The increasing use of illicit drugs imposes a public health challenge worldwide.
People who inject drugs (PWID) are more susceptible to health complications due
to immunosuppression associated with drug use and non-hygienic
self-administration of substances, contaminants, and liquids. PWID are subjected
to increased risk of acquiring and transmitting different pathogens (frequently
functioning as sentinel cases for (re)emerging pathogens), including those
transmitted by arthropods and vertebrate reservoirs in unhealthy environments. A
clear association between injection drug use and HIV, HBV, and HCV infections
has been described; however, other infectious viral and bacterial agents have
been seldomly assessed. In this study, we investigated the seroprevalence of
Bartonella spp., Coxiella burnetii, and
Hantavirus among 300 randomly selected PWIDs from Rio de
Janeiro, as part of a multi-city cross-sectional study carried out in the 1990s.
Point seroprevalences and respective 95% CIs are as follows: 9.3% for C.
burnetii (95% CI: 6.0%-13.0%), 1.0% for Bartonella
spp. (95% CI: 0.0%-3.0%), and 4.0% for
Hantavirus (95% CI: 2.0%-7.0%). In addition to the
blood-borne pathogens, the results of this study increase our knowledge on other
transmissible infectious agents in PWID. The high seroprevalence of C.
burnetii and Hantavirus found among PWID is
intriguing and suggests the need to carry out prospective studies, including
molecular analyses, to confirm these findings and allow a better understanding
of the putative relevance of these zoonotic infectious agents among PWID.