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Volume 353:1945-1954 November 3, 2005 Number 18
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Bacterial Infections in Drug Users
Rachel J. Gordon, M.D., M.P.H., and Franklin D. Lowy, M.D.

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Illicit drug use is a worldwide health problem. Annually, Approximately 5 percent of the global population, or 200 million people, use illicit drugs.1 In a U.S. survey, 19.5 million people 12 years of age or older, or 8.2 percent of the population, had used an illicit drug in the prior month.2 Injection is one of the most harmful routes of administration. There are an estimated 13 million injection-drug users worldwide, 78 percent of whom live in developing nations.3

Infections are among the most serious complications of drug use.4,5 Drug use plays a major role in the transmission of human immunodeficiency . . . [Full Text of this Article]

Epidemiology

Pathogenesis

The Role of Commensal Flora

Bacterial Transmission through Sharing of Drug Paraphernalia

Transmission through Drugs or Drug Adulterants

Drug Preparation

Host Susceptibility

Clinical Features

Skin and Soft-Tissue Infections

Musculoskeletal Infections

Endovascular Infections

Respiratory Tract Infections

Miscellaneous Infections

Prevention

Treatment


Source Information

From the Division of Infectious Diseases, Departments of Medicine (R.J.G., F.D.L.) and Pathology (F.D.L.), Columbia University College of Physicians and Surgeons, New York.

Address reprint requests to Dr. Gordon at the Division of Infectious Diseases, Box 82, Columbia University College of Physicians and Surgeons, 630 W. 168th St., New York, NY 10032, or at rj216@columbia.edu.


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