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- Microbiological Examination of Non-sterile Products 1. The outer surface of the product container was not disinfected. Effect: Rationale:Sleeping sickness (African trypanosomiasis) Mode of Transmission: Hallmark of Infection: Drug of Choice: American trypanosomiasis (Chagas disease) Mode of Transmission: Hallmark of Infection: Drug of Choice:What steps can a phlebotomist take to minimize contamination of drawnblood that is going to be used for microbiological testing from contactwith the skin flora?