In an editorial note, the authors of the MMWR listed four procedures in use of single-dose vials in clinical settings:
"These outbreaks could be avoided if smaller medication vial sizes that better fit procedural needs were manufactured," the authors wrote.
Concern about infection control and safety in ambulatory care settings prompted the CDC to launch its One and Only and Safe Injection Practices campaigns.
Herrera says that the incidents in Delaware and Arizona should reinforce to healthcare providers in all settings that "these outbreaks happen on a fairly routine basis, so I think we will continue to push this message directly to clinicians as much as we can. We will be trying our best to make all clinicians aware...and specifically as in this case, the importance of just using single dose vials once."