Every ID fellowship should have dedicated training on how to care for and manage infections in patients who inject drugs 
This is SO critical given the dramatic increase in deaths associated with substance that we have seen over the past year
A key component is to use de-stigmatizing language. #wordsmatter
It’s important to take a thorough and accurate history. What substances are being used and how are the substances used? To ask these questions, trust must be established and judgement MUST be checked at the door!
An overview of infectious complications in patients who inject drugs. 🔑 clinical pearls: think about MRSA, GNRs, and polymicrobial infections
Infections of the sternoclavicular and sacroiliac joints are associated with injection of drugs in the EJ/IJ veins and femoral veins, respectively
Don’t forget about the increased risk of TB on PWIDs. Also hep A, among others!
Consider wound botulism in patients presenting with a descending cranial nerve paralysis in patients who use black tar heroin. Recent outbreak occurred in CA 2017-2018.
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