The IV drug use makes skin infections more likely, and of course, IV users don’t take all the drugs they use. Those who use intravenous drugs are at a higher risk of overdosing on a substance than those who usually take them in a manner other than by intravenous injection. IV drug use also indicates that someone is taking more risks to use drugs, potentially risking a lifelong infection that could be fatal.
Intravenous drug users can be challenging patients to manage on medical wards, with aggressive behaviour, illicit drug use while in hospital and early self-discharge commonly encountered. However, right- and left-sided infections occur with equal incidence in IDUs.15Staphylococcus aureus accounts for up to three-quarters of cases, followed by streptococci and, less commonly, Gram-negative bacilli and fungi.16 Septic emboli are common in IE caused by S aureus and can involve the lungs (right-sided IE) and the kidney, brain and bone (left-sided IE).16,17 In 2009, 28% of IDUs reported an injection-site infection,3 with complications of such infections ranging from uncomplicated cellulitis and localised abscesses to life-threatening necrotising fasciitis and severe sepsis. Almost half of IDUs are positive for hepatitis C virus (HCV) antibody, and 90% of newly diagnosed HCV infections in the UK occur in IDUs. In this paper, we describe the epidemiology, presentation, diagnosis and management of infections in IDUs who may present to acute physicians and the management of drug dependency on acute medical wards. In some cases, a fungal infection can spread or even enter the bloodstream, increasing the risk for potential medical complications and side effects.
The Recovery Village
Heroin is the most commonly injected illegal drug in the United States. It is also common to dissolve various pills, powders, and salts into a liquid solution consumed as a part of IV drug use. Outpatient programs can provide benefits in some instances, but inpatient treatment centers are usually needed for addressing IV drug rehabilitation.
- Finding the right one for yourself or a loved one suffering from IV drug addiction will depend on several factors.
- When germs are on the skin or the needle, they can be introduced into the bloodstream.
- One of the most common signs of IV drug misuse is a large amount of weight loss in a few months.
- A partial opioid agonist, buprenorphine, stimulates opioid receptors and more active opioids without producing a high.
- Injections of liquids are given intravenously with the assistance of a syringe connected to a needle.
Risk of Overdose
I’ve had patients who were in their early 20s who had a history of IV drug use. 3180 University Ave., Suite 310; San Diego, CA 92104 A virtual support community designed for the millions of people affected by sepsis. It can develop quickly (called acute endocarditis) or more slowly (called infective endocarditis).
If bacteria reach the blood vessels, it can result in a severe vascular infection. The severity of a drug overdose will depend on the type and quantity of the drug taken. A potential overdose needs to be addressed and treated immediately by a medical professional. IV drug use introduces a drug directly to the bloodstream, heightening and intensifying its effects.
Injecting into the pulmonary or is it bad to mix weed and alcohol femoral vein is common after forearms become damaged. More dangerous injection sites are often used as easily accessible veins are exhausted. In particular, Heroin users suffer from vein damage due to the amount of injections users typically administer.
Hepatitis doesn’t cause sepsis, but the virus can cause damage to your liver, which puts you at higher risk for infections. Injecting the drugs and the lifestyle that may accompany drug use can increase the risk of infection. Skin and soft-tissue infections and complications of bacteraemia remain common, but outbreaks of rare infections do occur, so it is essential to remain alert for severe or unusual presentations.
The physical health of people who inject drugs: complexities, challenges, and continuity
It’s called “track marks” when needle addiction causes chronic vascular scarring, as well. Transmitting blood-borne illnesses through sharing needles or failing to sanitize equipment can lead to hepatitis and HIV. Besides hepatitis B and hepatitis C are essentially hepatitis forms, sharing IV supplies can also lead to cirrhosis. Also, many IV drug users, especially those who share needles, contribute to HIV transmission by sharing blood or body fluids. AIDS cases in the United States were attributed to injected drug use, according to UCSF’s Center for AIDS Prevention Studies. People who practice IV drug use choose this method because of its more immediate effects.
This process is not only rapid but also means the drug is delivered to the brain all at once in a more concentrated amount. On the other hand, injected drugs only need to pass through the heart and lungs before the oxygenated blood carrying the substance reaches the brain. Using drugs in this manner helps spread them throughout the body.
Clostridial infections
On average, approximately 80% of people do not exhibit any symptoms of hepatitis. Hepatitis C is a type of viral infection that can be spread through the use of IV drugs. Latency in HIV can last as long as 10 to 15 years, preventing people from receiving a proper medical diagnosis if they are asymptomatic. For those who misuse IV drugs, Staphylococcus aureus is the most common infectious agent that results in septic arthritis. The dangers of IV drug use include an increased risk of infection, permanent damage and raised risk of an overdose. IV drug use is especially dangerous as it can expose your body to toxins that cause bloodborne infections.
WHAT SPECIFIC PHYSICAL PROBLEMS DO GPS NEED TO BE AWARE OF?
However, if IV drug use is continued in the same injection site, permanent vein collapse can occur. With continual intravenous injections through the same vein, the vein’s internal lining may become inflamed and collapse. Local infection in the skin results in the body’s immune system trying to defend itself from the infection by sending white blood cells to the infected area. For those with an abscess, the skin often feels warm, sensitive and painful to the touch.
Dangers & Health Risks of Intravenous Drug Use
People who get hepatitis C from using drugs have almost always used a needle or medical equipment that has been used by another person. There are many wonderful success stories of individuals who have struggled with drug addiction, yet they were able to get the support and treatment they needed to regain their life back. Individuals can develop scar tissue and find it harder and harder to find veins to use for injecting drugs intravenously. Necrotizing fasciitis, the so-called “flesh-eating disease,” is a rare but serious infection that can affect people who inject IV drugs. However, people who inject IV drugs are also at risk of cellulitis from other bacteria and even fungi. Injecting bacteria from used or dirty needles or failing to clean the skin before an injection can cause several types of infections.
If you or someone you know is using IV drugs, you want to be aware of these serious health concerns. Using recreational IV drugs is dangerous and will certainly lead to serious health problems with continued use (or even a single use). If an individual has been using IV drugs for years, he or she may seek higher doses due to an increased tolerance of the drug. Scar tissue can develop in the limbs, and the risk for skin abscesses and infection are high. When drugs are injected in the venous system, those germs can travel to the heart almost immediately, and they can stick to the heart valves, causing inflammation, infection, and build-up.
Vein Collapse
- Cotton fever is a slang term used to describe a temporary fever that sometimes occurs when using IV drugs that have been filtered through cotton.
- There is a range of other specific physical healthcare problems that may go unnoticed in general practice.
- The most common injection site for injections is the forearm.
- Almost half of IDUs are positive for hepatitis C virus (HCV) antibody, and 90% of newly diagnosed HCV infections in the UK occur in IDUs.
Common symptoms from septic thrombophlebitis include tenderness and inflammation of the skin overlying the vein. If you have an open wound from an IV injection or IV drug use, bacteria may enter and cause tetanus to develop. Endocarditis can damage the heart and cause dangerous medical complications to occur. It’s a form of staph infection that can enter the body through vulnerable areas, such as an injection site. If cellulitis is left untreated, it can cause serious complications and health problems.
Some of these risk factors arise from how the drugs are administered, while some are due to the method of administration and effects from repeated injections. GPs have a difficult balancing act — to ensure that their approach is non-judgemental, but also to not necessarily accept everything they are told — and to recognise that intravenous drug users are individuals, some relatively stable and others chaotic with varying degrees of stability over time. Although some intravenous drug users do not drink at all, a subgroup drink alcohol at very high levels and deaths from alcohol are unfortunately common.
While acute hepatitis C symptoms typically occur within a few weeks, chronic hepatitis C symptoms often take several months or even years to develop. IV drug users, especially those who share needles, are at an increased risk of developing HIV. In addition to the germs present on the skin, an infection can occur from a contaminated needle that carries bacteria or germs. An overdose can cause serious medical complications and can result in permanent damage or even death in the most severe cases. One of the most common signs of IV drug misuse is a large amount of weight loss in a few months.
Misusing any medication or drug is dangerous and can result in an overdose. If left untreated, a skin ulcer will worsen and can begin to pucker or crater. Sometimes, the border of a skin ulcer may appear thicker or have a raised texture. In most cases, skin ulcers appear as a round open wound or sore on the skin. Proper circulation is necessary to the body’s ability to heal a wound, such as an injection wound. Continual injections at the same site can cause scarring, bruising and even vein collapse.
This toxin is thought to cause the symptoms of cotton fever, but it is not something that causes a lasting effect in the body. The most commonly accepted theory is that there is a species of bacteria that tends to grow in cotton plants. Cotton fever will cause an elevation in temperature and may cause some flu-like symptoms.
