Wound botulism in injecting drug users

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Wound Botulism in Injection Drug Users

To the Editor: Infections are the most frequent and serious wound complications in injection drug users (IDUs). Wound botulism is primarily caused by Clostridium botulinum (1) and was fi rst observed in IDUs in New York in 1982 (2). It results from the introduction of C. botulinum spores into a wound and their multiplication, germination, in situ synthesis, and secretion of toxin under anaerobi...

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Outbreak of wound botulism in injecting drug users in Germany, October-December 2005.

Between October and December 2005, 16 cases of wound botulism were notified to the health authorities of North Rhine-Westphalia, Germany. All patients were injecting drug users (IDU) and the epidemiological investigations suggested contaminated injection drugs as the most probable source of infection. Clostridium botulinum was cultivated from clinical samples of six patients and molecular typin...

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Wound care for injecting drug users: part 2.

Part one of this article, published last week, examined the issues associated with injecting drug use and the overall management of patients presenting with injection drug-related wounds. In part two of this article, the focus is on the physical problems associated with injecting drug use, in particular the development of leg ulcers. The article provides nurses with practical guidance on assess...

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Injecting drug users in Europe

It has been estimated that there are now 800,000 active drug injecters living in the European Union. Drug injecting, which causes AIDS, is commonly practised among the drug abusers in this part of the world, where it quickly triggered a full-scale endemic of AIDS, HBV and HCV The various member-countries have responded in different ways. But the rates of infection are still alarmingly high ever...

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World Health Organization. International classification of diseases (ICD-10), 10th revision. Geneva: WHO, 1992. World Health Organization. World report on violence and health. Geneva: WHO, 2002. World Health Assembly. Prevention of violence: public health priority. (Resolution no. WHA 49.25). Geneva: WHO, 1996. Potter-Forbes M, Aisbett C. Injury costs! A validation of the burden of injury in NS...

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ژورنال

عنوان ژورنال: Anaesthesia

سال: 2002

ISSN: 0003-2409

DOI: 10.1111/j.1365-2044.2002.2520_27.x