Survival of Staphylococcus epidermidis in Propofol and Intralipid in the Dead Space of Intravenous Injection Ports

Anesth Analg. 2019 Jul;129(1):e20-e22. doi: 10.1213/ANE.0000000000002654.

Abstract

We tested whether propofol or Intralipid inoculated with Staphylococcus epidermidis would promote bacterial growth within an intravenous (IV) injection hub, a site prone to bacterial contamination. In tubes incubated under optimal conditions, S epidermidis exhibited growth in Intralipid, but not in propofol. In contrast, within the IV hub incubated with either propofol or intralipid at room temperature, S epidermidis bacterial numbers declined with time, and virtually no contamination remained after 12 hours. These data suggest that certain IV lines are inhospitable for S epidermidis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Drug Contamination*
  • Emulsions / administration & dosage
  • Emulsions / analysis
  • Equipment Contamination*
  • Injections, Intravenous
  • Microbial Viability
  • Phospholipids / administration & dosage
  • Phospholipids / analysis*
  • Propofol / administration & dosage
  • Propofol / analysis*
  • Soybean Oil / administration & dosage
  • Soybean Oil / analysis*
  • Staphylococcus epidermidis / growth & development*
  • Time Factors
  • Vascular Access Devices / microbiology*

Substances

  • Emulsions
  • Phospholipids
  • soybean oil, phospholipid emulsion
  • Soybean Oil
  • Propofol