ࡱ> HJG ]bjbj 8g3 kkk8$7I7K7K7K7K7K7K7$9,<Jo7kL"oo|L"L"o7j7\#\#\#L"RI7\#L"I7\#\#!3I"6s"v6f57707{6nv<\#v<66v<k68hS J\# < so7o7\#7L"L"L"L"v< :  29 June, 2009 Kyle Reid PHARMAC PO Box 10 254 Wellington 6143 Email: HYPERLINK "mailto:kyle.reid@pharmac.govt.nz"kyle.reid@pharmac.govt.nz Fax: 04 - 460 4995 Dear Kyle RE: Proposal to fund sodium chloride 7% x 500ml bag The proposal to fund a 500ml bag of sodium chloride 7% is queried by The Paediatric Society because of concerns regarding safety and sterility. A hypertonic saline solution is required for use in the community by cystic fibrosis (CF) children. However the proposed product has some quality issues for these patients: Safety concerns regarding an intravenous luer end on a bag for a non - intravenous route of administration These CF children are likely to require long term antibiotic therapy and will, therefore, have long term central venous (CV) access for the administration of these antibiotics. There is concern that the intravenous luer end on the proposed hypertonic saline bag will lead to confusion and a possible administration error with the inadvertent administration of the hypertonic saline via the CV line. The potential for this error to occur is increased by the presentation of the solution in a bag, rather than a bottle or nebule. Sterility The potential for multiple withdrawals from the proposed hypertonic saline bag will increase the risk of microbial contamination and therefore increase the infection risk for the patient. Would PHARMAC please review the proposal to fund the 500 ml bag of sodium chloride 7% and find another product or presentation which is suitable for these children eg. sodium chloride 7 % nebules produced by the Pari Company (U.S.) This letter is endorsed by the members of the Pharmacist & Therapeutics Special Interest Group (SIG) of The Paediatric Society: Elaine McCall, Clinical Nurse Consultant, Paediatric Intensive Care Unit, Starship Childrens Health (SCH) Andrew Sutton, Pharmacist Team Leader (SCH) Elizabeth Oliphant, Senior Paediatric Pharmacist (SCH) Caroline De Luca, Senior Paediatric Pharmacist (SCH) Dianne Wright, Clinical Advisory and Paediatric Pharmacist, Taranaki Base Hospital Brenda Hughes, Convenor, Pharmacist & Therapeutics SIG     THE PAEDIATRIC SOCIETY OF NEW ZEALAND Secretariat: Email:Denise Tringham P O Box 22 234 Wellington 6441 Tel: (04) 938 4827 Fax: (04) 976 4827 psnz@paradise.net.nz  Health of our children: Wealth of our nation "#IJvw' WXghjkmnpqstutfthK{B*CJOJQJphh6@^B*CJOJQJphhK{5B*CJ(OJQJphh6@^5B*CJ$OJQJphhK{5OJQJ+jhK{hK{5OJQJUmHnHuhdjhdU h;^Jh0J^JjhK{U h>*^J h^JhK{B*phhhK{%#1Aw x & ' m ^gd;^gd & F" d*$gdgdm n VWXYEq0gijlmoprsu$ x$Ifa$  $Ifdh^hgd    $If  !Sn#$If !Sn#$If    "#&')+Y[\]̻з̱ h^Jh6@^ jhK{hK{UmHnHuhdhK{hK{B*CJOJQJphh6@^B*CJOJQJphhK{5B*CJOJQJph !"#'()*+Z[\]wnh^hgd $ !a$ $ !n#a$ !lkd$$If\u+#4a 6&P 1h:pK{. 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The Paediatric Society believes all children and youth should, by right, attain optimal physical, mental and social health and wellbeing.  By working as a coordinated national network of health professionals the Society dedicates its efforts and resources to making official submissions to both Government and Non-Government organisations on issues that will impact on the health and wellbeing of children and young people.

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