Microbiologic contamination and time efficiency of use of automatic mdct injectors with prefilled syringes: Results of a clinical investigation

American Journal of Roentgenology

Volumn 194, Issue 2, 2010, Pages 299-303

  Buerke, Boris ^a   Puesken, Michael ^a   Mellmann, Alexander ^a   Seifarth, Harald ^a   Heindel, Walter ^a   Wessling, Johannes ^a  

^a UNIVERSITY OF MÜNSTER   (Germany)

Author keywords

Automatic injector; Contamination; Contrast administration; CT; Hygiene

Indexed keywords

IOPROMIDE; SODIUM CHLORIDE;

ARTICLE; BACTERIUM CONTAMINATION; COAGULASE NEGATIVE STAPHYLOCOCCUS; HAND PALM; HUMAN; HYGIENE; MICROBIAL CONTAMINATION; MICROBIOLOGICAL EXAMINATION; MULTIDETECTOR COMPUTED TOMOGRAPHY; PRIORITY JOURNAL; REPEAT PROCEDURE; SYRINGE; TIME;

BACTERIA; CONTRAST MEDIA; EFFICIENCY; EQUIPMENT CONTAMINATION; EQUIPMENT DESIGN; EQUIPMENT FAILURE ANALYSIS; HAND; HUMANS; INFECTION CONTROL; INJECTIONS; IOHEXOL; SYRINGES; TIME FACTORS; TOMOGRAPHY, X-RAY COMPUTED;

EID: 76149137211     PISSN: 0361803X     EISSN: None     Source Type: Journal    
DOI: 10.2214/AJR.09.3189     Document Type: Article

References (25)

1. Schuijf JD, Jukema JW, van der Wall EE, Bax JJ. Multi-slice computed tomography in the evaluation of patients with acute chest pain. Acute Card Care 2007; 9:214-221
2. Marano R, Liguori C, Rinaldi P, et al. Coronary artery bypass grafts and MDCT imaging: what to know and what to look for. Eur Radiol 2007; 17: 3166-3178
3. Duyck P. Multi-slice CT of the chest: routine and new applications. JBR-BTR 2007; 90:122-123
4. Dominik RH, Segebade IE, Taenzer V. Risk of microbial contamination of iodinated contrast media on multiple use of large-volume bottles. Eur J Radiol 1995; 19:198-205
5. Green KA, Mustachi B, Schoer K, Moro D, Blend R, McGeer A. Gadolinium-based MR contrast media: potential for growth of microbial contaminants when single vials are used for multiple patients. AJR 1995; 165:669-671
6. Mattner F, Gastmeier P. Bacterial contamination of multiple-dose vials: a prevalence study. Am J Infect Control 2004; 32:12-16
7. Buerke B, Sonntag AK, Fischbach R, Heindel W, Tombach B. Automatic injectors in magnetic resonance imaging and computed tomography: pilot study on hygienic aspects [in German]. Rofo 2004; 176:1832-1836
8. Buerke B, Mellmann A, Stehling C, Wessling J, Heindel W, Juergens KU. Microbiologic contamination of automatic injectors at MDCT: experimental and clinical investigations. AJR 2008; 191:1817; [web]W283-W287
9. Holmes CJ, Allwood MC. The microbial contamination of intravenous infusions during clinical use. J Appl Bacteriol 1979; 46:247-267
10. Highsmith AK, Greenhood GP, Allen JR. Growth of nosocomial pathogens in multiple-dose parenteral medication vials. J Clin Microbiol 1982; 15: 1024-1028
11. Tress BM, Hellyar AG, Pennington J, et al. Multiple doses of contrast medium from a single container: bacteriological studies. Australas Radiol 1994; 38:115-118
12. Tress BM, Hellyar AG, Pennington J, Thomson KR, Martinkus J, Lavan JJ. Bacteriological studies of open versus closed contrast medium delivery systems in angiography. Australas Radiol 1994; 38:112-114
13. Jeske HC, Tiefenthaler W, Hohlrieder M, Hinterberger G, Benzer A. Bacterial contamination of anaesthetists' hands by personal mobile phone and fixed phone use in the operating theatre. Anaesthesia 2007; 62:904-906
14. Lisle D, Ratcliffe JF, Faoagali J, Cherian S. Bacterial contamination of contrast media stored after opening. Br J Radiol 1990; 63:532-534
15. Viale P, Stefani S. Vascular catheter-associated infections: a microbiological and therapeutic update. J Chemother 2006; 18:235-249
16. Yoshida J, Ishimaru T, Fujimoto M, Hirata N, Matsubara N, Koyanagi N. Risk factors for central venous catheter-related bloodstream infection: a 1073-patient study. J Infect Chemother 2008; 14: 399-403
17. Lee DH, Jung KY, Choi YH. Use of maximal sterile barrier precautions and/or antimicrobial-coated catheters to reduce the risk of central venous catheter-related bloodstream infection. Infect Control Hosp Epidemiol 2008; 29:947-950
18. Opilla M. Epidemiology of bloodstream infection associated with parenteral nutrition. Am J Infect Control 2008; 36:S173; e5-e8
19. Safdar N, Kluger DM, Maki DG. A review of risk factors for catheter-related bloodstream infection caused by percutaneously inserted, noncuffed central venous catheters: implications for preventive strategies. Medicine (Baltimore) 2002; 81:466-479
20. Marra AR, Opilla M, Edmond MB, Kirby DF. Epidemiology of bloodstream infections in patients receiving long-term total parenteral nutrition. J Clin Gastroenterol 2007; 41:19-28
21. Maki DG, Ringer M. Risk factors for infusion-related phlebitis with small peripheral venous catheters: a randomized controlled trial. Ann Intern Med 1991; 114:845-854
22. Weber WP, Reck S, Neff U, et al. Surgical hand antisepsis with alcohol-based hand rub: comparison of effectiveness after 1.5 and 3 minutes of application. Infect Control Hosp Epidemiol 2009; 30:420-426
23. Nicolay CR. Hand hygiene: an evidence-based review for surgeons. Int J Surg 2006; 4:53-65
24. Barbut F, Maury E, Goldwirt L, et al. Comparison of the antibacterial efficacy and acceptability of an alcohol-based hand rinse with two alcohol-based hand gels during routine patient care. J Hosp Infect 2007; 66:167-173
25. Katz JD. Hand washing and hand disinfection: more than your mother taught you. Anesthesiol Clin North America 2004; 22:457-471