Homeless Night Shelter: Invasive Group A Streptococcus infection risk among people who inject drugs.
PHE ePoster Library. Bal J. Sep 12, 2019; 274542; 97
Jasvir Bal
Jasvir Bal
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Abstract PHE's 2018 report on infections among people who inject drugs in the UK states during 2016, half (50%) of those injecting psychoactive drugs in England, Wales and Northern Ireland reported that they had experienced a sore, open wound or abscess, all possible symptoms of an injecting site infection. This case study is concerning a 35yr old female admitted to hospital with Invasive Group A Streptococcus septicaemia, secondary to injection site abscess. Contact tracing took place at the homeless night shelter where she resided before admission, 16 contacts were identified of which 4 (25%) required medical assessment due to symptoms suggestive of Group A Strep infection. A multi-agency approach was used to prevent further cases; services working collaboratively included West Midlands PHE, Walsall Public Health Protection team, Drug & alcohol services, housing team, GP & local walk in centre and Microbiologist. As a result of this case Walsall Public Health has put in place processes to support early identification and treatment of infections. A mental health nurse who works jointly with alcohol and drug misuse services is being trained to do wound care and assessments to reduce risk of invasive disease and hospital admission. This will help to provide better-integrated care, an approach which ensures that a person's mental, physical and social health are treated equally and not separately. External funding details
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