Improving best practice guidelines for Xylazine-related wounds : a DNP project

Problem: Xylazine, an alpha 2-agonist used in veterinary medicine, is increasingly found in illicit drugs, leading to severe cutaneous injuries among substance use disorder (SUD) patients. These wounds are often misidentified and improperly treated due to a lack of awareness and guidelines among healthcare providers. Purpose: This project aims to develop and implement best practice guidelines for the identification, prevention, and treatment of xylazine-related wounds in SUD patients, particularly those accessing care through mobile health clinics (MHCs). Methods: A comprehensive literature review was conducted to identify existing evidence on xylazine-related wounds. A screening tool and wound care guidelines were developed and implemented in a nonprofit mobile clinic (NPMC) in southeastern Michigan. Patients identified as "at-risk" were provided with one-on-one education sessions, and healthcare providers received training on the new guidelines. Results: Implementing the screening tool and wound care guidelines improved the identification and management of xylazine-related wounds. Patients reported increased awareness of the risks associated with xylazine use and a higher likelihood of seeking early care for new wounds. Healthcare providers reported increased confidence in identifying and treating these wounds. Conclusions: The project successfully improved the identification and management of xylazine-related wounds in SUD patients. The findings highlight the importance of targeted education and training for patients and healthcare providers to address the unique challenges posed by xylazine use.

Author dc:creator

• Sauve, Stephanie

Contributors dc:contributor

• Iseler, Jackie

• Substance abuse--Patients
• Wounds and injuries--Diagnosis
• Wounds and injuries--Treatment
• Medical protocols
• Xylazine

Statement dc:rights

• In Copyright

Language dc:language

English

Identifier

dnp:70
oclc:1569639929
local:R_3GlkKYjxEk4gy8R

OAI identifier oai:identifier

oai:d.lib.msu.edu:dnp_70