Evaluation Of The Provision Of Single Use Citric Acid Sachets To ...
Evaluation Of The Provision Of Single Use Citric Acid Sachets To ... Evaluation Of The Provision Of Single Use Citric Acid Sachets To ...
17their occurrence does not seem to be related to using the single use citric acid sachets.Indeed 96% of the IDUs reported that they perceived no difference in the number ofabscesses which occurred when they used the citric acid sachets compared with usingo the r a cidifie rs.While these findings are generally positive and suggest that the single use citric acidsa che ts a re a popula r and re la tively sa fe a cidifie r to use fo r the purposes of inje ctingdrugs, a few IDUs indicated that they either did not like or understand the idea of thesachets being for single use only. In particular, a few of the IDUs who used less than thefull sa chet pe r inje ctio n, repo rted saving the remainde r fo r la te r o r sha ring it with the irpartner. One participant remarked that when she got her ten sachets home she emptiedthem all into a container for her and her husband to share. By and large, however, thevast majority of the IDUs interviewed indicated that they liked using the single usesachets and understood their benefits.Despite the majority of participants using and liking the single use citric acid sachets, 109participants (32%) reported that they ran out of them prior to their next visit to theneedle exchange. As the single use sachets are provided one per one needle, it wouldappear that many IDUs are continuing to reuse their needles or borrow from others ratherthan use a clean one each time. This hypothesis is reinforced by comments made by anumber of participants who suggested that they would prefer it if they could obtain thesachets without having to take needles at the same time:Would like to be able to get the citric without having to get needles all the time.(35 year old female, Greater Glasgow)Give out the citric acid sachets on their own. (31year old male, Lanarkshire)Sometimes I give back clean needles just to get more citric. (31 year old male,Greater Glasgow)We just want the citric. I’ve got about 100 spare needles in the house. (39 year oldfemale, Greater Glasgow)Would be good if you could get them without always taking needles. (25 year oldmale, Lanarkshire)That some IDUs continue to reuse needles is clearly concerning and the findings havealready been reported to the manufacturers of the single use citric acid sachets. As aresult, they have now agreed to incorporate the additional message of using a cleanneedle each time as well as a new sachet of citric on the leaflets, boxes and sachetssupplied to IDUs.When they did run out of the single use citric acid sachets, the IDUs concerned used anumber of alternative acidifiers. Sixty-two IDUs (17%) reported that they used someoneelse’s single use citric acid sachets, 59 IDUs (16%) reported using their own box or packetof citric acid, and 24 IDUs (7%) reported using someone else’s box or packet of citric acid.Eleven participants (3%) reported using processed lemon juice when they ran out of thesingle use citric acid sachets, while 2 participants (
18s imply re turn to the needle ex change as soon as the y s ta rt running lo w on needles andcitric acid sachets.User Preferences & RecommendationsMost participants’ reported that their preferred acidifier is the single use citric acidsa che ts. That is, if the y had a free cho ice o f a ll the possible a cidifie rs (rega rdless o fwhether they are currently available or not), 304 participants (90%) would use the singleuse citric acid sachets. The reasons for this choice were the same as before – because thesingle use citric acid sachets dissolve the drugs easily and because they are relatively safeto use.Twenty-four participants (7%) reported that they would prefer to use ascorbic acid to anyo the r a cidifie rs. In addition to finding this a cidifie r an e fficient disso lve r of drugs, and safeto use , a ll 24 pa rticipants repo rte d tha t the y fo und it caused less pa in and fe we r burnswhe n they inje cted with it. Indeed, a numbe r of pa rticipa nts (in a dditio n to those whoreported a preference for using ascorbic acid) commented that they would prefer it if theyfelt less burning when they injected with the single use citric acid sachets:The citric feels really burny. (20 year old male, Greater Glasgow)Prefer it if it burnt less. (32 year old male, Greater Glasgow)Prefer it if it didn’t burn so much. (30 year old female, Greater Glasgow)Make them less burny. (33 year old male, Lanarkshire)Make it weaker, then it would burn less. (25 year old male, Lanarkshire)Would prefer it less burny. (29 year old male, Lanarkshire)Seven of the IDUs who would prefer to use ascorbic acid also felt that it was a healthyoption. Eleven participants (3%) reported that they would prefer to use the box or packetof citric acid. Most of these participants reported that they found the citric in the boxeasier to use than the single use sachets. One participant (
- Page 1 and 2: Effective Interventions UnitEVALUAT
- Page 3 and 4: iABSTRACTThree hundred and sixty in
- Page 5 and 6: 2diagnosed cases of HIV infected in
- Page 7 and 8: 4and is so ld in poo rly so luble b
- Page 9 and 10: 6CHAPTER 2 METHODOLOGYAims & Object
- Page 11 and 12: 8CHAPTER 3 RESULTSStudy Group Chara
- Page 13 and 14: 10more than any other drug also inj
- Page 15 and 16: 12Table 3.5. Reasons for using curr
- Page 17 and 18: 14The next most common eye problem
- Page 19: 16That’s what I learnt from my ma
- Page 23 and 24: 20rise in the numbe r o f visits is
- Page 25 and 26: 22proposed to amend the misuse of d
- Page 27 and 28: 24the era of needle/syringe exchang
- Page 29 and 30: 26O live r, K. J., S. R . Friedman,
- Page 31 and 32: APPENDIX B: Structured Questionnair
- Page 33 and 34: US ING THE C ITRIC AC ID S ACHETS22
- Page 35 and 36: 37. In the last 3 months, approxima
- Page 37: APPENDIX D: C itric Acid SachetSour
18s imply re turn to the needle ex change as soon as the y s ta rt running lo w on needles andcitric acid sachets.<strong>Use</strong>r Preferences & RecommendationsMost participants’ reported that their preferred acidifier is the single use citric acidsa che ts. That is, if the y had a free cho ice o f a ll the possible a cidifie rs (rega rdless o fwhether they are currently available or not), 304 participants (90%) would use the singleuse citric acid sachets. <strong>The</strong> reasons for this choice were the same as before – because thesingle use citric acid sachets dissolve the drugs easily and because they are relatively safeto use.Twenty-four participants (7%) reported that they would prefer to use ascorbic acid to anyo the r a cidifie rs. In addition to finding this a cidifie r an e fficient disso lve r of drugs, and safeto use , a ll 24 pa rticipants repo rte d tha t the y fo und it caused less pa in and fe we r burnswhe n they inje cted with it. Indeed, a numbe r of pa rticipa nts (in a dditio n to those whoreported a preference for using ascorbic acid) commented that they would prefer it if theyfelt less burning when they injected with the single use citric acid sachets:<strong>The</strong> citric feels really burny. (20 year old male, Greater Glasgow)Prefer it if it burnt less. (32 year old male, Greater Glasgow)Prefer it if it didn’t burn so much. (30 year old female, Greater Glasgow)Make them less burny. (33 year old male, Lanarkshire)Make it weaker, then it would burn less. (25 year old male, Lanarkshire)Would prefer it less burny. (29 year old male, Lanarkshire)Seven of the IDUs who would prefer to use ascorbic acid also felt that it was a healthyoption. Eleven participants (3%) reported that they would prefer to use the box or packetof citric acid. Most of these participants reported that they found the citric in the boxeasier to use than the single use sachets. One participant (
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