Dating of multi use containers
These outbreaks resulted in more than 95,000 patients being referred for testing after potential exposure to infectious diseases.
Many of these infections have occurred following injection procedures performed in pain remediation clinics.Therefore, CDC continues to strongly support its current policies regarding single-dose/single-use vials.It is imperative that drug shortages and drug waste concerns are dealt with appropriately and do not lead to unsafe medical practices that impose increased disease risk on patients.This guidance supersedes all other formal and informal guidance on this topic and was developed to reflect accumulating evidence, including bloodborne pathogen risk, gathered from outbreaks caused by unsafe injection practices.In 2002, an informal communication from CDC to the Centers for Medicare and Medicaid Services (CMS) suggested that certain medications packaged in a single-dose/single-use vial could be used for more than one patient in dialysis settings, assuming that certain criteria were followed.To prevent unnecessary waste or the temptation to use contents from single-dose or single-use vials for more than one patient, clinicians and purchasing personnel should select the smallest vial necessary for their needs when making treatment and purchasing decisions.
It is optimal for the medication to be used for just one patient.
CDC continues to see outbreaks in healthcare settings where providers thought they were preparing and administering injections safely.
In the last 5 years alone, CDC is aware of at least 26 outbreaks due to unsafe injection practices.
This practice protects patients from life-threatening infections that occur when medications get contaminated from unsafe use.
Concerns have been raised about whether these guidelines and related policies contribute to drug shortages and increased medical costs to healthcare providers.
There have been multiple outbreaks resulting from healthcare personnel using single-dose or single-use vials for multiple patients.