Comparison of the microbial barrier properties of a needleless and a conventional needle-based intravenous access system
Background: Sporadic reports of increased infection rates involving needleless access systems, especially in home-care settings, have raised questions concerning the safety of all needleless systems. Addressing this concern, Baxter Healthcare Corporation and the Centers for Disease Control and Preve...
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Veröffentlicht in: | American journal of infection control 1998-08, Vol.26 (4), p.437-441 |
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creator | Luebke, Michelle A. Arduino, Matthew J. Duda, Denise L. Dudar, Thomas E. McAllister, Sigrid K. Bland, Lee A. Wesley, John R. |
description | Background: Sporadic reports of increased infection rates involving needleless access systems, especially in home-care settings, have raised questions concerning the safety of all needleless systems. Addressing this concern, Baxter Healthcare Corporation and the Centers for Disease Control and Prevention performed parallel laboratory studies comparing the microbial barrier properties of the Interlink (trademark of Baxter Healthcare Corporation, Deerfield, Ill) needleless system with a conventional intravenous access system.
Methods: Studies of needleless and conventional systems evaluated fluid path contamination introduced through injection site septa, which were intentionally inoculated with high levels of bacteria and subsequently punctured with and without alcohol swabbing disinfection before access.
Results: With disinfection, the combined effects of the disinfection technique and the barrier properties of the septa prevented the transfer of organisms into the fluid path in 94% to 96% of needleless test articles and 96% to 100% of conventional test articles. Without disinfection, the barrier properties of the septa alone prevented the transfer of organisms into the fluid path in 20% to 69% of needleless test articles and 10% to 28% of conventional test articles.
Conclusions: The data demonstrate the needleless system performs as well as the conventional intravenous access system with respect to the risk of microbial contamination and reinforce the need for appropriate septum disinfection before accessing either system (AJIC Am J Infect Control 1998;26:437-41). |
doi_str_mv | 10.1016/S0196-6553(98)70042-2 |
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Methods: Studies of needleless and conventional systems evaluated fluid path contamination introduced through injection site septa, which were intentionally inoculated with high levels of bacteria and subsequently punctured with and without alcohol swabbing disinfection before access.
Results: With disinfection, the combined effects of the disinfection technique and the barrier properties of the septa prevented the transfer of organisms into the fluid path in 94% to 96% of needleless test articles and 96% to 100% of conventional test articles. Without disinfection, the barrier properties of the septa alone prevented the transfer of organisms into the fluid path in 20% to 69% of needleless test articles and 10% to 28% of conventional test articles.
Conclusions: The data demonstrate the needleless system performs as well as the conventional intravenous access system with respect to the risk of microbial contamination and reinforce the need for appropriate septum disinfection before accessing either system (AJIC Am J Infect Control 1998;26:437-41).</description><identifier>ISSN: 0196-6553</identifier><identifier>EISSN: 1527-3296</identifier><identifier>DOI: 10.1016/S0196-6553(98)70042-2</identifier><identifier>PMID: 9721399</identifier><language>eng</language><publisher>St. Louis, MO: Mosby, Inc</publisher><subject>2-Propanol - pharmacology ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Anti-Infective Agents, Local - pharmacology ; Biological and medical sciences ; Catheters, Indwelling - adverse effects ; Catheters, Indwelling - microbiology ; Disinfection - methods ; Emergency and intensive care: techniques, logistics ; Equipment Design ; Equipment Safety ; Infection Control - instrumentation ; Infection Control - methods ; Infusions, Intravenous - instrumentation ; Intensive care medicine ; Medical sciences ; Needles ; Perfusions. Catheterizations. Hyperbaric oxygenotherapy ; Sensitivity and Specificity</subject><ispartof>American journal of infection control, 1998-08, Vol.26 (4), p.437-441</ispartof><rights>1998 Association for Professionals in Infection Control and Epidemiology, Inc</rights><rights>1998 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c455t-ffe20484ecacf64d22160ec5a1a2b27ce492b8f81e29059288f3977f4b03f5a73</citedby><cites>FETCH-LOGICAL-c455t-ffe20484ecacf64d22160ec5a1a2b27ce492b8f81e29059288f3977f4b03f5a73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0196-6553(98)70042-2$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>310,311,315,781,785,790,791,3551,23935,23936,25145,27929,27930,46000</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2357270$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9721399$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Luebke, Michelle A.</creatorcontrib><creatorcontrib>Arduino, Matthew J.</creatorcontrib><creatorcontrib>Duda, Denise L.</creatorcontrib><creatorcontrib>Dudar, Thomas E.</creatorcontrib><creatorcontrib>McAllister, Sigrid K.</creatorcontrib><creatorcontrib>Bland, Lee A.</creatorcontrib><creatorcontrib>Wesley, John R.</creatorcontrib><title>Comparison of the microbial barrier properties of a needleless and a conventional needle-based intravenous access system</title><title>American journal of infection control</title><addtitle>Am J Infect Control</addtitle><description>Background: Sporadic reports of increased infection rates involving needleless access systems, especially in home-care settings, have raised questions concerning the safety of all needleless systems. Addressing this concern, Baxter Healthcare Corporation and the Centers for Disease Control and Prevention performed parallel laboratory studies comparing the microbial barrier properties of the Interlink (trademark of Baxter Healthcare Corporation, Deerfield, Ill) needleless system with a conventional intravenous access system.
Methods: Studies of needleless and conventional systems evaluated fluid path contamination introduced through injection site septa, which were intentionally inoculated with high levels of bacteria and subsequently punctured with and without alcohol swabbing disinfection before access.
Results: With disinfection, the combined effects of the disinfection technique and the barrier properties of the septa prevented the transfer of organisms into the fluid path in 94% to 96% of needleless test articles and 96% to 100% of conventional test articles. Without disinfection, the barrier properties of the septa alone prevented the transfer of organisms into the fluid path in 20% to 69% of needleless test articles and 10% to 28% of conventional test articles.
Conclusions: The data demonstrate the needleless system performs as well as the conventional intravenous access system with respect to the risk of microbial contamination and reinforce the need for appropriate septum disinfection before accessing either system (AJIC Am J Infect Control 1998;26:437-41).</description><subject>2-Propanol - pharmacology</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Anti-Infective Agents, Local - pharmacology</subject><subject>Biological and medical sciences</subject><subject>Catheters, Indwelling - adverse effects</subject><subject>Catheters, Indwelling - microbiology</subject><subject>Disinfection - methods</subject><subject>Emergency and intensive care: techniques, logistics</subject><subject>Equipment Design</subject><subject>Equipment Safety</subject><subject>Infection Control - instrumentation</subject><subject>Infection Control - methods</subject><subject>Infusions, Intravenous - instrumentation</subject><subject>Intensive care medicine</subject><subject>Medical sciences</subject><subject>Needles</subject><subject>Perfusions. Catheterizations. Hyperbaric oxygenotherapy</subject><subject>Sensitivity and Specificity</subject><issn>0196-6553</issn><issn>1527-3296</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1v1DAQhi0EKkvhJ1TKASE4BPwRx_EJoRUflSr1UDhbE2csjBJ78WSr9t_j7a72ysmS3-e1Zx7GrgT_KLjoP91xYfu211q9t8MHw3knW_mMbYSWplXS9s_Z5oy8ZK-I_nDOrer1BbuwRgpl7YY9bPOygxIppyaHZv2NzRJ9yWOEuRmhlIil2ZW8w7JGpAMDTUKcZpyRqIE01Quf0z2mNeZUW8e0HYFwamJaC9Qs7yvr_aFCj7Ti8pq9CDATvjmdl-zXt68_tz_am9vv19svN63vtF7bEFDybujQgw99N0kpeo5egwA5SuOxs3IcwiBQWq6tHIagrDGhG7kKGoy6ZO-O79Yl_u6RVrdE8jjPkLAO5YwatO60raA-gnV7ooLB7UpcoDw6wd3BuHsy7g46nR3ck3Ena-_q9MF-XHA6t06Ka_72lAN5mEOB5COdMam0kYZX7PMRwyrjvlp35CMmj1Ms6Fc35fifQf4B9JafVg</recordid><startdate>19980801</startdate><enddate>19980801</enddate><creator>Luebke, Michelle A.</creator><creator>Arduino, Matthew J.</creator><creator>Duda, Denise L.</creator><creator>Dudar, Thomas E.</creator><creator>McAllister, Sigrid K.</creator><creator>Bland, Lee A.</creator><creator>Wesley, John R.</creator><general>Mosby, Inc</general><general>Mosby</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19980801</creationdate><title>Comparison of the microbial barrier properties of a needleless and a conventional needle-based intravenous access system</title><author>Luebke, Michelle A. ; Arduino, Matthew J. ; Duda, Denise L. ; Dudar, Thomas E. ; McAllister, Sigrid K. ; Bland, Lee A. ; Wesley, John R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c455t-ffe20484ecacf64d22160ec5a1a2b27ce492b8f81e29059288f3977f4b03f5a73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>2-Propanol - pharmacology</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Anti-Infective Agents, Local - pharmacology</topic><topic>Biological and medical sciences</topic><topic>Catheters, Indwelling - adverse effects</topic><topic>Catheters, Indwelling - microbiology</topic><topic>Disinfection - methods</topic><topic>Emergency and intensive care: techniques, logistics</topic><topic>Equipment Design</topic><topic>Equipment Safety</topic><topic>Infection Control - instrumentation</topic><topic>Infection Control - methods</topic><topic>Infusions, Intravenous - instrumentation</topic><topic>Intensive care medicine</topic><topic>Medical sciences</topic><topic>Needles</topic><topic>Perfusions. Catheterizations. Hyperbaric oxygenotherapy</topic><topic>Sensitivity and Specificity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Luebke, Michelle A.</creatorcontrib><creatorcontrib>Arduino, Matthew J.</creatorcontrib><creatorcontrib>Duda, Denise L.</creatorcontrib><creatorcontrib>Dudar, Thomas E.</creatorcontrib><creatorcontrib>McAllister, Sigrid K.</creatorcontrib><creatorcontrib>Bland, Lee A.</creatorcontrib><creatorcontrib>Wesley, John R.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of infection control</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Luebke, Michelle A.</au><au>Arduino, Matthew J.</au><au>Duda, Denise L.</au><au>Dudar, Thomas E.</au><au>McAllister, Sigrid K.</au><au>Bland, Lee A.</au><au>Wesley, John R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of the microbial barrier properties of a needleless and a conventional needle-based intravenous access system</atitle><jtitle>American journal of infection control</jtitle><addtitle>Am J Infect Control</addtitle><date>1998-08-01</date><risdate>1998</risdate><volume>26</volume><issue>4</issue><spage>437</spage><epage>441</epage><pages>437-441</pages><issn>0196-6553</issn><eissn>1527-3296</eissn><abstract>Background: Sporadic reports of increased infection rates involving needleless access systems, especially in home-care settings, have raised questions concerning the safety of all needleless systems. Addressing this concern, Baxter Healthcare Corporation and the Centers for Disease Control and Prevention performed parallel laboratory studies comparing the microbial barrier properties of the Interlink (trademark of Baxter Healthcare Corporation, Deerfield, Ill) needleless system with a conventional intravenous access system.
Methods: Studies of needleless and conventional systems evaluated fluid path contamination introduced through injection site septa, which were intentionally inoculated with high levels of bacteria and subsequently punctured with and without alcohol swabbing disinfection before access.
Results: With disinfection, the combined effects of the disinfection technique and the barrier properties of the septa prevented the transfer of organisms into the fluid path in 94% to 96% of needleless test articles and 96% to 100% of conventional test articles. Without disinfection, the barrier properties of the septa alone prevented the transfer of organisms into the fluid path in 20% to 69% of needleless test articles and 10% to 28% of conventional test articles.
Conclusions: The data demonstrate the needleless system performs as well as the conventional intravenous access system with respect to the risk of microbial contamination and reinforce the need for appropriate septum disinfection before accessing either system (AJIC Am J Infect Control 1998;26:437-41).</abstract><cop>St. Louis, MO</cop><pub>Mosby, Inc</pub><pmid>9721399</pmid><doi>10.1016/S0196-6553(98)70042-2</doi><tpages>5</tpages></addata></record> |
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subjects | 2-Propanol - pharmacology Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Anti-Infective Agents, Local - pharmacology Biological and medical sciences Catheters, Indwelling - adverse effects Catheters, Indwelling - microbiology Disinfection - methods Emergency and intensive care: techniques, logistics Equipment Design Equipment Safety Infection Control - instrumentation Infection Control - methods Infusions, Intravenous - instrumentation Intensive care medicine Medical sciences Needles Perfusions. Catheterizations. Hyperbaric oxygenotherapy Sensitivity and Specificity |
title | Comparison of the microbial barrier properties of a needleless and a conventional needle-based intravenous access system |
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