Evidence map›Paper›PMID 35460122›Full record

ArticleAPMIS : acta pathologica, microbiologica, et immunologica Scandinavica2022

Injection site microflora in persons with diabetes: why needle reuse is not associated with increased infections?

Sofia Wareham-Mathiassen, Lene Bay, Vera Pinto Glenting, Naireen Fatima, Henrik Bengtsson, Thomas Bjarnsholt

Open access · hybridAbstract read
In one paragraph

Article in APMIS : acta pathologica, microbiologica, et immunologica Scandinavica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Sofia Wareham-MathiassenDepartment of Immunology and Microbiology, Copenhagen University, Copenhagen, Denmark.ORCID https://orcid.org/0000-0003-2382-4240
Lene BayDepartment of Immunology and Microbiology, Copenhagen University, Copenhagen, Denmark.ORCID https://orcid.org/0000-0002-4164-5900
Vera Pinto GlentingDepartment of Packaging & Materials Development, Devices & Delivery Solutions, Novo Nordisk A/S, Hillerød, Denmark.
Naireen FatimaDepartment of Immunology and Microbiology, Copenhagen University, Copenhagen, Denmark.
Henrik BengtssonDepartment of SaMD Design control & Engineering, Novo Nordisk A/S, Søborg, Denmark.
Thomas BjarnsholtDepartment of Immunology and Microbiology, Copenhagen University, Copenhagen, Denmark.ORCID https://orcid.org/0000-0002-8003-7414
University of Copenhagen · DKNovo Nordisk (Denmark) · DK

Funding

Danish Diabetes Academy, Novo Nordisk Foundation NNF17S0031406Innovation Fund 9065-00120BLEO foundation LF17067
6 · The paper itself

Abstract

Needle reuse is a common practice and primary cause of customer compliance issues such as pain, bruising, clogging, injection site reactions (ISR), and associated lipodystrophy. This study aimed to characterize skin microflora at injection sites and establish microbial contamination of used pen injectors and needles. The second objective was to evaluate the risk of infections during typical and repeated subcutaneous injections. 50 participants with diabetes and 50 controls (n = 100) were sampled through tape strips and skin swabs on the abdomen and thigh for skin microflora. Used pen injectors and needles were collected after in-home use and from the hospital after drug administration by health care professionals (HCPs). Samples were analyzed by conventional culture, matrix-assisted laser desorption/ionization-time of flight (MALDI-TOF), mass spectrometry (MS), confocal laser scanning microscopy (CLSM), and 16S/ITS high throughput sequencing (HTS). A mathematical model simulated the risk of needle contamination during injections. Injection site populations were in 10

Indexed as

Diabetes MellitusNeedlesHumansInjections, SubcutaneousInsulinSkinInsulinInjection sitesinsulin deliverymedical devicesneedle reuseskin microflora

Identifiers

PMID35460122
PMCPMC9320873
OpenAlexW4224326319

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.