[Epidemiologic evaluation and some species in injection drug users that admitted in infectious department of Imam Reza hospital [2007-2009]]

ABSTRACT

Infections are considered as the most common reason of referral and hospitalization in Intravenous [IV] drug abusers. This study has been conducted to clarify epidemiologic specification of these patients including their personal details [age, sex, education, etc.] and type of the drug injected and their most common infections. This descriptive cross-sectional study has been conducted in Infectious Disease Department of Imam-Reza Hospital between 2007 to 2009 in Mashhad. 62 drugs users were enrolled in study and personal IRAN and epidemiological details, symptoms, mode of addiction and their complications were collected through questionnaires. Data were analyzed by descriptive statistical methods and frequency tables. The study revealed that crystal is the most common used drug [83.9%], followed by Heroin, Norchizak and Tamchizak, and Sheereh [a remnant of opium]. The most common reason for admission was skin and soft tissue infection [33%]. Anti HCV, Anti HIV, HBSAg, and Anti HTLV1 were positive in 71%, 14.5%, 8.1%, and 8.1%, respectively. In this article, unlike other surveys around the world, the most common type of drug used for injection was crystal and the degree of HCV positive cases was higher than similar studies in Iran. High prevalence necrotizing fasciitis, higher percentage of gram Negative bacillus in blood cultures as well as greater number of HCV positive, are probably due to the crystal usage. Hence, it seems reasonable that more advanced studies should be conducted in this regard