CDC ISSUES WARNS AGAINST USING SDVs FOR MULTIPLE PATIENTS
On July 13, the Centers for Disease Control (CDC) released a report detailing recent instances of improper reuse of single-dose vials (SDVs) for more than one patient that resulted in two outbreaks of invasive staphylococcus aureus infection.
In the report, the CDC states, “Proper use of SDVs in clinical settings consists of 1) withdrawing contents into a new sterile syringe in an aseptic manner, 2) promptly using the contents for a single patient during a single procedure, and 3) disposing of the vial and any remaining contents. To prevent unsafe practices and patient harm, CDC recently issued a communication clarifying recommended practices for safe use of SDVs (1). The safest option remains dedicating SDVs to individual patients. When individually packaged and appropriately sized SDVs are unavailable, qualified health-care personnel may repackage medication from a previously unopened SDV into multiple single-use vehicles (e.g., vials or syringes). However, this procedure should only be performed using a laminar-flow hood in accordance with standards in U.S. Pharmacopeia General Chapter 797 (Pharmaceutical Compounding — Sterile Preparations). Strict adherence to U.S. Pharmacopeia 797 standards is critical and might have helped prevent recent outbreaks associated with unsafe practices.”
The CDC website contains resources on injection safety including an injection safety checklist and a toolkit featuring a narrated PowerPoint presentation that can be incorporated into employee training in the medical office.