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See comment in PubMed Commons below

Am J Infect Control. 1999 Oct;27(5):444-7.

Risk of cross-patient infection with clinical use of a needleless injector device.

Suria H1, Van Enk R, Gordon R, Mattano LA Jr.

Author information

  • 1Kalamazoo College, MI,USA.

Abstract

BACKGROUND:

Needleless injection devices use multiple-dose vials for the administration of local anesthetics to patients. There is a theoretic risk of iatrogenic infection associated with use of these devices.

METHODS:

This study used in vitro models to investigate the potential for transferring microbial pathogens among patients by using the Syrijet (Keystone Industries, Inc, Cherry Hill, NJ). Staphylococcus aureus and coagulase-negative staphylococci were used to determine whether patient skin flora could contaminate the instrument internal canal by postejection reverse flow and whether the staphylococci could survive on the ejection surface, in the internal canal, or in the anesthetic vial.

RESULTS:

The ejection surface was contaminated by firing the device while it was in contact with a contaminated surface. Postejection reverse flow drew contaminants into the device, and increased with ejection volume. Reverse flow did not reach the multidose vial, and staphylococci did not grow in the commercial anesthetic solution typically administered with the device. Surface, but not internal, contamination could be removed by swabbing with disinfectant.

CONCLUSION:

Although autoclaving is the only way to ensure sterilization of this device, frequent cleaning of the ejection surface during clinical use minimizes the risk of cross-patient bacterial transfer.

Comment in

  • Re: patient hazards of needleless systems. [Am J Infect Control. 2000]
PMID:
10511493
[PubMed - indexed for MEDLINE]
 
 

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Site Map

Medical Risks Blood Products & Vaccines Red Cross Legal Actions
Provider Risks Jet/Air Gun Vaccinations Federal Agencies Military Files
Dental Risk Injection Equipment Scientific Journals Tattoos & Piercing
  Immune Serum Globulin Media Articles Shared Items

For problems or questions regarding this Web site contact
Contact
 HCVets.com
Revised: June 02, 2016

FAIR USE NOTICE