Compounding Problems

Compounding Problems
Administrative EyeCare Nov/Dec2017

Regina Boore, MS, BSN, RN, CASC
Anthony Dziabo
Mark T. Livingston





In the fall of 2011 more than 20 people were injured when compounding pharmacies repackaged the anti-cancer drug, Avastin, into smaller doses for treating macular degeneration. Many lost their eye-sight and one patient suffered brain damage from the resulting infections.

This article addresses manufacturing and multi-vial use issues with respect to use of compounded sterile preparations (CSPs) in the ASC, including recommendations for standardizing drug pro- tocols so as to reduce liability exposure.

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