BACKGROUND: Improper use of syringes, needles, and medication vials has resulted in patient-to-patient transmission of bloodborne pathogens, including hepatitis C virus. This study examined the injection practices of health care providers to identify trends and target opportunities for education on safe practices.
METHODS: An on-line survey was conducted in May and June 2010 of clinicians in US health care settings that prepare and/or administer parenteral medications.
RESULTS: The majority of the 5446 eligible respondents reported injection practices consistent with current recommendations. However, the following unsafe practices were identified: 6.0% "sometimes or always" use single-dose/single-use vials for more than 1 patient; 0.9% "sometimes or always" reuse a syringe but change the needle for use on a second patient; 15.1% reuse a syringe to enter a multidose vial and then 6.5% save that vial for use on another patient (1.1% overall).
CONCLUSION: Unsafe injection practices represent an ongoing threat to patient safety. Ensuring safe injection practices in all health care settings will require a multifaceted approach that focuses on surveillance, oversight, enforcement, and continuing education.
}, year = {2010}, journal = {Am J Infect Control}, volume = {38}, pages = {789-798}, month = {12/2010}, issn = {1527-3296}, doi = {10.1016/j.ajic.2010.09.003}, language = {eng}, }