Q:

10/10/2013
There was a letter issued to AAAAI by the surgeon general regarding the use of gloves for immunotherapy. Where can I get a copy of that?

A:

Thank you for your inquiry.

Unfortunately I was not able to find a letter from the Surgeon General per se regarding the use of gloves during the administration of immunotherapy. The Academy does have a position statement on the use of gloves for compounding extracts here. The CDC also has a statement that applies to immunizations in general, but does not specifically discuss allergen immunotherapy. I have also copied that statement for you below, which includes a link to the site.

However, since I was not able to find the specific reference you mentioned, I am asking Dr. Linda Cox if she is aware of the existence of this document. I will of course forward it to you if she does have access to it.

Thank you again for your inquiry and we hope this response is helpful to you.

CDC MMWR December 1, 2006 / 55(RR15);1-48
Persons administering vaccines should follow appropriate precautions to minimize risk for spread of disease. Hands should be cleansed with an alcohol-based waterless antiseptic hand rub or washed with soap and water between each patient contact (57). Occupational Safety and Health Administration (OSHA) regulations do not require gloves to be worn when administering vaccinations, unless persons administering vaccinations are likely to come into contact with potentially infectious body fluids or have open lesions on their hands. Needles used for injections must be sterile and disposable to minimize the risk for contamination. A separate needle and syringe should be used for each injection. Changing needles between drawing vaccine from a vial and injecting it into a recipient is not necessary. Different vaccines should never be mixed in the same syringe unless specifically licensed for such use, and no attempt should be made to transfer between syringes.

Sincerely,
Phil Lieberman, M.D.

I am sorry but Dr. Cox has no knowledge of a letter from the Surgeon General and there does not appear to be any such letter on file at the AAAAI.

Warm Regards,
Phil Lieberman, M.D.

AAAAI - American Academy of Allergy Asthma & Immunology