Improved aseptic technique can reduce variable contamination rates of ward-prepared parenteral doses

被引:12
作者
Austin, P. [1 ,2 ]
Elia, M. [1 ,3 ]
机构
[1] Univ Southampton, Fac Med, Southampton SO9 5NH, Hants, England
[2] Univ Hosp Southampton NHS Fdn Trust, Southampton Pharm Res Ctr, Southampton SO16 6YD, Hants, England
[3] Univ Southampton, Inst Human Nutr, Southampton, Hants, England
关键词
Aseptic technique; Contamination; Ward; Nurse; Pharmacy;
D O I
10.1016/j.jhin.2012.10.009
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Aseptic techniques are required to manipulate central venous lines and prepare intravenous doses. This study aimed to examine whether different aseptic techniques affect the contamination rates of intravenous doses prepared on hospital wards. Syringes of tryptic soy broth test media prepared by one pharmacy operator and five nurses were assessed for contamination. The pharmacy operator achieved lower contamination than the nurses (0.0% vs 6.9%; Fisher's exact test, P < 0.001). Contamination differed significantly between nurses (similar to 2-17% of syringes; binary logistic regression, P = 0.018). In conclusion, appropriate training and experience in aseptic techniques should be embedded into routine clinical practice to reduce contamination rates. (C) 2012 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:160 / 163
页数:4
相关论文
共 10 条
[1]  
Altman DG, 2002, Statistics with Confidence, V2nd
[2]  
[Anonymous], 2010, DEUTSCHE WELLE
[3]  
[Anonymous], 1995, INDEPENDENT
[4]  
Anonymous, 1994, Pharm J, V252, P596
[5]   A Systematic Review and Meta-Analysis of the Risk of Microbial Contamination of Aseptically Prepared Doses in Different Environments [J].
Austin, Peter ;
Elia, Marinos .
JOURNAL OF PHARMACY AND PHARMACEUTICAL SCIENCES, 2009, 12 (02) :233-242
[6]  
Beaney A, 2006, QUALITY ASSURANCE OF
[7]   INVESTIGATION OF CONTAMINATED PARENTERAL-NUTRITION FLUIDS ASSOCIATED WITH AN OUTBREAK OF SERRATIA-ODORIFERA SEPTICEMIA [J].
FREAN, JA ;
ARNTZEN, L ;
ROSEKILLY, I ;
ISAACSON, M .
JOURNAL OF HOSPITAL INFECTION, 1994, 27 (04) :263-273
[8]  
Green J, 2004, POLLUTED HOSPITAL DR
[9]  
ROTHBERG AD, 1992, S AFR MED J, V81, P397
[10]  
Sack K., 2011, NY TIMES