Bacterial survival in radiopharmaceutical solutions: a critical impact on current practices

Abstract Background The aim of this brief communication is to highlight the potential bacteriological risk linked to the processes control of radiopharmaceutical preparations made in a radiopharmacy laboratory. Survival rate of Pseudomonas aeruginosa (ATCC: 27853) or Staphylococcus aureus (ATCC: 259...

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Main Authors: Julien Leenhardt (Author), Luc Choisnard (Author), Maelle Plasse (Author), Valérie Ardisson (Author), Nicolas de Leiris (Author), Loic Djaileb (Author), Pierrick Bedouch (Author), Marie-Dominique Brunet (Author)
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Published: SpringerOpen, 2023-10-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Julien Leenhardt  |e author 
700 1 0 |a Luc Choisnard  |e author 
700 1 0 |a Maelle Plasse  |e author 
700 1 0 |a Valérie Ardisson  |e author 
700 1 0 |a Nicolas de Leiris  |e author 
700 1 0 |a Loic Djaileb  |e author 
700 1 0 |a Pierrick Bedouch  |e author 
700 1 0 |a Marie-Dominique Brunet  |e author 
245 0 0 |a Bacterial survival in radiopharmaceutical solutions: a critical impact on current practices 
260 |b SpringerOpen,   |c 2023-10-01T00:00:00Z. 
500 |a 10.1186/s41181-023-00221-3 
500 |a 2365-421X 
520 |a Abstract Background The aim of this brief communication is to highlight the potential bacteriological risk linked to the processes control of radiopharmaceutical preparations made in a radiopharmacy laboratory. Survival rate of Pseudomonas aeruginosa (ATCC: 27853) or Staphylococcus aureus (ATCC: 25923) or Staphylococcus epidermidis (ATCC: 1228) in multidose technetium-99 m solution was studied. Results Depending on the nature and level of contamination by pathogenic bacteria, the lethal effect of radioactivity is not systematically observed. We found that P. aeruginosa was indeed affected by radioactivity. However, this was not the case for S. epidermidis, as the quantity of bacteria found in both solutions (radioactive and non-radioactive) was rapidly reduced, probably due to a lack of nutrients. Finally, the example of S. aureus is an intermediate case where we observed that high radioactivity affected the bacteria, as did the absence of nutrients in the reaction medium. The results were discussed in the light of current practices on the sterility test method, which recommends waiting for radioactivity to decay before carrying out the sterility test. Conclusion In terms of patient safety, the results run counter to current practice and the latest EANM recommendation of 2021 that radiopharmaceutical preparations should be decayed before sterility testing. 
546 |a EN 
690 |a Medical physics. Medical radiology. Nuclear medicine 
690 |a R895-920 
690 |a Therapeutics. Pharmacology 
690 |a RM1-950 
655 7 |a article  |2 local 
786 0 |n EJNMMI Radiopharmacy and Chemistry, Vol 8, Iss 1, Pp 1-5 (2023) 
787 0 |n https://doi.org/10.1186/s41181-023-00221-3 
787 0 |n https://doaj.org/toc/2365-421X 
856 4 1 |u https://doaj.org/article/c9a4e9d6ebcf4ae7a9827a02fb9dc4e4  |z Connect to this object online.