Retained needle fragments can occur in intravenous drug user (IVDU), which can lead to significant morbidity and mortality. The aim of present study is to give an overview of our institutional experience and treatment protocol followed for such patients. IVDU with retained fragment of fractured needle were taken from the patient presenting in Emergency, Medicine and CTVS departments with history of IVDU, from January 2019 to December 2020. Six patients were found with retained broken needles. Detailed history, examination and investigations were done. The needle was removed under local anaesthesia successfully in all patients. IVDU with retained broken needle poses risk for catastrophic complications along with possibility of local complications. A systematic approach in managing such patients is required. These broken needles can be successfully retrieved as day care procedure. Lastly, IVDUs with fractured needles pose threat to the caregivers who should take caution to avoid iatrogenic injury.

中文翻译：

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静脉吸毒者中保留的碎片针头：机构经验和治疗方案。

静脉吸毒者 (IVDU) 可能会出现残留的针头碎片，从而导致严重的发病率和死亡率。本研究的目的是概述我们对此类患者的机构经验和治疗方案。留存断针碎片的 IVDU 取自 2019 年 1 月至 2020 年 12 月在急诊科、内科和 CTVS 部门就诊且有 IVDU 病史的患者。发现 6 名患者留存断针。进行了详细的病史、检查和调查。所有患者均在局麻下成功拔针。保留断针的 IVDU 会带来灾难性并发症的风险以及局部并发症的可能性。需要一种系统的方法来管理此类患者。这些断针可以通过日托程序成功回收。最后，带有断裂针头的 IVDU 对护理人员构成威胁，护理人员应小心避免医源性伤害。