I have been reading posts here lately, telling others to use an alcohol swab on the bottle of insulin before using. I haven't done this in years. I think I read at one time that this is not necessary, and stopped doing it. Any ideas on this subject?
I agree Brian. When my daughter was taking shots we never used alcohol swabs. We used pens so I figured the cap would keep the rubber stopper clean and if you can inject through clothes then why would you need to clean it first.
Now that she is on the pump I alcohol everything. Top of bottle, infusion set site. It just seems like since it is going to be on full time for 3 days, I want to make sure it is as clean as possible.
I have to get after my daughter all the time about washing her hands before testing. She doesn't seem to think it makes a difference, but I have noticed that having dirty hands can make her meter read incorrectly. I have seen a drop of 45 pts after washing her hands.
I keep the Novolog refrigerated. Right after my daughter went on the pump I was keeping it in the cupboard per pump instructors advice but it seemed to me that the insulin wasn't working as well so I went back to refrigeration. I just make sure to take the bottle out about 20 minutes before using.
Swabbing with alcohol doesn't disinfect anything. To disinfect, it would need to be submerged in alcohol for a while. I've never swabbed insulin with alcohol or my skin before injecting or testing. I keep my insulin refrigerated (Apidra & Levemir) or in a Frio wallet. Keeping it at a constant temp can't hurt.
I guess that's the point of people who use alcohol swabs are making. Can't hurt right? Although, I know if you are using alcohol swabs when testing and don't wait for it to dry before pricking your finger it can screw up your number. I guess it can also hurt when you get "wipes" that are infected with bacteria as well. Maybe it IS safer to just not use it eh?
I have swabs- I almost never use them. Nobody uses my pens but me. They're always capped when not in use. Nobody touches them but me. I wash my hands before I inject. I haven't ever really seen the point. I will sometimes swab my injection site, but I have never felt the need to swab my vial before using it.
I'm a pediatrician, new to personal experience with my daughters type one, I have taught her to swipe vials, fingers, Omnipod sites, everything with alcohol. This is just basic sterile technique, basic science. Our community has rates of community acquired Mrsa in the 40% range. I'm not an endo, but I would recommend it as routine for all diabetics!!
Absolutely. Getting back to Gerri's point, it has to be covered. The EtOH doesn't kill it, but weakens the membranes. The rubbing action is what kills the bacteria by completely rupturing the membrane. It doesn't take much EtOH to "soak" the top of the vial, more than enough is contained in a swab.
Can you explain the community aquired MRSA in the 40% range. I can't figure out what that means. 40% of all people in your area have had a community aquired MRSA infection? Or 40% are colonized but not with a active community aquired MRSA infection?
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