Contaminated Street Heroin
- 1 June 1983
- journal article
- research article
- Published by American Medical Association (AMA) in Archives of Surgery
- Vol. 118 (6) , 746-749
- https://doi.org/10.1001/archsurg.1983.01390060064014
Abstract
• Thirty-one samples of street heroin were analyzed bacteriologically and chemically as to their microbial burden and chemical adulterants (fillers). Sixty-one percent of the samples were positive for microbial growth. Many species were isolated from the positive samples with Bacillus sp (79%) and Aspergillus sp (10%) predominating. The level of contamination ranged from 1.6 ×102 to 3.7 × 104 organisms per gram. We obtained cultures from 16 addicts from the Chicago area and 21 from the New Orleans area who had soft-tissue infections related to their habit. Infections in this group of patients were usually polymicrobial; however, there was no correlation between the organisms recovered from street heroin and the addicts' infections. Most drug-related infections appear to be related to the addicts' own oral and dermal microflora. No correlation was observed between the chemical fillers and the bacteria recovered from the heroin. (Arch Surg 1983;118:746-749)This publication has 10 references indexed in Scilit:
- The spectrum of Bacillus bacteremias in heroin addictsArchives of internal medicine (1960), 1979
- Severe systemic and pyogenic infections with Bacillus cereus.BMJ, 1977
- Gas in the Wound: What Does it Mean?Surgical Clinics of North America, 1975
- Staphylococcal Endocarditis in Parenteral Drug Abusers: Source of the OrganismAnnals of Internal Medicine, 1975
- Bacillus cereus Endocarditis in an AddictAnnals of Internal Medicine, 1974
- Clinical spectrum of infection due to Bacillus speciesThe American Journal of Medicine, 1973
- Surgical Management of Infections and Other Complications Resulting From Drug AbuseArchives of Surgery, 1970
- Human Infections Caused by Organisms of the Bacillus SpeciesAmerican Journal of Clinical Pathology, 1970