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Study of respiratory complications of addiction among civilian patients at Maadi Military Hospital

© 2019 The Egyptian Journal of Chest Diseases and Tu Background Pulmonary problems result from either the pharmacological effects of the drug or are related to the method by which it is administered. Drugs can be administered either orally, inhaled, or given parentally usually by the intravenous route. Ingested drugs are generally safer, whereas injected drugs carry the greatest health risk. Aim To study the respiratory complications of addiction among civilian patients at Maadi Military Hospital. Settings and design This was a prospective comparative study. Patients and methods This study was conducted on 60 addicts who met the criteria for addiction among civilian patients who sought medical advice at Maadi Military Hospital during 6 months. All were investigated for sociodemographic, clinical, laboratory, and radiological data and outcome, for example, mortality. Statistical analysis Statistical package for social sciences program (SPSS) software version 18.0 was used for statistical analysis. Results Overall, 75% of addicts were males, 90% of patients were smokers, 61.7% of patients were intravenous drug abusers, and 33.3% had hepatitis C virus infection. All patients had cough and expectoration, 81.7% had chest pain, 80% of patients had dyspnea, and 41.7% had hemoptysis. Bacterial lung abscesses, tuberculosis, and pneumonia were present in 16.7, 21.7, and 33.3%, respectively. Overall, 33.3% of addicts had infective endocarditis, with highly significant increase in infective endocarditis in heroin, opioid, and polysubstance groups. Mortality rate was 25%, with no statistical significant difference between any of the groups (P=0.06). Conclusion Pleuropulmonary complications associated with drug abuse represent a serious medical and social problem nowadays.