{"id":7147,"date":"2024-02-26T10:00:51","date_gmt":"2024-02-26T08:00:51","guid":{"rendered":"https:\/\/eu.bd.com\/iv-news\/?p=7147"},"modified":"2024-08-29T17:15:01","modified_gmt":"2024-08-29T15:15:01","slug":"controle-qualite-des-seringues-de-rincage-pre-remplies-considerations-essentielles","status":"publish","type":"post","link":"https:\/\/eu.bd.com\/iv-news\/fr\/actualites-et-innovation\/controle-qualite-des-seringues-de-rincage-pre-remplies-considerations-essentielles\/","title":{"rendered":"Contr\u00f4le qualit\u00e9 des seringues de rin\u00e7age pr\u00e9-remplies\u202f: consid\u00e9rations essentielles"},"content":{"rendered":"

Avant de nous int\u00e9resser au contr\u00f4le qualit\u00e9 des seringues de rin\u00e7age pr\u00e9-remplies, qui font partie int\u00e9grante de la <\/span>gestion des acc\u00e8s vasculaires (VAM)<\/span><\/a>, concentrons-nous sur la s\u00e9curit\u00e9 du patient.<\/span>\u00a0<\/span>Les seringues de rin\u00e7age pr\u00e9-remplies peuvent contribuer \u00e0 r\u00e9duire le taux d’\u00e9chec du cath\u00e9ter intraveineux p\u00e9riph\u00e9rique (CVP), tout en prolongeant les dur\u00e9es\u00a0 d\u2019utilisation du cath\u00e9ter.<\/span>1<\/span><\/sup> En comparaison des seringues de rin\u00e7age remplies manuellement, l’utilisation de seringues de rin\u00e7age pr\u00e9-remplies a d\u00e9montr\u00e9 une r\u00e9duction significative du temps de rin\u00e7age, selon une \u00e9tude de Keogh et al.<\/span>2<\/span><\/sup>\u00a0<\/span>\u00a0<\/span><\/p>\n

Elles peuvent \u00e9galement r\u00e9duire le risque de contamination en minimisant la manipulation.<\/span>2<\/span><\/sup> Le pr\u00e9-\u00e9tiquetage des seringues par le fabricant pourrait r\u00e9duire le risque d\u2019erreurs de traitement.<\/span>2<\/span><\/sup>\u00a0<\/span>Outre ces avantages potentiels, les seringues de rin\u00e7age pr\u00e9-remplies peuvent accro\u00eetre l\u2019efficacit\u00e9 du flux de travail des professionnels de sant\u00e9 (), en r\u00e9duisant le nombre d\u2019\u00e9tapes et le risque d’erreur par rapport aux seringues remplies manuellement.<\/span>3,4<\/span><\/sup>\u00a0<\/span>\u00a0<\/span>Nous allons maintenant analyser le lien entre le contr\u00f4le qualit\u00e9 et la s\u00e9curit\u00e9 du patient.<\/span>\u00a0<\/span><\/p>\n

Les probl\u00e8mes de qualit\u00e9 peuvent nuire aux patients<\/h2>\n

Malgr\u00e9 tous les avantages cliniques potentiels pr\u00e9sent\u00e9s par les <\/span>seringues de rin\u00e7age pr\u00e9-remplies<\/span><\/a>, les erreurs commises au cours du processus de fabrication peuvent nuire au patient.<\/span>5\u20137<\/span><\/sup> La perte de st\u00e9rilisation peut entra\u00eener une contamination bact\u00e9rienne.<\/span>5<\/span><\/sup>\u00a0<\/span>Des particules de silicone peuvent appara\u00eetre dans\u00a0 la solution saline.<\/span>5,6<\/span><\/sup> Les d\u00e9fauts du piston peuvent permettre \u00e0 l\u2019air d\u2019entrer dans la seringue m\u00eame apr\u00e8s que le professionnel de sant\u00e9\u00a0 ait expuls\u00e9 tout l\u2019air.<\/span>7<\/span><\/sup>\u00a0<\/span>\u00a0<\/span><\/p>\n

S\u2019ils ne sont pas d\u00e9tect\u00e9s avant d\u2019atteindre le patient, des probl\u00e8mes qualit\u00e9 dans les seringues de rin\u00e7age pr\u00e9-remplies peuvent avoir les effets suivants\u202f:\u00a0<\/span>\u00a0<\/span><\/h3>\n
    \n
  • Phl\u00e9bite<\/span>5<\/span><\/sup>\u00a0<\/span><\/li>\n
  • Embolie gazeuse<\/span>7<\/span><\/sup>\u00a0<\/span><\/li>\n
  • L\u00e9sions c\u00e9r\u00e9brales<\/span>5,6<\/span><\/sup>\u00a0<\/span><\/li>\n
  • M\u00e9ningite spinale<\/span>5<\/span><\/sup>\u00a0<\/span><\/li>\n
  • L\u00e9sions des organes vitaux<\/span>5<\/span><\/sup>\u00a0<\/span><\/li>\n
  • Caillots sanguins<\/span>6<\/span><\/sup>\u00a0<\/span><\/li>\n
  • Septic\u00e9mie<\/span>8<\/span><\/sup>\u00a0<\/span><\/li>\n
  • D\u00e9c\u00e8s<\/span>5<\/span><\/sup>\u00a0<\/span><\/li>\n<\/ul>\n

    Lors de l\u2019\u00e9valuation des seringues pr\u00e9-remplies de solution saline qui seront utilis\u00e9es pour rincer, vider et verrouiller les cath\u00e9ters intraveineux (IV) dans votre \u00e9tablissement de sant\u00e9, les trois facteurs suivants doivent \u00eatre pris en compte\u202f:<\/span>5<\/span><\/sup>\u00a0<\/span>\u00a0<\/span><\/h3>\n
      \n
    1. Processus de fabrication<\/span>\u00a0<\/span><\/li>\n
    2. R\u00e9gularit\u00e9 de l\u2019approvisionnement<\/span>\u00a0<\/span><\/li>\n
    3. Conception de la seringue<\/span>\u00a0<\/span><\/li>\n<\/ol>\n

      Toutes les seringues de rin\u00e7age pr\u00e9-remplies ne sont pas fabriqu\u00e9es de la m\u00eame mani\u00e8re.<\/span>5<\/span><\/sup> Aussi, nous vous sugg\u00e9rons des questions importantes \u00e0 vous poser lors de la s\u00e9lection d\u2019un fournisseur.<\/span>\u00a0<\/span><\/p>\n

      V\u00e9rifiez ces \u00e9l\u00e9ments pour garantir un contr\u00f4le qualit\u00e9 appropri\u00e9<\/h2>\n
        \n
      • Le fabricant dispose-t-il d’un processus de production en\u00a0 circuit ferm\u00e9 enti\u00e8rement automatis\u00e9, des mati\u00e8res premi\u00e8res au produit fini\u202f?<\/span>5<\/span><\/sup>\u00a0<\/span>
        \n<\/span>Avantage\u202f: \u00ab\u202fLa fabrication en\u00a0 circuit ferm\u00e9 est un proc\u00e9d\u00e9 aseptique con\u00e7u pour maintenir\u00a0 les niveaux de propret\u00e9 les plus \u00e9lev\u00e9s et\u00a0 les niveaux de charge biologique les plus bas et pour \u00e9liminer tout contact humain pendant les \u00e9tapes critiques de la production\u202f\u00bb.<\/span>5<\/span><\/sup>\u00a0<\/span>\u00a0<\/span><\/li>\n<\/ul>\n
          \n
        • Le fabricant proc\u00e8de-t-il \u00e0 l\u2019assemblage et\u00a0 au remplissage des seringues dans une salle blanche certifi\u00e9e ISO 14644-1 avec une alimentation en air filtr\u00e9e \u00e0 tr\u00e8s haute efficacit\u00e9 (filtre HEPA)\u202f?<\/span>5,9<\/span><\/sup>\u00a0<\/span>
          \n<\/span>Avantage\u202f: maintient les conditions de propret\u00e9 de la remplisseuse.<\/span>5<\/span><\/sup>\u00a0<\/span>\u00a0<\/span><\/li>\n<\/ul>\n
            \n
          • Le fabricant utilise-t-il des indicateurs visuels pour confirmer la fin du processus de st\u00e9rilisation\u202f?<\/span>8<\/span><\/sup>\u00a0<\/span>
            \n<\/span>Avantage\u202f: peut r\u00e9duire le risque d\u2019\u00e9pid\u00e9mies bact\u00e9riennes.<\/span>8<\/span><\/sup>\u00a0<\/span>\u00a0<\/span><\/li>\n<\/ul>\n
              \n
            • Le fabricant teste-t-il ses \u00e9quipements de production\u202f?<\/span>3<\/span><\/sup>\u00a0<\/span>
              \n<\/span>Avantage\u202f: garantit son bon fonctionnement.<\/span>3<\/span><\/sup>\u00a0<\/span>\u00a0<\/span><\/li>\n<\/ul>\n
                \n
              • Le fabricant inspecte-t-il automatiquement 100\u202f% des seringues pour d\u00e9tecter les particules visibles, v\u00e9rifier l’int\u00e9grit\u00e9 de la fermeture, l’assemblage appropri\u00e9, le volume de remplissage, et identifier les \u00e9ventuels d\u00e9fauts esth\u00e9tiques\u202f?<\/span>5<\/span><\/sup>\u00a0<\/span>
                \n<\/span>Avantage\u202f: permet de pr\u00e9venir le risque d’erreurs susceptibles de survenir lors de l’inspection manuelle.<\/span>5<\/span><\/sup>\u00a0<\/span>\u00a0<\/span><\/li>\n<\/ul>\n
                  \n
                • Le fabricant\u00a0 effectue-t-il des contr\u00f4les environnementaux de routine ainsi\u00a0 que des tests microbiologiques et chimiques sur le produit fini\u202f?<\/span>8\u201310<\/span><\/sup>\u00a0<\/span> Avantage\u202f: v\u00e9rifie que les seringues pr\u00e9-remplies de solution saline sont conformes aux normes environnementales, microbiologiques et chimiques.<\/span>\u00a0<\/span><\/li>\n<\/ul>\n
                    \n
                  • Le fabricant s’assure-t-il que le passage du liquide est maintenu st\u00e9rile\u00a0 depuis le bouchon de caoutchouc\u00a0 jusqu\u2019au capuchon de l’embout\u202f?<\/span>5<\/span><\/sup>\u00a0<\/span> Avantage\u202f: st\u00e9rilit\u00e9 de la seringue \u00e0 l\u2019ouverture de l\u2019emballage.<\/span>5<\/span><\/sup>\u00a0<\/span>\u00a0<\/span><\/li>\n<\/ul>\n

                    \u00ab\u202fLorsqu\u2019elles sont fabriqu\u00e9es et utilis\u00e9es correctement, les seringues pr\u00e9-remplies de solution saline peuvent simplifier consid\u00e9rablement la t\u00e2che des professionnels de sant\u00e9 et faciliter la vie des patients\u202f\u00bb, d\u00e9clare Amy Keller, IDE.<\/span>3<\/span><\/sup><\/p>\n","protected":false},"excerpt":{"rendered":"

                    Avant de nous int\u00e9resser au contr\u00f4le qualit\u00e9 des seringues de rin\u00e7age pr\u00e9-remplies, qui font partie int\u00e9grante de la gestion des…<\/p>\n","protected":false},"author":8,"featured_media":6936,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[748],"tags":[],"class_list":["post-7147","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-actualites-et-innovation","speciality-equipe-operationnelle-dhygiene","speciality-securite-du-patient","contenttype-article-fr","target-approvisionnement","target-directeur-responsable-dhopital"],"acf":[],"yoast_head":"\nContr\u00f4le qualit\u00e9 des seringues de rin\u00e7age pr\u00e9-remplies\u202f: consid\u00e9rations essentielles - BD IV News<\/title>\n<meta name=\"description\" content=\"What are the key requirements for quality control during the prefilled flush syringe manufacturing process? 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