Contamination of propofol infusions in the intensive care unit : Incidence and clinical significance

Epidemics of bacteraemia and wound infection have been associated with the infusion of bacterially contaminated propofol administered during anaesthesia. We conducted an observational study to determine the incidence and clinical significance of administration of potentially contaminated propofol to...

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Bibliographic Details
Published in:Anaesthesia and intensive care 1998-04, Vol.26 (2), p.162-164
Main Authors: WEBB, S. A. R, ROBERTS, B, BREHENY, F. X, GOLLEDGE, C. L, CAMERON, P. D, VAN HEERDEN, P. V
Format: Article
Language:English
Subjects:
Anesthetics, Intravenous - adverse effects
APACHE
Biological and medical sciences
Drug Contamination
Drug toxicity and drugs side effects treatment
Female
Humans
Incidence
Intensive Care Units
Male
Medical sciences
Middle Aged
Miscellaneous (drug allergy, mutagens, teratogens...)
Observation
Pharmacology. Drug treatments
Propofol - adverse effects
Prospective Studies
Surgical Wound Infection - epidemiology
Surgical Wound Infection - microbiology
Syringes - microbiology
Western Australia - epidemiology
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Summary:Epidemics of bacteraemia and wound infection have been associated with the infusion of bacterially contaminated propofol administered during anaesthesia. We conducted an observational study to determine the incidence and clinical significance of administration of potentially contaminated propofol to patients in an ICU setting. One hundred patients received a total of 302 infusions of propofol. Eighteen episodes of possible contamination of propofol syringes were identified, but in all cases contamination was by a low-grade virulence pathogen. There were no episodes of clinical infection or colonization which could be attributed to the administration of contaminated propofol. During the routine use of propofol to provide sedation in ICU patients the risk of nosocomial infection secondary to contamination of propofol is extremely low.
ISSN:0310-057X
1448-0271
DOI:10.1177/0310057X9802600205