Understanding Endocarditis: A Serious Health Challenge for Those Who Inject Drugs
What is Endocarditis?
Endocarditis is a severe infection of the lining of the heart muscle. Its treatment includes intravenous antibiotics and often in-hospital care for about a month. In about 20 percent of cases, discharged patients had subsequent endocarditis infections and multiple hospital stays.
Research Insights on Heart Disease and Injectors
Researchers examined hospital and post-hospital records of 764 people with endocarditis from 2007 to 2023 in London, Ont., at St. Joseph's and at London Health Sciences Centre. Funded by St. Joseph's Health Care Foundation, this study is the first to look at survival over five years after admission to hospital.
- 56% of patients were persons who injected drugs (PWIDs).
- The five-year mortality rate for PWIDs was 49%.
- Most deaths associated with endocarditis occurred within the first year.
Dr. Michael Silverman emphasized the need for in-hospital counseling and addiction care, stating, “We need to provide in-hospital counselling and addiction care.” Without these supports, many patients leave the hospital prematurely.
The Impact of Gender and Community Support
Women accounted for more than 50% of PWIDs with endocarditis. Their long-term mortality rates were higher in urban areas, highlighting the impact of addiction-related complications.
Addressing these health disparities requires community support and accessible health care options for all.
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This article was prepared using information from open sources in accordance with the principles of Ethical Policy. The editorial team is not responsible for absolute accuracy, as it relies on data from the sources referenced.