Diagnosis and Management of Intravenous Drug Users' Chronic Wounds: A Case Series Collection of a Single Center.
M StaraceFilippo VivianiM A CarpaneseA AlessandriniA SechiA PatriziT BianchiPublished in: The international journal of lower extremity wounds (2022)
Background: Intravenous drug users (IVDUs) represent a very small group of patients affected by chronic wounds (CWs). Objectives: To assess the risk factors for CWs in IVDUs, to improve their treatment. Methods: A retrospective review of 7 IVDUs with CWs was performed at the Dermatology of the University of Bologna. Results: A history of 10 years of the most frequent injection was heroin in the gaiter area. The most observed comorbidities were HIV, HCV and HBV. They were treated most with an alginate with silver dressing with an average follow-up of 2.8 years. Conclusions: We would like to highlight the importance of clinical history in this type of patients and that in our experience specialized skin wounds risk assessment and management could be useful, aside from traditional compression therapy.
Keyphrases
- end stage renal disease
- risk assessment
- ejection fraction
- chronic kidney disease
- hepatitis c virus
- peritoneal dialysis
- emergency department
- palliative care
- gold nanoparticles
- hiv positive
- patient reported outcomes
- human immunodeficiency virus
- mesenchymal stem cells
- low dose
- climate change
- patient reported
- bone marrow
- liver failure
- replacement therapy