Status analysis of quality control of administered infusion solution with cytotoxic drugs

The administered infusion solution is a sterile preparation that can be used directly for intravenous infusion in patients by mixing one or more intravenous drugs using aseptic operation technology. The pharmacy intravenous admixture service (PIVAS) center is a professional technical service departm...

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Main Authors: Shan Wang, Feng-Ying Zhang, Xue Dou, Xiao-Lin Pan, Chen Su, Jin-Lei Tian, Dian-Ping Mu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Oncology Reviews
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Online Access:https://www.frontiersin.org/articles/10.3389/or.2024.1415677/full
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author Shan Wang
Feng-Ying Zhang
Xue Dou
Xiao-Lin Pan
Chen Su
Jin-Lei Tian
Dian-Ping Mu
author_facet Shan Wang
Feng-Ying Zhang
Xue Dou
Xiao-Lin Pan
Chen Su
Jin-Lei Tian
Dian-Ping Mu
author_sort Shan Wang
collection DOAJ
description The administered infusion solution is a sterile preparation that can be used directly for intravenous infusion in patients by mixing one or more intravenous drugs using aseptic operation technology. The pharmacy intravenous admixture service (PIVAS) center is a professional technical service department in hospitals, where the majority of inpatient-administered infusion solutions are prepared. During the processes of dissolution, dilution, preparation, storage, and use of intravenous drugs, the quality control of the administered infusion solution can be affected by various factors. At present, there are no relevant standards or guidance documents for the quality control of administered infusion solutions. Cytotoxic drugs are still the main treatment option for cancer patients and are mainly prepared in PIVAS centers in most hospitals. In this study, we mainly focused on the quality control of cytotoxic drug-administered infusion solutions and explored associated factors (diluent, container, concentration, temperature, and light), physical stability (visual appearance, pH, osmolality, and particulate matter), chemical stability (content), and biological stability (sterility). Most of the studies reviewed in this paper have insufficient data on the related factors and physicochemical stability of the administered infusion solutions. Research on the sterility of administered infusion solutions is particularly limited, with only one article addressing this aspect. Ensuring the quality of cytotoxic drug-administered infusion solutions is vital for the safe administration of drugs to cancer patients, so it is very important to enhance associated research. This article summarized the relevant literature on the quality control of cytotoxic drug-administered infusion solutions and provided a reference for safer and more efficient use of these drugs in clinical practice.
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spelling doaj-art-78f20a6b35214b3ebf0edf26a9a2162a2025-01-06T04:11:44ZengFrontiers Media S.A.Oncology Reviews1970-55572025-01-011810.3389/or.2024.14156771415677Status analysis of quality control of administered infusion solution with cytotoxic drugsShan Wang0Feng-Ying Zhang1Xue Dou2Xiao-Lin Pan3Chen Su4Jin-Lei Tian5Dian-Ping Mu6Department of Pharmacy, Tianjin First Central Hospital, Nankai University, Tianjin, ChinaDepartment of Pharmacy, Tianjin First Central Hospital, Nankai University, Tianjin, ChinaDepartment of Pharmacy, Tianjin First Central Hospital, Nankai University, Tianjin, ChinaDepartment of Pharmacy, Tianjin First Central Hospital, Nankai University, Tianjin, ChinaDepartment of Pharmacy, Tianjin First Central Hospital, Nankai University, Tianjin, ChinaCollege of Chemistry, Nankai University, Tianjin, ChinaDepartment of Pharmacy, Tianjin First Central Hospital, Nankai University, Tianjin, ChinaThe administered infusion solution is a sterile preparation that can be used directly for intravenous infusion in patients by mixing one or more intravenous drugs using aseptic operation technology. The pharmacy intravenous admixture service (PIVAS) center is a professional technical service department in hospitals, where the majority of inpatient-administered infusion solutions are prepared. During the processes of dissolution, dilution, preparation, storage, and use of intravenous drugs, the quality control of the administered infusion solution can be affected by various factors. At present, there are no relevant standards or guidance documents for the quality control of administered infusion solutions. Cytotoxic drugs are still the main treatment option for cancer patients and are mainly prepared in PIVAS centers in most hospitals. In this study, we mainly focused on the quality control of cytotoxic drug-administered infusion solutions and explored associated factors (diluent, container, concentration, temperature, and light), physical stability (visual appearance, pH, osmolality, and particulate matter), chemical stability (content), and biological stability (sterility). Most of the studies reviewed in this paper have insufficient data on the related factors and physicochemical stability of the administered infusion solutions. Research on the sterility of administered infusion solutions is particularly limited, with only one article addressing this aspect. Ensuring the quality of cytotoxic drug-administered infusion solutions is vital for the safe administration of drugs to cancer patients, so it is very important to enhance associated research. This article summarized the relevant literature on the quality control of cytotoxic drug-administered infusion solutions and provided a reference for safer and more efficient use of these drugs in clinical practice.https://www.frontiersin.org/articles/10.3389/or.2024.1415677/fulladministered infusion solutioncytotoxic drugsphysical stabilitychemical stabilitysterility
spellingShingle Shan Wang
Feng-Ying Zhang
Xue Dou
Xiao-Lin Pan
Chen Su
Jin-Lei Tian
Dian-Ping Mu
Status analysis of quality control of administered infusion solution with cytotoxic drugs
Oncology Reviews
administered infusion solution
cytotoxic drugs
physical stability
chemical stability
sterility
title Status analysis of quality control of administered infusion solution with cytotoxic drugs
title_full Status analysis of quality control of administered infusion solution with cytotoxic drugs
title_fullStr Status analysis of quality control of administered infusion solution with cytotoxic drugs
title_full_unstemmed Status analysis of quality control of administered infusion solution with cytotoxic drugs
title_short Status analysis of quality control of administered infusion solution with cytotoxic drugs
title_sort status analysis of quality control of administered infusion solution with cytotoxic drugs
topic administered infusion solution
cytotoxic drugs
physical stability
chemical stability
sterility
url https://www.frontiersin.org/articles/10.3389/or.2024.1415677/full
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