Borders L M, Bingham P R, Riddle M C
Diabetes Care. 1984 Mar-Apr;7(2):121-7. doi: 10.2337/diacare.7.2.121.
While complex procedures are usually recommended to prevent infection at insulin injection sites, adherence to these procedures is imperfect and their value incompletely established. Among 254 adult insulin users in two clinic populations, the reported prevalence of complete performance of four traditional insulin-use practices (handwashing, vial prep, skin prep, discarding of plastic syringes after one use) was 29%, and none of the individual practices considered was performed regularly by more than two-thirds of the subjects. Even so, there was no infection at 2828 injection sites, and there was no significant bacterial contamination of insulin or syringes. These findings fail to support the view that traditional practices provide protection to insulin users against infection or bacterial growth in insulin or syringes. The authors suggest that modification of traditional teaching methods would do no harm, and that benefits could include financial savings, improved client success with self-care, and enhanced health care provider credibility.
虽然通常建议采用复杂的程序来预防胰岛素注射部位感染，但对这些程序的依从性并不理想，其价值也未完全确立。在两个诊所人群的254名成年胰岛素使用者中，报告的四项传统胰岛素使用操作（洗手、准备药瓶、皮肤准备、一次性使用后丢弃塑料注射器）完全执行的患病率为29%，而且超过三分之二的受试者没有一项单独的操作是经常进行的。即便如此，2828个注射部位均未发生感染，胰岛素或注射器也没有明显的细菌污染。这些发现并不支持传统操作能保护胰岛素使用者免受感染或防止胰岛素或注射器中细菌生长的观点。作者建议，改进传统教学方法无害，而且好处可能包括节省费用、提高患者自我护理的成功率以及增强医疗服务提供者的可信度。
