Suscribirse

Preventing microbial contamination during radiological imaging: Experimental evaluation of a multiuse contrast media infusion system incorporating sequential one-way valves within a dual-safety design - 13/08/25

Doi : 10.1016/j.ajic.2025.06.006 
Matheus (Roland) van Rens, RN, MaANP a, , Kevin Hugill, RN, BSc, MSc, PhD b, L. Natalia Galvan, BS c, Benjamin Tanner, PhD c
a Radboudumc University, Nijmegen, The Netherlands 
b Independent Scholar, Cumbria, UK 
c Microchem Laboratory, Round Rock, TX, USA 

Address correspondence to Matheus (Roland) van Rens, RN, MaANP, Radboudumc University, Postbus 9102, 6500 HC Nijmegen, The Netherlands.Radboudumc UniversityPostbus 9102Nijmegen6500 HCThe Netherlands

Resumen

Background

Health care-associated infections are a significant cause of patient morbidity, mortality, and health care expenditure. In diagnostic imaging, multiuse contrast media infusion systems are increasingly common; however, their use raises concerns regarding cross-contamination risk.

Methods

A controlled experimental model was used to assess the ability of a multiuse infusion system to prevent microbial contamination during simulated clinical conditions. Escherichia coli and MS2 bacteriophage were selected to model bacterial and viral contamination risks, respectively. Inocula were introduced at key connection points during two 12-hour experimental sessions. The primary outcome was the presence or absence of microbial growth in retrieved fluid samples. Control testing was conducted to validate sterility, microbial viability, and experimental integrity.

Results

Positive and negative control testing performed as expected. No microbial growth was detected in any of the 51 experimental fluid samples. This corresponds to a 95% confidence upper bound of 5.8% for undetected contamination events.

Conclusions

The system's design, including sequential dual 1-way valves effectively prevented bacterial and viral contamination under laboratory conditions. These findings support its potential for safe multiuse in radiological settings.

El texto completo de este artículo está disponible en PDF.

Highlights

Dual-valve contrast infusion system prevented contamination in simulated tests.
No bacterial or viral growth in 51 uses; 95% CI upper contamination bound: 5.8%.
Viral challenge using a small surrogate virus exceeds current FDA test standards.
Multiuse infusion in radiology is safe and sustainable with no infection risk.
Device design is crucial: dual-valve safety zone blocks contamination reliably.

El texto completo de este artículo está disponible en PDF.

Key Words : Patient safety, Infection prevention, Microbial contamination testing, Multiuse medical devices, MRI/CT contrast media injector systems


Esquema


 Funding/support: This study was supported by P&R Medical BV, who provided funding for laboratory testing. To maintain objectivity, the experimental protocol was independently designed by the study team, and all laboratory work was conducted by third-party scientists at an accredited facility. Data analysis and manuscript preparation were performed without sponsor involvement. The authors affirm that the funder had no role in data interpretation or reporting.
 Conflicts of interest: None to report.
 Ethics approval: This was a laboratory bench study that did not involve human or animal participants. Ethical approval was therefore not required.


© 2025  The Authors. Publicado por Elsevier Masson SAS. Todos los derechos reservados.
Añadir a mi biblioteca Eliminar de mi biblioteca Imprimir
Exportación

    Exportación citas

  • Fichero

  • Contenido

Vol 53 - N° 9

P. 962-966 - septembre 2025 Regresar al número
Artículo precedente Artículo precedente
  • Impact of empowerment of onco-hematological patients on the incidence of catheter-related bloodstream infections
  • Rodrigo Reghini, Ivan Leonardo Avelino França e Silva, Silvia Figueiredo Costa, Thaís Guimarães
| Artículo siguiente Artículo siguiente
  • Provincial PPE Safety Coach Program evaluation in continuing care settings in Alberta
  • Kaethel Decker, Heather Gagnon, Abram Gutscher, Meaghan Brierley, Sara Mallinson, Jenine Leal

Bienvenido a EM-consulte, la referencia de los profesionales de la salud.
El acceso al texto completo de este artículo requiere una suscripción.

¿Ya suscrito a @@106933@@ revista ?

@@150455@@ Voir plus

Mi cuenta


Declaración CNIL

EM-CONSULTE.COM se declara a la CNIL, la declaración N º 1286925.

En virtud de la Ley N º 78-17 del 6 de enero de 1978, relativa a las computadoras, archivos y libertades, usted tiene el derecho de oposición (art.26 de la ley), el acceso (art.34 a 38 Ley), y correcta (artículo 36 de la ley) los datos que le conciernen. Por lo tanto, usted puede pedir que se corrija, complementado, clarificado, actualizado o suprimido información sobre usted que son inexactos, incompletos, engañosos, obsoletos o cuya recogida o de conservación o uso está prohibido.
La información personal sobre los visitantes de nuestro sitio, incluyendo su identidad, son confidenciales.
El jefe del sitio en el honor se compromete a respetar la confidencialidad de los requisitos legales aplicables en Francia y no de revelar dicha información a terceros.


Todo el contenido en este sitio: Copyright © 2026 Elsevier, sus licenciantes y colaboradores. Se reservan todos los derechos, incluidos los de minería de texto y datos, entrenamiento de IA y tecnologías similares. Para todo el contenido de acceso abierto, se aplican los términos de licencia de Creative Commons.