The DOI matches its Crossref record; 4 of the 4 references it cites were found in a registry or an index.
Injecting drug use, the skin and vasculature
Abstract
Damage to the skin, subcutaneous tissues and blood vessels are among the most common health harms related to injecting drug use. From a limited range of early reports of injecting‐related skin and soft tissue damage there is now an increasing literature relating to new drugs, new contaminants and problems associated with unsafe injection practices. Clinical issues range from ubiquitous problems associated with repeated minor localised injection trauma to skin and soft tissue and infections around injection sites, to systemic blood infections and chronic vascular disease. The interplay of limited availability and access to sterile injecting equipment, poor injecting technique, compromised drug purity, drug toxicity and difficult personal and environmental conditions give rise to injection‐related health harms. This review of injecting‐related skin, soft tissue and vascular damage focuses on epidemiology and causation, clinical examination and investigation, treatment and prevention.
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![Figure 1 Femoral vein sinus from longstanding injecting [Colour fi gure can be viewed at wileyonlinelibrary.com]](/paper-figures/b3663b3a10b54e37991e6c1d1af60467/injecting-drug-use-the-skin-and-vasculature-figure-1.png)
![Figure 2 Anatomy of femoral area showing close proximity of vein, artery and nerve [Colour fi gure can be viewed at wileyonlinelibrary.com]](/paper-figures/7663d102c5ba4fab824503089b81ade0/injecting-drug-use-the-skin-and-vasculature-figure-2.png)
![Figure 3 Veins in hand highlighted by detecting device [Colour fi gure can be viewed at wileyonlinelibrary.com]](/paper-figures/5fa3d7183d944b72a06c91d41ccadb0d/injecting-drug-use-the-skin-and-vasculature-figure-3.png)
![Figure 4 Veins in hand highlighted by detecting device [Colour fi gure can be viewed at wileyonlinelibrary.com]](/paper-figures/125698bcf89042219d21dadae4e9e575/injecting-drug-use-the-skin-and-vasculature-figure-4.png)
![Figure 5 Veins in hand highlighted by detecting device [Colour fi gure can be viewed at wileyonlinelibrary.com]](/paper-figures/323df83062574594ab17563e6a4e565a/injecting-drug-use-the-skin-and-vasculature-figure-5.png)
![Figure 6 Vein locating device [Colour fi gure can be viewed at wileyonlinelibrary.com]](/paper-figures/7763a35df55b44fc996d9c95c5ef525f/injecting-drug-use-the-skin-and-vasculature-figure-6.png)
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“This may be in part because of social and structural factors (e.g., criminalization, discrimination, lack of access to housing, harm reduction services, and supervised injection sites) that constrain the ability of PWID to inject more safely [1,21] and that push PWID away from healthcare [22].”
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Citations
Cites
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“In the USA state laws have a significant impact on NSP availability, with subsequent collateral damage when this is restricted ((75).”
BackgroundRisk Factors for Skin and Soft‐Tissue Abscesses among Injection Drug Users: A Case‐Control Study
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Cited by
Sorted by citations
Brothers, T. D., Lewer, D., Jones, N., Colledge-Frisby, S., Farrell, M., Hickman, M., Webster, D., Hayward, A., & Degenhardt, L. (2022) · PLOS Medicine · doi:10.1371/journal.pmed.1004049 · Cited by 25
Metadata
- Authors
- Robertson, R., Broers, B., & Harris, M.
- Affiliations
- Centre for Population Health Sciences, Usher Institute University of Edinburgh Old Medical School Edinburgh, UK
- Division of Primary Care Medicine, Department of Community Medicine and Primary Care, University Hospitals of Geneva and Faculty of Medicine University of Geneva Geneva Switzerland
- Sociology of Health London School of Hygiene and Tropical Medicine (LSHTM) London UK
- Venue
- Addiction
- Publisher
- Wiley
- Published
- 2020-10-30
- Volume
- 116
- Issue
- 7
- Pages
- 1914-1924
- ISSN
- 0965-2140
- 1360-0443
- Cited by
- 42
- References
- 4
- Language
- en
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