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犬用血浆滴眼液瓶在犬类患者临床使用后微生物污染情况的评估。

Evaluation of microbial contamination of canine plasma eyedropper bottles following clinical use in canine patients.

作者信息

Strauss Rachel A, Genschel Ulrike, Allbaugh Rachel A, Sebbag Lionel, Ben-Shlomo Gil

机构信息

Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Iowa State University, Ames, IA, USA.

Department of Statistics, Iowa State University, Ames, IA, USA.

出版信息

Vet Ophthalmol. 2019 May;22(3):222-228. doi: 10.1111/vop.12580. Epub 2018 May 24.

Abstract

OBJECTIVE

To investigate microbial contamination of canine plasma eye drops when used clinically and to compare the effect of two different eyedropper bottles on contamination rate.

METHODS

Forty-six bottles containing plasma were randomly dispensed for use on 42 dogs with ulcerative keratitis. Of these, 23 were standard eyedropper bottles and 23 were Novelia bottles designed to prevent contamination. After use for up to 2 weeks, samples for bacterial culture were obtained from a drop of plasma, the bottle tip, the plasma inside the bottle, and the corneal surface. Fungal culture was performed from a drop of plasma.

RESULTS

The overall microbial contamination rate was 17.4% (8/46 bottles); however, only one bottle had growth from the plasma inside the bottle. There was a lower contamination rate of Novelia bottles (3/23 = 13.0%) compared to standard bottles (5/23 = 21.7%), but this difference was not statistically significant (P = .57). There were also no significant differences in contamination rate of bottles used greater than 7 days compared to less than or equal to 7 days, or in bottles used greater than 4 times daily compared to 4 times daily or less. Three corneal samples (6.5%) had bacterial growth, but none matched contamination from the bottles.

CONCLUSIONS

Novelia bottles may decrease contamination of plasma eye drops used clinically. However, while microbial contamination of plasma bottles was documented, no clinically relevant complications were observed. This study supports safe use of plasma eye drops for up to 2 weeks when refrigerated and dispensed from either Novelia or standard eyedropper bottles.

摘要

目的

调查犬血浆眼药水临床使用时的微生物污染情况,并比较两种不同滴管瓶对污染率的影响。

方法

随机分发46瓶含血浆的眼药水供42只溃疡性角膜炎犬使用。其中,23瓶为标准滴管瓶,23瓶为设计用于防止污染的诺维利亚瓶。使用长达2周后,从一滴血浆、瓶尖、瓶内血浆和角膜表面采集细菌培养样本。从一滴血浆中进行真菌培养。

结果

总体微生物污染率为17.4%(8/46瓶);然而,只有一瓶瓶内血浆有细菌生长。与标准瓶(5/23 = 21.7%)相比,诺维利亚瓶的污染率较低(3/23 = 13.0%),但差异无统计学意义(P = 0.57)。使用超过7天的瓶子与使用小于或等于7天的瓶子相比,以及每天使用超过4次的瓶子与每天使用4次或更少的瓶子相比,污染率也无显著差异。三个角膜样本(6.5%)有细菌生长,但均与瓶内污染不匹配。

结论

诺维利亚瓶可能会降低临床使用的血浆眼药水的污染。然而,虽然记录了血浆瓶的微生物污染情况,但未观察到临床相关并发症。本研究支持冷藏并从诺维利亚瓶或标准滴管瓶中分发的血浆眼药水可安全使用长达2周。

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