Microbial Contamination due to Malpractice during Administration of Intravenous Fluids in Baghdad Hospitals

H.S,; Mohammed,; Huda,; M, J.; Maysoon,; M, A.; Ali,; A, A.

	Microbial Contamination due to Malpractice during Administration of Intravenous Fluids in Baghdad Hospitals
Al-Mustansiriyah Journal for Pharmaceutical Sciences
Article 1, Volume 9, Issue 1, 2011, Pages 145-157
Authors
; ; ; J. M; ; A. M; ; A. A
Abstract
The present study was designed to investigate the suspected bacterial and/or fungal contamination in intravenous (IV) fluids due to malpractice of administration in Baghdad hospitals. The study was conducted during the periodfrom May to August 2010. One hundred and thirteen intravenous fluid samples were collected from different wards in Baghdad teaching hospital, Ibn Al- Nafees teaching hospital and AL Khadhemia teaching hospital in district of Baghdad. These samples were classified into 2 main groups: Group 1 (test group), include I.V. fluids with inappropriate position puncture in the bag; and group 2 (control), include I.V. fluids free from inappropriate puncture in the bag. Then group 1 samples were sub-classified into 2 groups; Group 1A: includes 73 I.V fluid bags with needle puncture by staff nurses in which the needle was left during the use to ease flow; group 1B: includes 12 I.V fluid bags in which a puncture was made in the bag during inappropriate I.V admixture and the needle was removed; and group 2: 28 I.V fluid bags (control) free from any inappropriate puncture. Samples from all I.V fluid bags (113) were cultured immediately after collection in a proper media for bacteriological examination. Results of cultures showed that a 79.45% contamination was present in I.V fluid bags samples from group 1A (n =73), while 100% contamination was reported in I.V fluid bags samples from group 1B (n=12) and 28.57% contamination in the group 2 (n=28). In the our study, the most common three microbes contribute for contamination of infusate are Candida albicans , Stapylococcus epidermidis and Escherichia coli. In conclusion, the widely followed improper practice for preparing and administration of I.V. fluids in some of Baghdad hospitals may predispose to fatal bacterial contamination.

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