Compliance to bleach disinfection protocols among injecting drug users in Miami

Clyde B McCoy, J. E. Rivers, H. V. McCoy, P. Shapshak, N. L. Weatherby, D. D. Chitwood, John Page, J. A. Inciardi, D. C. McBride

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

Bleach cleansing of injection equipment has been recommended to reduce the risk of human immunodeficiency virus (HIV) transmission associated with the reuse of injection equipment by injecting drug users (IDUs). We evaluated the recall and performance of the most commonly recommended bleach cleansing procedure of two complete fillings of the syringe with bleach, followed by two complete fillings with rinse water, and not putting used bleach and water back into source containers. IDUs were taught this procedure on enrollment in an HIV prevention demonstration project in Dade County, Florida. During follow-up session 6-12 months after initial training, the knowledge and ability of IDUs to perform bleach cleansing were assessed by trained observers using a standardized method. In 1988-90, we assessed the knowledge and ability of 450 IDUs to perform the bleach cleansing procedure taught at enrollment. More than 90% of IDUs assessed performed the basic steps. However, only 43.1% completely filled the syringe with bleach and only 35.8% completely filled the syringe with bleach at least twice. Substantial proportions of IDUs did not perform all the steps of the previously taught bleach cleansing procedure. Compliance decreased as the number of steps required was increased. This limited compliance may make bleach cleansing less effective and suggests that some IDUs may fail to adequately disinfect injection equipment and therefore sterile needles and syringes are safer than bleach-cleansed ones. Compliance testing can help assess the effectiveness of HIV prevention programs.

Original languageEnglish
Pages (from-to)773-776
Number of pages4
JournalJournal of Acquired Immune Deficiency Syndromes
Volume7
Issue number7
StatePublished - Jan 1 1994

Fingerprint

Disinfection
Drug Users
Compliance
Syringes
HIV
Injections
Equipment Reuse
Equipment and Supplies
Water
Needles

Keywords

  • Bleach disinfection
  • Cleansing
  • Compliance
  • HIV-1
  • Injecting drug users
  • Needles
  • Syringes

ASJC Scopus subject areas

  • Virology
  • Immunology and Allergy

Cite this

McCoy, C. B., Rivers, J. E., McCoy, H. V., Shapshak, P., Weatherby, N. L., Chitwood, D. D., ... McBride, D. C. (1994). Compliance to bleach disinfection protocols among injecting drug users in Miami. Journal of Acquired Immune Deficiency Syndromes, 7(7), 773-776.

Compliance to bleach disinfection protocols among injecting drug users in Miami. / McCoy, Clyde B; Rivers, J. E.; McCoy, H. V.; Shapshak, P.; Weatherby, N. L.; Chitwood, D. D.; Page, John; Inciardi, J. A.; McBride, D. C.

In: Journal of Acquired Immune Deficiency Syndromes, Vol. 7, No. 7, 01.01.1994, p. 773-776.

Research output: Contribution to journalArticle

McCoy, CB, Rivers, JE, McCoy, HV, Shapshak, P, Weatherby, NL, Chitwood, DD, Page, J, Inciardi, JA & McBride, DC 1994, 'Compliance to bleach disinfection protocols among injecting drug users in Miami', Journal of Acquired Immune Deficiency Syndromes, vol. 7, no. 7, pp. 773-776.
McCoy CB, Rivers JE, McCoy HV, Shapshak P, Weatherby NL, Chitwood DD et al. Compliance to bleach disinfection protocols among injecting drug users in Miami. Journal of Acquired Immune Deficiency Syndromes. 1994 Jan 1;7(7):773-776.
McCoy, Clyde B ; Rivers, J. E. ; McCoy, H. V. ; Shapshak, P. ; Weatherby, N. L. ; Chitwood, D. D. ; Page, John ; Inciardi, J. A. ; McBride, D. C. / Compliance to bleach disinfection protocols among injecting drug users in Miami. In: Journal of Acquired Immune Deficiency Syndromes. 1994 ; Vol. 7, No. 7. pp. 773-776.
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