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Home » HIV/AIDS Program » Harm reduction and drug use » Endocarditis

HIV/AIDS Program
Endocarditis: Infection of the heart
>
Click here to download this brochure in Adobe PDF format.
> Haga click aquí para "Endocarditis: infección de su corazón"

Endocarditis logoWhat is endocarditis?

Bacterial endocarditis is an infection in the lining or valves of your heart. In addition to damaging your heart, the infection can travel in your blood to other organs and tissues including your brain, lungs or kidneys.

How does it happen?

Bacteria get into your bloodstream and travel to your heart. One way that bacteria get into the blood is by using needles that aren't sterile. Another way is by injecting through skin that has not been thoroughly cleaned. Don't re-use needles, even your own. Used needles can easily pick up bacteria that are all around us, all the time.

Even if a new, sterile needle is used, bacteria from the skin can get pushed into your veins. Before using a needle, wash your skin carefully with soap and hot water. Then wipe the area with alcohol pads.

What are the symptoms of endocarditis?

The main symptom is a fever that lasts a long time -- up to a week or longer. Other symptoms may include tiredness, feeling lousy, soaking sweats at night, blood in your urine, stomach pain, skin rashes, or painful lumps in your hands.

The symptoms might show up in a couple of days, but also might take a couple of weeks. If you have any of these symptoms, you should talk to a doctor or nurse right away. Symptoms may not mean endocarditis, but you should protect yourself and find out just what is going on. Don't delay!

Endocarditis can kill you if it's not properly treated.

How do I know I have it?

See your doctor. There are special blood tests that can find bacteria in the blood. Other tests, such as x-rays and urine tests, can help tell if your heart is involved. These are fairly simple tests, but they require special equipment and are often done in the hospital. They can usually give an answer within a couple of days.

How is it treated?

Treatment usually means 2-4 weeks in the hospital. Antibiotics are given directly into the bloodstream. Chances of a cure are very good it it's caught early. Sometimes it may be necessary to replace heart valves once the infection has been cleared.

How can I avoid it?

Be as careful as possible when using needles. Use clean water to mix drugs or rinse needles. Wash your hands and the injection site well. Use plenty of hot, soapy water. Then use alcohol pads to clean the injection site. Don't lick your skin in the area where you use needles. And don't lick the needle. Normal bacteria in the mouth can cause endocarditis if they get into the blood. Drug injectors are at a very high risk of endocarditis. Even if you've been very careful with needles and cleaning, be aware of the problem. Go to your doctor as soon as you notice any symptoms.

The bottom line:

  • Use a brand new syringe every time you inject or divide drugs.
  • Clean your skin before injecting. Use plenty of hot, soapy water.
  • Use clean water, clean cottons and clean cookers.
  • If you have any of the symptoms, see a doctor or nurse fast.

How to use alcohol pads:

Step one:
Take an alcohol pad and wipe back and forth where you plan to inject. (This will probably be your arm.) You want to press kind of hard this time. Use as many pads as you need to get the dirt off your skin. But don't stop here! You're not done!
Using alcohol pads: Step 1
Step two:
Now grab a new pad, and press down over the spot where you're going to inject. This time, wipe in a circle. Start with small circles and make bigger circles as you go. This pushes any leftover dirt and bacteria on your skin outward from the spot where you're going to shoot.

Note: If you bleed after you shoot, press down with dry cotton or a band-aid to stop the flow. Don't use an alcohol pad; alcohol slows down clotting.

Using alcohol pads: Step 2

Healthcare numbers:

Alcohol/Drug 24 Hour Helpline
(206) 722-3700
ACAP (AIDS Care Access Project
(206) 284-9277
Community Info Line
(206) 461-3200
Country Doctor Community Clinic
(serves Capitol Hill area)
(206) 461-4503
45th Street Clinic
(mostly U-Dist. & Wallingford, but not strict)
(206) 633-3350
Harborview Medical Center
  • Emergency
(206) 731-3074
  • Urgent Care (non-emergency)
(206) 731-5867
Clinic Information
(206) 731-3754
HIV/STD Hotline (King County)
  • Confidential information line
(206) 205-7837
  • Referrals for STD & HIV testing
(800) 678-1595
Needle Exchange
(medical clinic, locations & hours)
(206) 205-7837
Public Health – Seattle & King County
(referrals for medical and dental)
(206) 296-4600
Pike Market Clinic
(serves mostly downtown)
(206) 728-4143
Pioneer Square Clinic
(206) 521-1750
Providence Emergency
(206) 320-2111
learn more

Cotton iconCotton fever facts
Re-using cottons can put bacteria directly into your blood stream. Cotton fever is uncomfortable, but it's usually not serious.

Don't share needles!The Point is the Point!

Exposed points are really dangerous. So are broken-off points. They are hard to see and can easily get lost in clothes, carpets, couches, wherever. Always use a new syringe everytime you inject.

sharps disposal binSafe, legal and free disposal of sharps

Drop off your container of used sharps at a Public Health Clinic, syringe drop box, recycling and disposal station or your local Needle Exchange.

What are the muscling logoharms of muscling and skin-popping?

All injectors are at risk for infections related to using needles. Muscling and skin-popping allow germs to "sit" inside muscle and fat tissue or under the skin. These are great places for abscesses and other infections to brew.

immunizations iconParticipating pharmacies selling syringes to users
A complete list of pharmacy locations throughout King County who sell syringes (needles) to users.

All about abscessesWhat causes an abscess?
An abscess is a pocket of pus which means you have an infection. What causes an abscess? Drug shooters often get abscesses on their arms or legs at injection sites.

"Who Does What" A list of HIV/AIDS services and programs

question marksA thorough list of local and national agencies and organizations whose primary goal is the prevention of HIV/AIDS.

Updated: Tuesday, July 25, 2006 at 02:04 PM

All information is general in nature and is not intended to be used as a substitute for appropriate professional advice. For more information please call (206) 296-4600 (voice) or TTY: 206-296-4843. Mailing address: ATTN: Communications Team, Public Health - Seattle & King County, 401 5th Ave., Suite 1300, Seattle, WA 98104 or click here to email us.

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