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External Access > PubMed LinkOut
ISSN Number: 1203-4754
Title: Journal of Cutaneous Medicine and Surgery
Volume Number: 17
Issue Number: 06
Page Number: 392
Published: 6 time(s) per Year

Higher Frequency of Psychiatric Morbidity in Patients with Bacterial Infection of the Skin and Subcutaneous Tissue versus Cutaneous Neoplasms: Results from a Nationally Representative Sample from the United States

Background:Poor hygiene and nutrition and resultant compromised immune status in some psychiatric patients can increase susceptibility to bacterial skin infections.Objective:We examined the frequency of ICD9-CM psychiatric disorders (codes 290–319) in bacterial skin infections (ICD9-CM codes 680–686) (N  =  18,734) versus malignant and benign cutaneous neoplasms (ICD9-CM codes 172, 173, 232, 216) (N  =  8,376), conditions that would be expected to cause psychological distress for the patient.Methods:Logistic regression analysis was conducted controlling for age, sex, race, diabetes, obesity, and the use of antineoplastic and immunosuppressant medications.Results:Skin infections were more commonly (odds ratio  =  3.03, 95% CI 1.58–5.82) associated with a psychiatric disorder; the most frequent diagnoses were substance dependence and abuse (19.5%), depressive disorder (19.0%), attention-deficit disorder (14.4%), and anxiety disorders (11.6%).Conclusion:In contrast to cutaneous neoplasms, bacterial skin infections were three times as likely to be associated with a psychiatric disorder. Psychiatric comorbidity should be ruled out as a factor in patients with intractable skin infections.
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