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Unsafe injection practices can be a serious threat to a patient’s health. Health care providers (doctors, nurses, and anyone providing injections) should never reuse a needle or syringe from one patient to another. Both the needle and syringe must be discarded once they have been used. Reusing a needle or syringe can put patients in danger of getting hepatitis C, hepatitis B, and HIV.

Needles, Syringes, and Multi-dose Vials

The following recommendations apply to the use of needles, syringes, and intravenous delivery systems:

  • Use aseptic technique to avoid contamination of sterile injection equipment.
  • Do not administer medications from a syringe to multiple patients, even if the needle or cannula on the syringe is changed. Needles and syringes are sterile, single-use items; they should not be reused for another patient or to access a medication or solution that might be used for a subsequent patient.
  • Use fluid infusion and administration sets (i.e., intravenous bags, tubing, and connectors) for one patient only and dispose appropriately after use. Consider a syringe or needle/cannula contaminated once it has been used to enter or connect to a patient's intravenous infusion bag or administration set.
  • Use single-dose vials for injectable medications whenever possible.
  • Do not administer medications from single-dose vials to multiple patients, or combine leftover contents for later use.
  • If multi-dose vials must be used, both the needle and syringe used to access the multi-dose vial must be sterile.
  • Do not keep multi-dose vials in the immediate patient treatment area and store in accordance with the manufacturer's recommendations. Discard if sterility is compromised or questionable.
  • Do not use bags or bottles of intravenous solution as a common source of supply for multiple patients.

For more information about preventing unsafe injection practices, please visit the CDC Injection Safety page.

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