(1996; 157 pages)
Appendix 1.C Revised/simplified WHO-Guidelines for evaluating the hygienic aspects of injection administration37
37Injection practices research, WHO/DAP/92. 9: 58.
The indicators to evaluate the hygienic aspects of injection administration (Indicator IIe-IIg) were developed in consultation with staff of the Expanded Programme on Immunization (EPI) of the World Health Organization (WHO).
1. What injection equipment is used?
a. If disposable equipment is used, is it still in its original sterile pack?
b. If sterilizable glass syringe and needle is used, are these taken from sterile containers?
2. Are correct techniques used to successfully sterilize or disinfect the equipment?
a. Are syringes and needles flushed with water after use and before sterilization?
b. Are both needles and syringes sterilized?
c. If steam sterilization is used, is the temperature correct (121°C), and the time long enough (15 minutes)?
d. If the equipment is boiled, is there at least 20 minutes from the time the last piece of contaminated equipment is placed in the boiling water?
e. If neither steam sterilization nor boiling is used, is then another form of sterilization used. Please describe.
3. Is the injection administered hygienically:
a. Can anything not in an aseptic condition contaminate the injection fluid?
b. Does the person injecting touch the needle with his/her fingers?
c. Does the needle come in contact with any other non aseptic surface before being used?
d. Are several patients injected with the same needle?
e. Are several patients injected with the same syringe (even if the needle is changed)?
4. Is the injection equipment stored appropriately after use:
a. Are disposable syringes and needles placed into a final disposal container?
b. Are disposable needles recapped before disposal?
c. Are disposable syringes and needles disposed of (and not re-used)?
d. Are sterilizable syringes and needles flushed with water after use?