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2009-04-07Zeitschriftenartikel DOI: 10.1017/S0950268809002544
Outbreak of wound botulism in injecting drug users
dc.contributor.authorSchroeter, M.
dc.contributor.authorAlpers, Katharina
dc.contributor.authorTreeck, Ulrich van
dc.contributor.authorFrank, Christina
dc.contributor.authorRosenkoetter, N.
dc.contributor.authorSchaumann, R.
dc.date.accessioned2018-05-07T13:54:45Z
dc.date.available2018-05-07T13:54:45Z
dc.date.created2010-06-01
dc.date.issued2009-04-07none
dc.identifier.otherhttp://edoc.rki.de/oa/articles/reAjmp8HtMCKA/PDF/26b2PSCS0VXow.pdf
dc.identifier.urihttp://edoc.rki.de/176904/651
dc.description.abstractBetween 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 typing revealed that the different isolates were clonally identical. Two samples of heroin, one of them provided by a patient, were examined but C. botulinum could not be isolated. This outbreak demonstrates that IDU are at risk for acquiring wound botulism by injecting contaminated drugs. A greater awareness of this disease is needed by physicians and a close cooperation between public health authorities, street workers, operators of sheltered injecting facilities, and medical centres focusing on IDU is essential to prevent and manage outbreaks in IDU in a timely manner.eng
dc.language.isoeng
dc.publisherRobert Koch-Institut
dc.subjectAdulteng
dc.subjectHumanseng
dc.subjectFemaleeng
dc.subjectDisease Outbreakseng
dc.subjectGermany/epidemiologyeng
dc.subjectElectrophoresiseng
dc.subjectGeleng
dc.subjectMaleeng
dc.subjectMiddle Agedeng
dc.subjectBotulism/epidemiologyeng
dc.subjectBotulism/geneticseng
dc.subjectClostridium botulinum/geneticseng
dc.subjectPulsed-Fieldeng
dc.subjectHeroin Dependence/microbiologyeng
dc.subjectSubstance Abuseeng
dc.subjectIntravenous/microbiologyeng
dc.subjectWound Infection/epidemiologyeng
dc.subjectWound Infection/microbiologyeng
dc.subjectYoung Adulteng
dc.subject.ddc610 Medizin
dc.titleOutbreak of wound botulism in injecting drug users
dc.typeperiodicalPart
dc.identifier.urnurn:nbn:de:0257-1008888
dc.identifier.doi10.1017/S0950268809002544
dc.identifier.doihttp://dx.doi.org/10.25646/576
local.edoc.container-titleEpidemiology and Infection
local.edoc.fp-subtypeArtikel
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-urlhttp://journals.cambridge.org/action/displayJournal?jid=HYG
local.edoc.container-publisher-nameCambridge University Press
local.edoc.container-volume137
local.edoc.container-year2009

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