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INFECTION PREVENTION
infections associated with contaminated antiseptics, outbreaks
reported in the literature and to the CDC have resulted in adverse
outcomes, including localized infections at operative or incision sites,
systemic infections and death. Reports have implicated alcohol,
iodophors, chlorhexidine gluconate and quaternary ammonium products.
The FDA has now met twice — in 2009 and December 2012 — to
consider whether to mandate sterile manufacturing conditions for
topical antiseptic products intended for use on non-intact skin. Both
times, it decided against stricter rules. But the fact remains: Improper
handling can result in contamination of any antiseptic solution. Here's
a refresher, to help make sure your antiseptic solutions will be up to
the task.
Upon receipt
When antiseptics — including alcohol, iodophors, chlorhexidine gluconate, betadine, bleach and quaternary ammonium products —
arrive at your facility, the first thing to do is examine the shipping container and bottles to ensure there's no damage, and that the seals
haven't been violated. Look for leakage, particularly around the cap.
Storage and dispensing
Store antiseptic solutions in a cool, dry place, carefully following manufacturers' instructions for storage conditions. For safety, store differ1 4 6
O U T PAT I E N T S U R G E R Y M A G A Z I N E O N L I N E | M A R C H 2013
