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Pattern of chest diseases among addicts in Poison Control Center of Ain Shams University Hospitals

Abstract

Background

Drug addiction results in serious pulmonary complications. Thoracic complications of drug addiction vary depending on the type and the route of administration of the drug that has been abused.

Aim

To study the pattern of chest diseases among addicts in Poison Control Center of Ain Shams University Hospitals.

Patients and methods

A total of 200 addict patients were selected from Poison Control Center of Ain Shams University Hospitals in the duration between June 2016 and June 2018. All patients with pulmonary complications referred to Abbasia Chest Hospital were included.

Results

A total of 200 addict patients were enrolled in this study. Of them, 100 addicts with drug overdose with no pulmonary complications were excluded, and the other 100 patients were included, comprising 99 males and only one female, with mean age of 39.91±10.75 years. Overall, 63% of drug addicts were cannabis addicts, 27.0% were opiate addicts, 8.0% were polysubstance abusers, and 2.0% were alcohol addicts. Pulmonary tuberculosis was the most common pulmonary complication of all drug addicts. There was a statistically significant correlation between the type of drug addiction and the pulmonary complications. Pulmonary tuberculosis was the most common among cannabis addicts as well as polysubstance abusers. Parenchymal lung diseases (pneumonia and lung abscess) were the most common among opiate and intravenous drug addicts. There was no significant difference between different types of drugs and outcomes of the patients. Mortality represented 3.0% of all drug addicts.

Conclusion

Many pulmonary complications are associated with drug addiction. Achievement of early diagnosis and treatment can be obtained by proper counseling and therapeutic programs.

References

  1. Ranna P. Addiction and substance use disorders. Washington: American Psychiatric Association. 2017.

    Google Scholar 

  2. Vivek B. Psychoactive substances/substance abuse/drug abuse 2014. Medically reviewed by Dr Reeja Tharu on 12 April 2018. https://www.medindia.net/patients/patientinfo/drugabuse.htm. [Accessed 20 May 2018].

  3. Yogiaveetil E, O’Donnell A. Pulmonary complications of illicit drug use 2019. Pulmonology Advisor, https://www.infectiousdiseaseadvisor.com/pulmonary-medicine/pPulmonary-complications-of-illicit-drug-use/article/625573/. [Accessed 10 February 2018].

  4. American Psychiatric Association. DSM-IV Substance Dependence Criteria. Diagnostic and statistical manual of mental disorders. Fourth edition. Washington, DC: American Psychiatric Association. 2000.

    Google Scholar 

  5. Nagata N, Niikura R, Shimbo T, Kishida Y, Sekine K, Tanaka S, et al. Alcohol and smoking affect risk of uncomplicated colonic diverticulosis in Japan. PLoS One 2013; 8:e81137.

    Article  Google Scholar 

  6. Tietz NW. Textbook of clinical chemistry. Philadelphia: W.B. Saunders Company. 1986. p. 1735.

    Google Scholar 

  7. Johnson JD, Theurer WM. A stepwise approach to the interpretation of pulmonary function tests. Am Fam Physician 2014; 89:359–366.

    PubMed  Google Scholar 

  8. Global Initiative for Chronic Obstructive Lung Disease (GOLD): POCKET-GUIDE-V1.7. Available at: https://goldcopd.org/wp-content/uploads/2018/11/GOLD-2019-POCKET-GUIDE-DRAFT-v1.7-14Nov2018-WMS.pdf. [Accessed 14 November 2018].

  9. Du Rand IA, Blaikley J, Booton R, Chaudhuri N, Gupta V, Khalid S, et al. on behalf of the British Thoracic Society Bronchoscopy Guideline Group. Thorax 2013; 68:i1–:i44.

    Article  Google Scholar 

  10. Dogar IA, Sulheri MA, Ali MS. Association between drug dependence and anemia in Pakistani patients. APMC 2007; 1:9–13.

    Google Scholar 

  11. Saeed AM, Riad NM, Kamel MN. Study of respiratory problems of addiction among patients at Abbasia Chest Hospital. 2011 (unpublished master dissertation). Ain Shams University, Cairo, Egypt.

  12. Askarian M, Karmi A, Sadeghi-Hassanabadi A. Tuberculosis among never-jailed drug abusers. East Mediterr Health J 2001; 7:461–464.

    CAS  PubMed  Google Scholar 

  13. Sterling TR, Thompson D, Stanley RL, McElroy PD, Madison A, Moore K, et al. A multi-state outbreak of tuberculosis among members of a highly mobile social network: implications for tuberculosis elimination. Int J Tuberc Lung Dis 2000; 4:1066–1073.

    CAS  PubMed  Google Scholar 

  14. Mathur ML, Chaudhary RC. Increased risk of tuberculosis in opium addicts. Indian J Med Sci 1996; 50:365–367.

    CAS  PubMed  Google Scholar 

  15. Farrag MA, Mohamed RM, Ali KM. Pulmonary manifestation and outcome of intravenous drug users admitted to Abassia Chest Hospital. 2018 (unpublished master dissertation). Ain Shams University, Cairo, Egypt.

  16. Saeed AM, Mohamed H, El-Saeed DY. Respiratory complication of addiction among patients at Mansoura Chest Hospital. 2017 (unpublished master dissertation). Ain Shams University, Cairo, Egypt.

  17. Saeed AM, Salem HM, El Ghannam AA. Study of respiratory complications of addiction among patients at Ain Shams University Hospitals. 2011 (unpublished master dissertation). Ain Shams University, Cairo, Egypt.

  18. Mehra R, Moore BA, Crothers K, Tetrault J, Fiellin DA. The association between marijuana smoking and lung cancer: a systematic review. Arch Intern Med 2006; 166:1359–1367.

    Article  CAS  Google Scholar 

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Correspondence to Sherehan EL Sayed Abd El-Aaty MSc.

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AbdelDayem, A.M., Sakr, M.L., Osman, N.M. et al. Pattern of chest diseases among addicts in Poison Control Center of Ain Shams University Hospitals. Egypt J Bronchol 13, 704–709 (2019). https://doi.org/10.4103/ejb.ejb_60_19

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