ORN: Xylazine Wound Care Clinic and Protocol

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People who use drugs across the United States are reporting a novel type of wound associated with the fentanyl-adulterant veterinary sedative, xylazine. While the mechanism behind wound formation has yet to be fully described, traditional wound science with a harm reduction approach can be effectively utilized to guide care for people who use drugs who develop wounds. 

This presentation from the Opioid Response Network (ORN) leverages the experience of a low-barrier, nurse-led clinic in Kensington, Philadelphia, PA, which remains the epicenter of the xylazine epidemic, to describe evidence-informed practices for assessing and treating xylazine-associated wounds while responding to the real-world needs and challenges of a criminalized and socially alienated population. At the conclusion of this seminar, attendees should be able to:

  1. Describe basic concepts of the current xylazine epidemic.
  2. Explain health-related harms to people exposed to the unregulated drug supply, including illicit xylazine.
  3. Apply basic wound science to assess wounds and determine an evidence-informed wound care approach.
  4. Develop treatment plans that leverage harm reduction to meet the specific needs and challenges of people who use drugs.