McFadden Rachel, Wallace-Keeshen Sara, Petrillo Straub Kristi, Hosey Rebecca A, Neuschatz Rachel, McNulty Keara, Thakrar Ashish P
From the Prevention Point Philadelphia, Philadelphia, PA (RMF, SW-K, KPS, RH, KMN); Center for Addiction Medicine and Policy (CAMP), University of Pennsylvania, Philadelphia, PA (RMF, APT); Stephen Klein Wellness Center, Project HOME, Philadelphia, PA (SW-K); Leonard A. Lauder Community Care Nurse Practitioner Program, University of Pennsylvania School of Nursing, Philadelphia, PA (RH); Division of Substance Use Prevention and Harm Reduction, Philadelphia Department of Public Health, Philadelphia, PA (RN); and Division of General Internal Medicine, Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA (APT).
J Addict Med. 2024;18(1):9-12. doi: 10.1097/ADM.0000000000001245. Epub 2023 Nov 29.
The veterinary sedative xylazine is spreading in unregulated opioid supplies across North America. Among people who use drugs with repeated exposure to xylazine, a distinct wound type has emerged. Here, we describe these wounds and share our experience treating them in a nurse-led, low-barrier wound care clinic in Philadelphia, PA. We propose a reimagining of wound treatment across settings to better serve people who use drugs, and we advocate for stronger protections against the harms of an increasingly adulterated drug supply. Our perspective from the epicenter of the xylazine crisis can inform the response of communities across the country who are starting to face harms associated with xylazine.
兽用镇静剂赛拉嗪正在北美不受监管的阿片类药物供应中蔓延。在反复接触赛拉嗪的吸毒人群中，出现了一种独特的伤口类型。在此，我们描述这些伤口，并分享我们在宾夕法尼亚州费城一家由护士主导的低门槛伤口护理诊所治疗这些伤口的经验。我们提议重新构想各种环境下的伤口治疗，以便更好地服务于吸毒人群，并且我们主张加强保护措施，防止日益掺假的药物供应造成危害。我们从赛拉嗪危机中心得出的观点可以为全国各地开始面临与赛拉嗪相关危害的社区的应对措施提供参考。
