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Updated: Dec 23, 2025

Oropharyngeal Administration of Bleomycin in the Murine Model of Pulmonary Fibrosis
Published on: May 9, 2025
Does using outpatient room air for bleomycin foam preparation increase the risk of infection?
Hao Zhang1,2,3, Ming Pei Xu2,4, Zuo Qing Dong1,2
1Department of Oral and Maxillofacial Surgery, Qilu Hospital of Shandong University, Jinan, China.
Objective:
To evaluate whether the risk of infections is increased with the use of air from outpatient rooms to prepare bleomycin foam.
Methods:
Settling plates were adopted to collect bacteria from outpatient room air, operating theatre air, human serum albumin, bleomycin solution and bleomycin foam prepared with both outpatient room and operating theatre air. The plates were placed in an incubator at 37°C for 48 h, and the number of bacterial colonies was recorded using colony-forming units. The results were analysed by the t-test. A retrospective study was then performed to evaluate the outpatient safety of bleomycin foam.
Results:
The number of colony-forming units in the bleomycin foam produced using both operating and outpatient room air was very low, with no statistic difference. No infection cases were reported in clinical evaluation.
Conclusion:
Using the air from outpatient treatment rooms for bleomycin foam preparation does not increase the risk of infections.
Insights
Preparing bleomycin foam using air from outpatient rooms does not increase infection risk. Bacterial counts were low, and no infections occurred in clinical evaluations, confirming outpatient safety.
Area of Science:
- Oncology
- Microbiology
- Pharmaceutical Science
Background:
- Bleomycin foam is used in treating various skin conditions.
- Ensuring the sterility of pharmaceutical preparations is crucial for patient safety.
- The source of air used in preparing topical medications can impact microbial contamination.
Purpose of the Study:
- To assess the microbial safety of using air from outpatient treatment rooms for bleomycin foam preparation.
- To determine if this practice elevates the risk of infections compared to using operating theatre air.
Main Methods:
- Bacterial contamination was assessed using settling plates exposed to outpatient room air, operating theatre air, and prepared bleomycin foam.
- Incubation at 37°C for 48 hours allowed for colony-forming unit (CFU) enumeration.
- Statistical analysis using the t-test and a retrospective clinical evaluation were performed.
Main Results:
- Bleomycin foam prepared with both outpatient and operating room air exhibited very low colony-forming unit counts.
- No statistically significant difference in bacterial contamination was observed between the two air sources.
- A retrospective clinical evaluation reported no infection cases associated with bleomycin foam prepared using outpatient room air.
Conclusions:
- The use of air from outpatient treatment rooms for bleomycin foam preparation is microbiologically safe.
- This practice does not introduce an increased risk of infection for patients receiving bleomycin foam treatment.
- Outpatient room air is a viable and safe alternative for preparing bleomycin foam.
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