O. Addison Gethers
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From: "Patricia LaFrance-Wolf" <[EMAIL PROTECTED]>
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Sent: Tuesday, November 11, 2008 5:16 PM
Subject: [acb-diabetics] article about needle re-useage


The American Diabetes Association's Position on Syringe Re-Use

1 April 2000

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The American Diabetes Association's Position on Syringe Re-Use



Manufacturers of disposable syringes recommend that they be used only once

because the sterility of a reused syringe cannot be guaranteed. However,

some individuals prefer to reuse a syringe until its needle becomes dull.

Most insulin preparations have bacteriostatic additives that inhibit growth

of bacteria commonly found on the skin. For many patients, it appears both

safe and practical for the syringe to be reused if the patient so desires.

The syringe should be discarded when the needle becomes dull, has been bent,

or has come into contact with any surface other than the skin; if reuse is

planned, the needle must be recapped after each use.



Syringe reuse may carry an increased risk of infection for some individuals.

Patients with poor personal hygiene, an acute concurrent illness, open

wounds on the hands, or decreased resistance to infection for any reason

should not reuse a syringe. Patients reusing a syringe should periodically

inspect the skin around an injection site for unusual redness or signs of

infection. Individuals should consult their physicians before initiating the

practice of syringe reuse and whenever injection-site infection is

suspected.



Before syringe reuse is considered, it should be determined that the patient

is capable of safely recapping a syringe. Proper recapping requires adequate

vision, manual dexterity, and no obvious tremor. The patient should be

instructed in a recapping technique that supports the syringe in the hand

and replaces the cap with a straight motion of the thumb and forefinger. The

technique of guiding both the needle and cap to meet in midair should be

discouraged, because this frequently results in needle-stick injury.



The syringe being reused may be stored at room temperature. The potential

benefits or risks, if any, of refrigerating the syringe in use or of using

alcohol to cleanse the needle of a syringe are unknown. Cleansing the needle

with alcohol may not be desirable, because it may remove the silicon coating

that makes for less painful skin puncture.



Excerpted with the permission of the American Diabetes Association from

Diabetes Care, Vol. 23, Supplement 1, Clinical Practice Recommendations

2000.



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