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Counseling for a safer injecting behavior
Cedric CharvetCoordinator DCR
INTRODUCTION• Safe use• Enemies of Injectors / Bacteria and Dirt• The “perfect” Injection• Safe Shooting / Safe Smoking / Placemat• Direct advice and Reality check• Necessary material / 2ml / 1ml • Stericup / Sterifilt• Helping? Each other for injection?• Biohazard containers and Sweeping• Summary
RESPONSIBLE USE
Less risks taking
Fewer overdoses
Less blood transmitted diseases contaminations
BETTER INJECTION TECHNIQUE
Prevention of abscess
Prevention of shake
ENEMIES OF INJECTORS = BACTERIA & DIRT
To avoid bacteria,
only use sterile clean new injection material.
Bacteria lead to Abscesses
To avoid dirt, only use sterile clean new injection material.
Dirt leads to Shake (Dirty shot)
The “perfect” injection ... to avoid Bacteria and Dirt
wash hands regularly and keep injection areas clean
use a new needle and a new filter for each injection
put pressure on wound with clean tissue as soon as the needle retrieved from vein
eventually wipe with alcohol pad
cover needle wound with appropriate plaster
VEILIG SPUITEN / VEILIG ROKEN
SAFE SHOOTING / SAFE SMOKING
NOTHING BETTER THEN DIRECT ADVICE
ObserveSit with the user
Reward positively the good technique Advise a transition from bad to good technique
Repeat and/or correct techniqueRepeatRepeatRepeat
REALITY CHECK
NECESSARY MATERIAL
Drug + Spoon + Syringe + Water + Filter + Alcohol pad + Plasters
Needle type
2ml
1ml
Stericup & Sterifilt
Helping ? each other for injection ?
BIOHAZARD CONTAINERS AND SWEEPING
SUMMARYSafe injection = no sharing + avoid Bacteria and Dirt
A clean injection does not require much = Clean injection material in a clean place to use
Think about Safety – Hygiene - Stress free
Do not use alone BUT learn to inject alone
Inside DCRs, talk to the users, get to know them individually and be around for the first injections and further advice. Repeat.
Thank you for your attention!
For further information feel free to contact me:• [email protected]• www.deregenboog.org
SOURCES
• Mainline Drug and Health / mainline.nl
• Trimbos Instituut centre of expertise on mental health and addiction / trimbos.org
• De Regenboog Groep AMOC / deregenboog.org
• Stericup Sterifilt , harm red. Material / apothicom.org
• Insite Vancouver Canada / supervisedinjection.vch.ca
• Medicos Del Mundo, Bilbao, Spain / medicosdelmundo.org