Efektivitas Cotton Ball dan Sudut 45° dalam Mengurangi Kontaminasi Microglass pada Ampul Obat

Effectiveness of Cotton Ball and 45° Angle in Reducing Microglass Contamination in Medicine Ampoules

Authors

  • Irvan Maulana BIMC Hospital Nusa Dua
  • Luh Putu Wahyu Ernitya BIMC Hospital Nusa Dua
  • Deni Fami Prasetya BIMC Hospital Nusa Dua
  • Laely Wahyunita Septianingrum RSPAD Gatot Soebroto

DOI:

https://doi.org/10.52263/jfk.v15i2.309

Keywords:

Cotton Ball, Drug Ampoules, Microglass Particle Contamination, 45-Degree Angle

Abstract

Microglass particle contamination from ampoules poses a serious concern in pharmaceutical and medical practice due to its potential health risks. This study evaluated the effect of using a cotton ball and breaking the ampoule at a 45° angle on microglass particle contamination. A quasi-experimental design was applied to 60 glass ampoules, divided into two groups: Group A (no treatment) and Group B (cotton ball and 45° angle). Samples were taken from the surface, middle, and bottom of the ampoules and analysed using the Wilcoxon test. Microscopic examination revealed significant differences between groups: Group A showed particles of varied sizes, while Group B displayed only small, uniform particles. No significant difference was found at the surface level, but the middle and bottom sections of Group B showed a marked reduction in contamination. The study concludes that applying a cotton ball and breaking ampoules at a 45° angle effectively reduces microglass particle contamination, thereby improving drug quality and safety. Implementing this technique as a standard procedure, supported by proper training for medical and pharmaceutical staff, could reduce patient risk and enhance production efficiency. Further research is needed to optimise this method for different ampoule types and pharmaceutical preparations.

References

BPOM. (2024). Peraturan Badan Pengawas Obat dan Makanan Nomor 7 Tahun 2024 tentang Standar Cara Pembuatan Obat yang Baik. Badan Pengawas Obat dan Makanan.

Carraretto, A. R., Curi, E. F., de Almeida, C. E. D., & Abatti, R. E. M. (2011). Glass Ampoules: Risks and Benefits. Brazilian Journal of Anesthesiology, 61(4), 513–521. https://doi.org/10.1016/S0034-7094(11)70059-9

Chiannilkulchai, N., & Kejkornkaew, S. (2021). Safety concerns with glass particle contamination: improving the standard guidelines for preparing medication injections. International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care, 33(2). https://doi.org/10.1093/intqhc/mzab091

Hambridge, K., Endacott, R., & Nichols, A. (2021). Investigating the incidence and type of sharps injuries within the nursing student population in the UK. British Journal of Nursing, 30 17, 998–1006. https://api.semanticscholar.org/CorpusID:238258830

Kawasaki, Y. (2009). A Study on the Insoluble Microparticulate Contamination at Ampoule Opening. YAKUGAKU ZASSHI, 129(9), 1041–1047. https://doi.org/10.1248/yakushi.129.1041

Kemenkes RI. (2020). Farmakope Indonesia edisi VI.

Lee, K.-R., Chae, Y.-J., Cho, S.-E., & Chung, S.-J. (2011). A strategy for reducing particulate contamination on opening glass ampoules and development of evaluation methods for its application. Drug Development and Industrial Pharmacy, 37(12), 1394–1401. https://doi.org/10.3109/03639045.2011.580349

Rahayu, P. T., Asmiati, D., & Santosa, A. (2020). Technique to open an ampoule with an “Ampoule Opener” tool. https://api.semanticscholar.org/CorpusID:234404163

Restrepo, C. S., Carrillo, J. A., Martínez, S., Ojeda, P., Rivera, A. L., & Hatta, A. (2007). Pulmonary Complications from Cocaine and Cocaine-based Substances: Imaging Manifestations. RadioGraphics, 27(4), 941–956. https://doi.org/10.1148/rg.274065144

Rojanasakul, Y., & Malanga, C. J. (2021). Parenteral Routes of Delivery. In Theory and Practice of Contemporary Pharmaceutics (pp. 387–419). CRC Press. https://doi.org/10.1201/9780203644478-16

Stoker, R. (2009). Preventing Injuries from Glass Ampoule Shards Advances In Glass Ampoule Breakers. October, 45–47.

Unahalekhaka, A., & Nuthong, P. (2022). Glass particulate adulterated in single dose ampoules: A patient safety concern. Journal of Clinical Nursing. https://api.semanticscholar.org/CorpusID:248432458

Wong, J., Brugger, A., Khare, A., Chaubal, M., Papadopoulos, P., Rabinow, B., Kipp, J., & Ning, J. (2008). Suspensions for intravenous (IV) injection: A review of development, preclinical and clinical aspects. Advanced Drug Delivery Reviews, 60(8), 939–954. https://doi.org/10.1016/j.addr.2007.11.008

Zhang, W., Gu, L., Zhang, Y., & Lu, H. (2020). Syringe tube as ampoule opener: A safe, simple and effective tool in dermatologic surgery. Journal of the American Academy of Dermatology. https://api.semanticscholar.org/CorpusID:218834980

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Published

2025-09-10

How to Cite

Maulana, I., Luh Putu Wahyu Ernitya, Deni Fami Prasetya, & Laely Wahyunita Septianingrum. (2025). Efektivitas Cotton Ball dan Sudut 45° dalam Mengurangi Kontaminasi Microglass pada Ampul Obat: Effectiveness of Cotton Ball and 45° Angle in Reducing Microglass Contamination in Medicine Ampoules. Jurnal Forum Kesehatan : Media Publikasi Kesehatan Ilmiah, 15(2), 68–75. https://doi.org/10.52263/jfk.v15i2.309