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At least 19 recordsLinked to original sources
PubMed1983

Evaluation of drug contamination levels in an admixture preparation area.

The risks of drug contamination after transfer manipulations between vials used in admixture preparations were estimated. The transfers were performed inside a safety cabinet using sodium pertechnetate 99Tcm in saline as a 'model' admixture. An air contamination monitor was attached to the safety cabinet above the transfer manipulation area. The monitor filter and all utensils used were collected for measurement of contamination levels in each sample trial. Three types of transfer were performed; one 'open' procedure and two 'closed' procedures, one including an air vent needle in the receiving vial and the other without air vent needle in the receiving vial. The closed procedure including an air vent needle appears to combine good personnel- and product protection.

Air Pollutants, Occupational↗
PubMed2003

Cytotoxic drug contamination on the outside of vials delivered to a hospital pharmacy.

We recently carried out a study of two UK hospital pharmacy units preparing cytotoxic drugs using isolators that showed low level contamination on floor surfaces and disposable gloves worn by staff. It has been suggested that this level of contamination may be related to some level of contamination on the drug vials as delivered from manufacturers rather than leakage from the isolators. We have investigated the level of cytotoxic drug contamination on the external surfaces of the drug vials as delivered to a hospital pharmacy stores. We monitored 30, randomly chosen vials for the drugs cisplatin, carboplatin, cyclophosphamide, ifosfamide and methotrexate using well-established methods. A 0.5 m2 floor area directly in front of the shelves used for storing the cytotoxic drugs was also wipe sampled and the disposable gloves worn while wiping the vials for each drug were also analysed. A significant number of vials had a quantifiable level of external contamination. Levels of contamination up to 344 ng/vial were found. Levels of glove and floor contamination for some drugs were found to be comparable with values found in our study of the clean rooms where the isolators were situated and the pharmacy staff prepared the cytotoxic drugs.

Antineoplastic Agents↗
PubMed2001

Drug contamination of US paper currency.

It is known that US paper currency in the general circulation is contaminated with cocaine. Several mechanisms have been offered to explain this finding, including contamination due to handling during drug deals and the use of rolled up bills for snorting. Drug is then transferred from one contaminated bill to others during counting in financial institutions. The possibility of contamination of currency with other drugs has not been reported. In this study, the author reports the analysis of 10 randomly collected US$ 1 bills from five cities, for cocaine, heroin, 6-acetylmorphine (6-AM), morphine, codeine, methamphetamine, amphetamine and phencyclidine (PCP). Bills were immersed in acetonitrile for 2h prior to extraction and GC-MS analysis. Results showed that 92% of the bills were positive for cocaine with a mean amount of 28.75+/-139.07 microg per bill, a median of 1.37 microg per bill, and a range of 0.01-922.72 microg per bill. Heroin was detected in seven bills in amounts ranging from 0.03 to 168.50 microg per bill: 6-AM and morphine were detected in three bills; methamphetamine and amphetamine in three and one bills, respectively, and PCP was detected in two bills in amounts of 0.78 and 1.87 microg per bill. Codeine was not detected in any of the US$ 1 bills analyzed. This study demonstrated that although paper currency was most often contaminated with cocaine, other drugs of abuse may be detected in bills.

Chromatography, High Pressure Liquid↗
PubMed1991

Drug contamination from opening glass ampules.

Recently there have been several reports of postoperative sepsis due to the intravenous injection of contaminated solutions of propofol (Diprivan). The mechanism by which this contamination occurred has not been identified. This study sought to determine whether bacterial contamination of the contents of glass ampules can be decreased by swabbing the neck of the vial with alcohol prior to opening. Glass ampules of 1% propofol and 1% lidocaine were swabbed with a solution of Staphylococcus epidermidis. Half of these ampules were subsequently wiped with alcohol pads prior to being opened. An aliquot from each ampule was pipetted into a nutrient broth and allowed to incubate overnight at 37 degrees C. These solutions were plated on agar, incubated for 24 h, and then examined for bacterial growth. Three of the eight lidocaine ampules and six of the eight propofol ampules not cleaned with alcohol demonstrated evidence of bacterial contamination. The contents of all ampules that had been wiped with alcohol prior to being opened remained sterile (P less than 0.001 vs. non-alcohol-treated group for propofol ampules and P = 0.20 vs. non-alcohol-treated group for lidocaine ampules). These data suggest that bacterial contamination of propofol and lidocaine may occur as a result of opening glass ampules. Wiping the outside of the ampule with alcohol immediately prior to opening may decrease this risk.

Alcohols↗
PubMed2004

Removing and identifying drug contamination in the analysis of human hair.

The procedure used in this laboratory for removing and identifying contamination of hair specimens with drugs is demonstrated by its application to hair contaminated by various experimental models. The models include soaking; coating with drug followed by sweat conditions for 6 h; and soaking in a very high concentration of cocaine followed by storage and multiple shampoo treatments. A multi-part wash procedure along with a wash criterion is applied to all samples containing drug above the cutoff. The failure of the wash criterion is a signal that the sample may be positive due to contamination rather than use, and in the absence of other over-riding evidence, the sample would be considered to be negative for drug use. This Wash Criterion has also been tested with hair from subjects demonstrated to be drug users by one or more drug-positive urines; in these studies, all hair samples from demonstrated users passed the Wash Criterion test.

Cocaine↗
PubMed1981

Analysis of drug contamination from parabens in theophylline olamine.

Contaminants in a commercial enema sample of theophylline olamine were found to be derived from parabens and ethanolamine. These contaminants, whose presence was characterized by the loss of preservatives and solubilizing agent, were isolated directly from the drug sample and identified. A high-performance liquid chromatographic (HPLC) system was developed to separate completely and to measure quantitatively theophylline, the two impurities, 4-hydroxybenzoic acid and N-(2-hydroxyethyl)-4-hydroxybenzamide, and the remaining parabens. The material balance obtained from the results of quantitative HPLC indicated the formation of these impurities at the expense of parabens. TLC, IR, and UV spectrophotometry and NMR and mass spectrometric analyses were used for identification or for comparisons of the new compound and the known N-(2-hydroxyethyl)benzamide.

Benzoates↗
PubMed2006

Usefulness of the final filter of the IV infusion set in intravenous administration of drugs--contamination of injection preparations by insoluble microparticles and its causes.

The purpose of this study is to clarify the presence of so much insoluble microparticles in the injections and to confirm the usefulness of the final filter for its removal. The test drugs used were Doyle 1 g vial, Cefotax 1 g vial, Minomycin 100 mg vial, Omegacin 0.3 g vial, Maxipime 1 g vial, Rocephin 1 g vial, Isovorin 25 mg vial, Diamox 500 mg vial and Fungizone 50 mg vial. 1) An appropriate volume of physiological saline was poured into the test drug vial from the 500 ml physiological saline bag. 2) The dissolution of the preparation was checked. 3) That test drug solution was returned into the same 500 ml physiological saline bag. 4) 5 ml of test drug solution was extracted from the inside of the 500 ml physiological saline bag. 5) The number of insoluble microparticles in the each test drug solution at pre- and post-filtrations were counted by using a particle counter for the solution. Two results were shown as follows (microparticle size: 5 microm or greater), (a) Doyle 1 g (ASPC): The number of insoluble microparticles in pre- and post-filtrations of a Doyle 1 g vial were 250 +/- 45 and 0/5 ml, respectively (microparticle size: < or =5 microm 1662/5 ml, 5-10 microm: 238/5 ml, >10 microm: 11/5 ml). (b) Diamox 500 mg (acetazolamide): The number of insoluble microparticles in pre- and post-filtrations of Diamox were 158 +/- 53 and 0.3 +/- 0.47/5 ml, respectively (microparticle size: < or =5 microm 4030/5 ml, 5-10 microm: 144/5 ml, >10 microm: 14/5 ml). The presence of great numbers of insoluble microparticles in several injection preparations was clarified. Although the all test drugs used cleared the criteria of the number of insoluble microparticles of the Japanese Pharmacopoeia, it was suggested to be not suitable that great numbers of insoluble microparticles were administrated in the body fluid of patients, because a possibility to occlude capillaries and/or to injure the tissues by them was been thought. But we could remove them nearly completely by passing the solutions of drugs through an infusion filter. Otherwise, in this examination, we found that so much insoluble microparticles derived from the disposable syringe (10 ml) were used for dissolving freeze-dried preparations routinely (microparticle size: < or =5 microm 329/5 ml, 5-10 microm: 125/5 ml, >10 microm: 39/5 ml). These results suggest that incorporation of a final filter in the IV line is extremely necessary not only for the prevention of bacterial infections, but also for elimination of insoluble microparticles.

Bacterial Infections↗
PubMed1978

Drug contamination of mortars and pestles.

Evidence is presented suggesting that potent water-insoluble antipentylenetetrazol agents triturated in porcelain mortars and pestles are not removed from this mixing device by the usual laboratory washing procedure. Moreover, amounts sufficient to contaminate the next substance triturated in this vessel can be demonstrated by the subcutaneous pentylenetetrazol seizure threshold test. The data show that a rigorous washing routine must be followed to achieve a "clean" mortar and pestle. Attention is also directed to the importance of using disposable hypodermic syringes, test tubes, etc., whenever possible and of designing an internal control test to determine when implements that must be reused are "clean."

Animals↗