Review of vaccine packaging formats and their key features

Silvia Domínguez-Fernández , Jose Antonio Forcada-Segarra , Inmaculada Cuesta-Esteve , Silvia Fernández-Fernández , Rosario Cáceres Fernández-Bolaños , Guadalupe Fontán-Vinagre , Roberto Guerrero-Menéndez
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Abstract

Aims

To explore the implications for use of the different vaccine packaging options, in terms of sustainability, safety, and nurses' preferences; as well as to elaborate a proposal for main concepts of vaccine packaging that could serve as a user guide for nurses.

Methods

A literature review has been carried out about logistic, ergonomic, and practical aspects of the different vaccine packaging options. The search was performed in PubMed, CINAHL, and MEDLINE databases. Initially, 99 sources were identified, of which 19 articles were included for review.

Review/Results

The findings have been grouped in 4 categories: description of vaccine packaging options, and implications in sustainability, safety, and nurses' preferences in clinical practice.

Conclusions and implications for practice

Nationwide, there are just a few studies addressing logistic, ergonomic, and practical aspects of the different vaccine packaging options. Regarding the review process of packaging formats, a descriptive section within the document has been developed by experts, including a summary chart. There exists knowledge about liquid formulations, in particular, the prefilled-syringe and multi-dose formats. In relation to sustainability, in terms of packaging, cold storage, and transport, among others; we consider that these are main aspects that should be addressed by its contribution to the reduction of environmental impact; given its scarce presence in the current literature.
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回顾疫苗包装格式及其主要特点
目的从可持续性、安全性和护士偏好等方面探讨不同疫苗包装方案对使用的影响,并就疫苗包装的主要概念提出建议,作为护士的使用指南。方法对不同疫苗包装方案的物流、人体工程学和实用性方面进行了文献综述。在 PubMed、CINAHL 和 MEDLINE 数据库中进行了搜索。初步确定了 99 个资料来源,其中 19 篇文章被纳入审查范围。审查/结果研究结果分为 4 个类别:疫苗包装选项的描述,以及对可持续性、安全性和护士在临床实践中的偏好的影响。结论和对实践的影响在全国范围内,只有少数研究涉及不同疫苗包装选项的物流、人体工程学和实用性方面。关于包装形式的审查过程,专家们在文件中编写了一个描述性部分,包括一张汇总表。目前已有关于液体制剂的知识,尤其是预充式注射器和多剂量形式。关于包装、冷藏和运输等方面的可持续性,我们认为,鉴于其在当前文献中的稀缺性,这些都是应通过其对减少环境影响的贡献来解决的主要方面。
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