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.

Phlebology
|April 22, 2020
PubMed
Abstract

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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