A partir de cette page vous pouvez :
Retourner au premier écran avec les dernières notices... |
Descripteurs (mots clés)
Ajouter le résultat dans votre panier Affiner la recherche
Etendre la recherche sur niveau(x) vers le bas
Considerations in the Diagnosis and Management of Lower-Extremity Infections in Injection Heroin Users: A Case Series / Sadie C. Wylie in Journal of the American Podiatric Medical Association, vol. 109,06 (Novembre-décembre 2019)
[article]
in Journal of the American Podiatric Medical Association > vol. 109,06 (Novembre-décembre 2019)
Titre : Considerations in the Diagnosis and Management of Lower-Extremity Infections in Injection Heroin Users: A Case Series Type de document : article de périodique Auteurs : Sadie C. Wylie ; Christopher Cullum ; Robert Brarens Année de publication : 2019 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus HELB]:Paramédical:Réaction au site d'injection
[Thésaurus HELB]:Paramédical:site d’injection
[Thésaurus Mesh]Dépendance à l'héroïne
[Thésaurus Mesh]Infection
[Thésaurus Mesh]Membre inférieur
[Thésaurus Mesh]Présentations de casMots-clés : heroin dependence Injection Site foot case reports Résumé : Background: On a national level, heroin-related hospital admissions have reached an all-time high. With the foot being the fourth most common injection site, heroin-related lower-extremity infections have become more prevalent owing to many factors, including drug preparation, injection practices, and unknown additives.
Methods: We present a 16-month case series in which eight patients with lower-extremity infections secondary to heroin abuse presented to The Jewish Hospital in Cincinnati, Ohio.
Results: Three cases of osteomyelitis were seen. All of the infections were cultured and yielded a wide array of microbes, including Staphyloccoccus, Streptococcus, Bacillus, Serratia, Prevotella, and Eikenella. All of the patients were treated with intravenous antibiotic agents, with nearly all receiving combination therapy. Seven of the eight patients underwent surgery during their hospital stay, with two undergoing amputation. Only half of the patients followed up after discharge.
Conclusions: This case series brings to light many considerations in the diagnosis and management of the heroin user, including multivariable attenuation of immunity, existing predisposition to infection backed by unsterile drug preparation and injection practices, innocuous presentation of deep infections, microbial spectrum, and recommendations on antimicrobial intervention, noncompliance, and poor follow-up. By having greater knowledge in unique considerations of diagnosis and treatment, more efficient care can be provided to this unique patient population.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire