Injecting drug use is often
associated with deep-seated infection. In Lothian in Scotland there has been a
recent increase in the use of injected new psychoactive substances (NPS).
Patients who have injected NPS have presented with Staphylococcus aureus
bacteraemia (SAB) with life-threatening complications. We describe a unique
case-series of 14 episodes of SAB in ten patients.
Users of injected NPS had a
significantly higher incidence of endocarditis and cavitating pulmonary lesions
(P < 0·05) compared to those who inject only opiates. Cases of SAB in people
who inject NPS have contributed to a significant rise in the overall incidence
of SAB in people who inject drugs (P < 0·05) which has in turn impacted on
the ability of Lothian to meet national targets for reducing the incidence of
SAB.
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By:
- 1Regional Infectious Diseases Unit, Western General Hospital,Edinburgh,UK.
- 2Department of Microbiology, Royal Infirmary of Edinburgh,UK.
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