糖尿病衛教師互聯網CDE-F: 「胰島素筆針針頭能否重複使用？」

●健保局(02)2348-6753

李小姐表示針頭可以重複使用，轉接給徐小姐說在安全、醫療不浪費的情況下，同一個人是可以重複使用。

為考量可能污染空針或原胰島素製劑而造成注射部為感染，多半不建議空針重覆使用；但多個研究發現使用過的空針，絕大部分不會長菌，少數的長菌術亦極微量，均無引起注射部位感染的報告。因此建議空針用於同一病患時，可重覆使用，但使用後應蓋上蓋子；當針頭變鈍、彎曲、刻度不清或曾接觸過不應接觸的部位時應予以更換。

●台灣醫療網─省立新竹醫院新陳代科呂菁醫師

空針不可和他人共用，本人可以重使用數次，但針頭鈍了打針時較痛，如果有彎了或碰到皮膚以外的物品，不可以再用。

●相關文獻

1.Diabetes Care. 1984 Mar-Apr;7(2):118-20.

LinksRecurrent use of disposable syringe-needle units in diabetic children.Aziz S.

Fourteen insulin-dependent diabetic children reused their disposable syringe-needle units an average of 6.3 times per needle. Between uses, the needle was wiped with alcohol and stored in the refrigerator. There were no infections reported during the study for an average duration of 94 days. Dullness of the needle was the major reason for changing to a new one. Recurrent use of disposable needles for insulin injections appears safe in children and may be advised. It will help decrease some of the high cost of the daily care of a person with diabetes.十四個胰島素依賴糖尿病孩子重複利用了他們的一次性注射器針單位每平均每根針6.3次。在用途之間，針在冰箱抹了與酒精并且被存放了。沒有在94天的一個平均持續期的研究期間報告的傳染。針的鈍澀是主要變化原因到新的。對胰島素射入的一次性針的週期性用途看上去安全對於兒童，並且也許被勸告。它將幫助減少某些一個人的每日關心的高費用有糖尿病的

2.JAMA. 1980 Jul 18;244(3):266-7.

Multiple use of disposable insulin syringe-needle units.Hodge RH Jr, Krongaard L, Sande MA, Kaiser DL.

Fourteen insulin-dependent diabetics were asked to use their insulin syringe-needle units three times in succession to determine the efficacy and safety of this practice. The mean duration of time each patient participated in the study was 20.4 weeks, and a total of 2,000 injections were taken. No signs of infections at the injection site were observed. Multiple use of disposable insulin syringe-needle units appears to be safe and cost beneficial.十四個胰島素依賴糖尿病患者請求使用三次繼之後確定這實踐效力和安全的他們的胰島素注射器針單位。每名患者參加研究時間的卑鄙期間是20.4星期，並且總共2,000射入被採取了。傳染的標誌在射入站點的未被觀察。對一次性胰島素注射器針單位的多種的用途看來是有利安全和的費用

3.Diabetes Care. 1979 Sep-Oct;2(5):418-20.

Reuse of disposable syringe-needle units in the diabetic patient.Crouch M, Jones A, Kleinbeck E, Reece E, Bessman AN.A

comparison was made between reuse of plastic disposable needle-syringe units and glass syringes with daily new needles in diabetic patients who take daily insulin injections. Parameters studied were incidence of infection, clarity of syringe readings, ability to use syringe, and sharpness of needle. The plastic disposable units could be reused with safety and patient satisfaction by most patients for at least 3 days. Considerable cost benefit could accrue if disposable units were used more than one time for insulin injections.比較做了在塑膠一次性針注射器單位再用和與每日新的針的玻璃注射器之間在採取每日胰島素射入的糖尿病患者。被學習的參量是傳染的注射器讀書發生，清晰，針的能力使用注射器和鋒利。塑膠一次性單位能滿意地安全和患者重複利用由多數患者至少3天。如果使用了一次性單位超過胰島素射入的一次可觀的成本效益可能累積。

4.Resource Guide 2004-American Diabetes Assoociation

You may be interested in reusing your syringes. Most manufacturers do not recommend this, and there may be some increased risk to patients (i.e., needle dullness causing discomfort, possible infection, or tissue damage). While this practice remains controversial, many patients reuse syringes without any problems. Once again, your health care team can advise you on the practice. (Pen needles, however, should always be removed immediately after use; when left in place, they create an open passage to the insulin chamber. The open passage may allow bacteria into the chamber or fluid to leak out, which may alter the strength of the insulin.)您可以是對重複利用您的注射器感興趣。多數製造商不推薦此，並且也許有某一增加的風險對患者(即，造成難受、可能的傳染或者組織損傷)的針鈍澀。當這實踐遺迹爭論時，許多患者重複利用注射器不出任何問題。再次，您的醫療保健隊能勸告您實踐的。 (應該在用途之後總是去除筆針，然而，; 當放置不管，他們創造一個開放段落對胰島素房間。開放段落也許允許細菌入房間或流體泄漏，也許修改胰島素力量。)

●BD─A Look at the Reuseof Insulin Needles