The clean rooms of the new Pharmacy Service are a controlled environment, with different degrees of sterility, equipped to face new pharmacological therapies such as gene therapies or therapies with carrier viruses, as well as meet the daily needs of parenteral nutrition, intravenous mixtures and preparation of dangerous drugs, among others.
Some of the new pharmacological therapies are already present in the hospital and others appear within the framework of clinical trials with high requirements for compliance with good practices.
With this equipment, in December 2020, the dangerous drugs program was launched, in which more than 1,000 monthly preparations are being prepared for all patients hospitalized in treatment with these types of drugs. In these spaces, well-established activities are also carried out, such as parenteral nutrition for an average of 650 patients hospitalized annually (8,500 nutrition bags prepared automatically) and for the 15 patients who are currently part of the home parenteral nutrition program. of the HUB (4309 annual scholarships).
Other relevant sterile preparations are mixtures of anesthetics for orthopedic surgery and traumatology (TOC) procedures such as local analgesic infiltration (about 30 monthly preparations), and WAS (wide-awake surgery) for hand surgery. and foot (about 40 monthly elaborations); autologous serum eye drops for patients with ocular surface pathologies such as neurotrophic keratopathy or persistent epithelial defects, among others; elastomeric antibiotic pumps for patients admitted to HAD (72 patients during the year 2020) and the development of specific master formulas for the allergy service (recently formulas have been prepared with excipients from anti-SARS-CoV-2 vaccines).
Finally, it should be noted that the new clean rooms have an area with a controlled environment (ISO 7) dedicated to other non-sterile preparations where formulas adapted to the specific requirements of each patient are carried out and which cannot be obtained by commercial. Examples include insulin eye drops, 25% sodium metabisulphite cream, 0.1 mg / 100 ml tacrolimus sips, or 2% lidocaine application in orabase. The construction and equipment of these clean rooms improves the working conditions already carried out by the Pharmacy Service and places Bellvitge Hospital at a highly competitive level to face new challenges.