Reducing injecting-related injury and diseases in people who inject drugs: Results from a clinician-led brief intervention

Aust Fam Physician. 2016 Mar;45(3):129-33.

Abstract

Background: The burden of disease associated with injecting-related injury and diseases (IRIDs) is significant among people who inject drugs (PWID).

Objective: The aim of this study was to evaluate a clinician-led brief intervention involving safer injecting messages and demonstration of safer injecting techniques at the time of venepuncture for serological testing.

Methods: We conducted a before and after evaluation study. History of IRIDs and injecting-related risk behaviours were assessed and compared at baseline and follow-up.

Results: Fifty-eight participants completed the pre-intervention and post-intervention evaluation surveys. Compared to baseline, at follow-up fewer participants reported not cleaning their hands prior to injecting (16% cf 31%; P = 0.039); more reported applying a tourniquet correctly (38% cf 24%; P = 0.008), never missing a vein (56% cf 31%; P = 0.007), and applying pressure for at least one to two minutes after injecting (33% cf 13%; P = 0.035).

Discussion: The intervention was found to be feasible, justifying its inclusion into routine clinical care. We recommend that other health services targeting PWID implement similar interventions.

MeSH terms

  • Adult
  • Communicable Disease Control
  • Female
  • Hand Hygiene / methods
  • Humans
  • Injections, Intravenous / adverse effects
  • Injections, Intravenous / methods
  • Male
  • Middle Aged
  • Needlestick Injuries / etiology
  • Needlestick Injuries / prevention & control*
  • Patient Education as Topic*
  • Phlebotomy / methods*
  • Skin Diseases, Infectious / etiology
  • Skin Diseases, Infectious / prevention & control
  • Substance Abuse, Intravenous / complications*
  • Vascular Diseases / etiology
  • Vascular Diseases / prevention & control
  • Young Adult