Preventing contamination between injections with multiple-use nozzle needle-free injectors: a safety trial

Vaccine. 2008 Mar 4;26(10):1344-52. doi: 10.1016/j.vaccine.2007.12.041. Epub 2008 Jan 18.

Abstract

Multiple-use nozzle jet injectors (MUNJIs), a type of needle-free injector, use a high-pressure stream to penetrate skin and deliver medicament. Concerns for their potential to transmit blood borne pathogens led to development of a hybrid MUNJI for use in mass immunizations. The HSI-500, referred to here as a protector cap needle-free injector (PCNFI), utilizes a disposable cap as a shield between the reusable injector nozzle and the skin to reduce the risk of contamination. This study aimed to determine the presence of hepatitis B virus (HBV) contamination in post-injection ("next person") samples immediately following injection in HBV-carrier adults. Tolerability and pain were also assessed. The study ended early because the PCNFI failed to prevent contamination in the first batch tested (8.2% failure rate). The injections were very well tolerated, with most followed by no bleeding (81.2%) or mild bleeding (7.8%). 55.2% of participants experienced no pain while 42.3% experienced mild pain following injection.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Carrier State
  • Equipment Contamination / prevention & control*
  • Female
  • Hemorrhage / etiology
  • Hepatitis B virus / chemistry
  • Humans
  • Immunization / adverse effects
  • Immunization / instrumentation*
  • Injections, Jet / adverse effects
  • Injections, Jet / instrumentation*
  • Male
  • Middle Aged
  • Pain / etiology
  • Reverse Transcriptase Polymerase Chain Reaction
  • Sterilization
  • Treatment Outcome