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Related Concept Videos

Drug Accumulation During Multiple Dosing: Repetitive IV Injections01:21

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Calculating drug dosage and accumulation in multiple-dose regimens is crucial for achieving therapeutic efficacy while avoiding toxicity. This involves determining the plasma drug concentrations over time to optimize dosing schedules. The principle of superposition is fundamental in this process, allowing for the prediction of drug concentration in plasma following multiple doses based on single-dose data.The principle of superposition asserts that the plasma concentration-time curves from...
527

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Maximizing doses from multi-dose vaccine vials using the air bubble trapping technique.

Bethany C Yang1, Kathleen M Sanchez1, Kim M Moore1

  • 1Vaccine Preventable Disease Control Program, Department of Public Health, Los Angeles County, Los Angeles, CA, USA.

Clinical and Experimental Vaccine Research
|May 5, 2025
PubMed
Summary

The air bubble trapping technique (ABTT) minimizes vaccine waste from vials, reducing dead volume loss. While effective, ABTT requires slightly longer preparation times for vaccine doses.

Keywords:
Administration and dosageHypodermic needleSyringesVaccinationVaccine

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Area of Science:

  • Public Health
  • Vaccinology
  • Pharmaceutical Sciences

Background:

  • Vaccine shortages pose significant public health challenges.
  • Strategies like fractional dosing and adjuvants are used to conserve vaccine doses.
  • Reducing vaccine wastage is crucial for efficient vaccine distribution.

Purpose of the Study:

  • To evaluate the effectiveness of the air bubble trapping technique (ABTT) in minimizing vaccine wastage.
  • To compare ABTT with standard vaccine preparation methods.
  • To assess the impact of ABTT on dose extraction from multi-dose vials.

Main Methods:

  • The study compared ABTT with standard methods using three different syringe types.
  • Healthcare workers prepared 0.1 mL and 0.5 mL saline doses.
  • Doses were prepared both with and without the air bubble trapping technique.

Main Results:

  • ABTT reduced volume loss by 8.6% for 0.1 mL doses and 2.9% for 0.5 mL doses.
  • Preparation times increased with ABTT: 30.63 seconds for 0.1 mL and 32.95 seconds for 0.5 mL doses.
  • ABTT demonstrated consistency across various syringe types and user experience levels.

Conclusions:

  • The air bubble trapping technique effectively minimizes vaccine volume loss from multi-dose vials.
  • ABTT is a practical technique for integration into vaccination workflows.
  • While ABTT increases preparation time, its dose-saving benefits are significant.