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Prevention of Infection through Injection Drug Use
Clients
who use injection drugs, or whose partners do, are increasingly at risk
for HIV. Although injection drug use accounts for only 5 to 10% of HIV
infections globally, in some parts of the world it is the major mode of
HIV transmission. For example, according to some estimates, in such countries
as China, Malaysia, Russia, and Vietnam, large numbers of HIV infections
are associated with drug injection.
For preventing infection among
injection drug users, the best method of reducing risk of infection with
HIV is to avoid sharing drug paraphernalia (needles, syringes, and other
implements), drug mixing containers with others, or use of drugs from
a common pot.
In some places, needle-exchange
programs provide injection drug users with new syringes and drug paraphernalia.
If new syringes are not available, clients should be advised to disinfect
used syringes using clean water and bleach as follows:
Step 1. Remove blood
from syringe. Pour clean water into clean cup or bottle cap. Fill
syringe half full with clean water; pull back on plunger. Shake the
syringe, and squirt the water through the needle. Repeat twice with
new water.
Step 2. Bleach. Fill
the syringe with full-strength bleach, and shake. Squirt the bleach
out through the needle.
Step 3. Clean water.
Rinse the syringe three more times with clean water. Keep rinse
water apart from water used to prepare drugs.
Do not reuse water or bleach.
© 2007 EngenderHealth
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