Therapeutic Adherence of Intravenous Drug-Users in Chronic Ulcer Care
Erfahrungen mit Wundmanagement in einem niedrigschwelligen Settinggerman translation / full article
Wound Management Experiences in a Low-Barrier Setting
Summary: Chronic venous skin lesions are a frequent medical problem of long-term users of illegal drugs and for patients under substitution therapy. Ambulatory care of chronic wounds is especially difficult for this group. Since 2007, a low-barriers-project in Berlin is offered to treat intravenous drug users according to the methods of the Initiative for Chronic Wounds (ICW). Drug users with chronic skin ulcers seeking care ten times or more per year are the primary target group. After the implementation of the wound management according to ICW, the number of chronic skin ulcer treatments for drug-dependent patients rose considerably. Especially among high-intensity users a significant increase oft the utilisation rate of care could be observed. Improved adherence through wound management allows for effective prevention of superinfections and better healing. Although the general effectiveness of innovative wound dressings is still lacking study-evidence, wound management offers improved therapeutic options for illegal drug users. This is probably attributable to enhanced adherence and acceptance of concomitant procedures. Wound management is feasible with intravenous drug addicts and improves the outpatient care of these patients.