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Editorial
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Volume 344:1544-1545 May 17, 2001 Number 20
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Lessons from an Epidemic, Again

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 by Grohskopf, L. A.
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It seemed like a simple plan. After the rubber top of a vial was swiped with an alcohol-soaked pledget and pierced with a needle, a dose of medication was aspirated, and any residual content was pooled for later use. What could go wrong? But this procedure carries as much as a 2 percent risk of introducing bacteria into the container,1 and that can trigger a dangerous cascade. If the hands of the operator are contaminated, if there is a nearby reservoir of potential pathogens (e.g., contaminated soap or hand lotion), if the medication is preservative-free, if the contaminant can grow . . . [Full Text of this Article]

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