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Illicit Drug History

 
 
 
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On this page:IV Drug Use

Overview

  • Ask About

  • Whether the patient takes any recreational drugs
  • How long they have been taking the drug for
  • How often they take the drug
  • Whether they have injected drugs
  • Past attempts to quit
  • Willingness to cut down or stop

IV Drug Use

  • Ask About

  • What drug they inject
  • Where they get their needles from
  • Whether they have tried to quit
  • How they tried to quit - methadone / suboxone program, cold turkey
  • Consequences of IV Drug Use

  • Blood-borne viral infections - hepatitis B, hepatitis C, HIV
  • Bacterial septicaemia
  • Infective endocarditis - especially right-sided (tricuspid) disease
  • Cutaneous infection - skin abscess, cellulitis, necrotising fasciitis
  • Venous damage - superficial thrombophlebitis, deep venous thrombosis
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