/naloxone in the emergency department: A qualitative study.Journal of the American College of Emergency Physicians open · 2021Article
- Normalised pain and severe health care delay among people who inject drugs in London: Adapting cultural safety principles to promote care.Social science & medicine (1982) · 2020Article
- Community Wound Care Program Within a Syringe Exchange Program: Chicago, 2018-2019.American journal of public health · 2020Article
- Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
People who inject drugs (PWID) are vulnerable to infections and injuries at injection sites. The factors associated with reporting symptoms of these, seeking related advice, and hospital admission are examined. PWID were recruited in Birmingham, Bristol and Leeds using respondent-driven sampling (N = 855). During the preceding year, 48% reported having redness, swelling and tenderness (RST), 19% an abscess, and 10% an open wound at an injection site. Overall, 54% reported ⩾1 symptoms, with 45% of these seeking medical advice (main sources emergency departments and General Practitioners). Advice was often sought ⩾5 days after the symptom first appeared (44% of those seeking advice about an abscess, 45% about an open wound, and 35% for RST); the majority received antibiotics. Overall, 9·5% reported hospital admission during the preceding year. Ever being diagnosed with septicaemia and endocarditis were reported by 8·8% and 2·9%, respectively. Interventions are needed to reduce morbidity, healthcare burden and delays in accessing treatment.
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