Kawasaki Yoichi
Department of Pharmacy, Okayama University Hospital, Okayama, Japan.
Yakugaku Zasshi. 2009 Sep;129(9):1041-7. doi: 10.1248/yakushi.129.1041.
The hazardous effects due to the insoluble microparticles generated in the injections have been pointed out. To our knowledge, however, there have been no reports about insoluble microparticulate contamination at ampoule opening. Therefore, we performed this study to evaluate the relationship between time and glass particulate sedimentation to examine the effect of swabbing the ampoule neck on particle generation to clarify the relationship between the inner-diameter size of an ampoule and the amount of glass particulate sedimentation to find out the effect of methods for ampule opening, and compare particle contamination in glass ampoule and that of plastic, after ampoule opening and assessed the contribution of material of ampoule to the particle generation. We observed that the glass particulate contamination of accumulation value at a size over 2 mum increased significantly after 60 seconds, the swabbing the neck of the ampoule prior to opening had a negative effect on prevention of glass particulate contamination, the glass particulate contamination was positively influenced by the inner-diameter size of the ampoule, but not by the thickness of the ampoule walls, the particulate contamination derived from glass significantly increased by general method as well as using ampoule open adaptor compared with our method, and the insoluble microparticulate contamination in plastic ampoule was significantly lower than that in glass ampoule. The present findings might provide an useful information to reduce glass particules after ampoule opening performed in clinical practice.
注射过程中产生的不溶性微粒的有害影响已被指出。然而,据我们所知,尚无关于安瓿瓶开启时不溶性微粒污染的报道。因此,我们开展了本研究,以评估时间与玻璃微粒沉降之间的关系,研究擦拭安瓿瓶颈对微粒产生的影响,阐明安瓿瓶内径尺寸与玻璃微粒沉降量之间的关系,找出安瓿瓶开启方法的影响,并比较安瓿瓶开启后玻璃安瓿瓶和塑料安瓿瓶中的微粒污染情况,评估安瓿瓶材料对微粒产生的影响。我们观察到,60秒后,尺寸超过2微米的玻璃微粒累积污染值显著增加,开启前擦拭安瓿瓶颈对预防玻璃微粒污染有负面影响,玻璃微粒污染受安瓿瓶内径尺寸的正向影响,但不受安瓿瓶壁厚的影响,与我们的方法相比,常规方法以及使用安瓿瓶开启适配器时,源自玻璃的微粒污染显著增加,并且塑料安瓿瓶中的不溶性微粒污染显著低于玻璃安瓿瓶。本研究结果可能为临床实践中减少安瓿瓶开启后的玻璃微粒提供有用信息。