Skin disinfection using hygiene swabs for self-injection of diabetes medications: an overview of the current best practices.

IF 1.3 Q4 ENDOCRINOLOGY & METABOLISM Diabetology International Pub Date : 2023-04-01 DOI:10.1007/s13340-022-00615-9
Rie Tanaka, Shinobu Watanabe
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Abstract

Injectable diabetes medications are widely available. Although self-injection techniques update with the release of new devices, current clinical practices in Japan consistently adhere to the standardized hygiene procedures for skin disinfection. On the other hand, the manual for disaster diabetes care does not require the victims to skin preparation using alcohol swabs before injection. The World Health Organization shows that skin disinfection with alcohol is not necessary for subcutaneous injections, and that hand hygiene and skin preparation with soap and water are important procedures. Skin preparation for self-injection remains controversial. Thus, this article overviewed current best practices and discussed future implementation of skin preparation for self-injection of diabetes medications. According to the latest published studies, there is a trade-off between standardized infection control and cost-saving. To address the practical debate, revision of the best practices for self-injection techniques stratified by healthcare setting, cost-effectiveness analysis based on patient-reported outcomes, and opt-in prescribing systems are needed.

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自注射糖尿病药物时使用卫生棉签进行皮肤消毒:目前最佳做法概述
注射型糖尿病药物随处可见。虽然自我注射技术随着新设备的发布而更新,但日本目前的临床实践始终坚持皮肤消毒的标准化卫生程序。另一方面,灾难糖尿病护理手册不要求患者在注射前用酒精棉签进行皮肤准备。世界卫生组织表示,皮下注射不需要用酒精消毒皮肤,用肥皂和水进行手部卫生和皮肤准备是重要的程序。自体注射的皮肤准备仍有争议。因此,本文概述了目前的最佳实践,并讨论了未来皮肤制备自注射糖尿病药物的实施。根据最新发表的研究,在标准化感染控制和节省成本之间存在权衡。为了解决实际的争论,需要根据医疗环境对自我注射技术的最佳实践进行修订,根据患者报告的结果进行成本效益分析,并选择加入处方系统。
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来源期刊
Diabetology International
Diabetology International ENDOCRINOLOGY & METABOLISM-
CiteScore
3.90
自引率
4.50%
发文量
42
期刊介绍: Diabetology International, the official journal of the Japan Diabetes Society, publishes original research articles about experimental research and clinical studies in diabetes and related areas. The journal also presents editorials, reviews, commentaries, reports of expert committees, and case reports on any aspect of diabetes. Diabetology International welcomes submissions from researchers, clinicians, and health professionals throughout the world who are interested in research, treatment, and care of patients with diabetes. All manuscripts are peer-reviewed to assure that high-quality information in the field of diabetes is made available to readers. Manuscripts are reviewed with due respect for the author''s confidentiality. At the same time, reviewers also have rights to confidentiality, which are respected by the editors. The journal follows a single-blind review procedure, where the reviewers are aware of the names and affiliations of the authors, but the reviewer reports provided to authors are anonymous. Single-blind peer review is the traditional model of peer review that many reviewers are comfortable with, and it facilitates a dispassionate critique of a manuscript.
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