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Pascal Del Giudice, MD

Arch Surg. 2007;142(6):575-576.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

I read with great interest the article by Paydar et al¹ showing that treatment of soft tissue infections caused by Staphylococcus aureus after surgical drainage, even with inappropriate antibiotics, has a high cure rate. In their study, an important finding is that in a subgroup from the cohort of 272 patients with available demographic data, 58% were injection drug users. This can influence the results of the study. Cutaneous infections are the most common infections in injection drug users.^2-9 A wide range of pathogens, including almost all bacteria and fungi, have been isolated in these infections, but the most common are S aureus, group A beta hemolytic Streptococcus, other Streptococci, and anaerobes.^2-9 Recurrent skin infections in this population are frequent and could result in the chronic stimulation of the immune system, which can help cure the skin infection.

Furthermore, when street-sold illicit narcotics . . . [Full Text of this Article]

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