Many people who inject drugs experience a range of associated problems from simple pain at the point of injection to serious life [1] threatening conditions such as botulism or anthrax infection. Injecting-related wounds among people who inject drugs are very common. Early identification of potential complications is important. Being able to give advice and information on simple wound first aid is essential as complications and medical interventions can be reduced and significantly impact on lower morbidity and mortality. It is important to provide clear and accurate information to people who inject, so that they can understand common conditions and possible warning signs of more serious issues. 

Stigma has a profound impact on the lives of people who inject drugs. It is associated with risky injecting behaviours, including sharing syringes and other injecting supplies. Stigma can lead to people not seeking timely treatment for wounds or even life-threatening infections. It is crucial that staff support, and encourage, discussion about injecting behaviours and prevent delay in people getting appropriate medical advice and support. Wounds may be an indicator of injecting technique and can help identify the person-centred harm reduction advice needed. The provision of sterile equipment and information may also help to reduce wounds and infection. Some people will self-diagnose, treat and even share medications such as antibiotics and heparin. Education should include information regarding safer injecting, skin hygiene, early intervention for skin breakdown, the rotation of injection sites and venepuncture techniques. 

This guide addresses the most common issues associated with injecting injury. It is written to help anyone who works with people who inject drugs to become more confident in the identification, assessment and simple treatment of injecting injuries and wounds. A glossary of terms is included. It is important that workers practice within their own skill set. However, injecting harms may be seen by anyone, and all workers should be aware of the appropriate local services to which people with injecting injuries causing serious or ongoing concerns can be directed.