Literature DB >> 20881620

Evaluation of antineoplastic drug exposure of health care workers at three university-based US cancer centers.

Thomas H Connor1, D Gayle DeBord, Jack R Pretty, Marc S Oliver, Tracy S Roth, Peter S J Lees, Edward F Krieg, Bonnie Rogers, Carmen P Escalante, Christine A Toennis, John C Clark, Belinda C Johnson, Melissa A McDiarmid.   

Abstract

OBJECTIVE: This study evaluated health care worker exposure to antineoplastic drugs.
METHODS: A cross-sectional study examined environmental samples from pharmacy and nursing areas. A 6-week diary documented tasks involving those drugs. Urine was analyzed for two specific drugs, and blood samples were analyzed by the comet assay.
RESULTS: Sixty-eight exposed and 53 nonexposed workers were studied. Exposed workers recorded 10,000 drug-handling events during the 6-week period. Sixty percent of wipe samples were positive for at least one of the five drugs measured. Cyclophosphamide was most commonly detected, followed by 5-fluorouracil. Three of the 68 urine samples were positive for one drug. No genetic damage was detected in exposed workers using the comet assay.
CONCLUSIONS: Despite following recommended safe-handling practices, workplace contamination with antineoplastic drugs in pharmacy and nursing areas continues at these locations.

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Year:  2010        PMID: 20881620     DOI: 10.1097/JOM.0b013e3181f72b63

Source DB:  PubMed          Journal:  J Occup Environ Med        ISSN: 1076-2752            Impact factor:   2.162


  47 in total

1.  Occupational exposures among nurses and risk of spontaneous abortion.

Authors:  Christina C Lawson; Carissa M Rocheleau; Elizabeth A Whelan; Eileen N Lividoti Hibert; Barbara Grajewski; Donna Spiegelman; Janet W Rich-Edwards
Journal:  Am J Obstet Gynecol       Date:  2011-12-30       Impact factor: 8.661

Review 2.  Reproductive health risks associated with occupational exposures to antineoplastic drugs in health care settings: a review of the evidence.

Authors:  Thomas H Connor; Christina C Lawson; Martha Polovich; Melissa A McDiarmid
Journal:  J Occup Environ Med       Date:  2014-09       Impact factor: 2.162

3.  Sampling and mass spectrometric analytical methods for five antineoplastic drugs in the healthcare environment.

Authors:  Jack R Pretty; Thomas H Connor; Ivan Spasojevic; Kristine S Kurtz; Jeffrey L McLaurin; Clayton B'Hymer; D Gayle Debord
Journal:  J Oncol Pharm Pract       Date:  2010-12-23       Impact factor: 1.809

4.  Evaluation of working practices and surface contamination with antineoplastic drugs in outpatient oncology health care settings.

Authors:  Bettina Kopp; Rudolf Schierl; Dennis Nowak
Journal:  Int Arch Occup Environ Health       Date:  2012-02-05       Impact factor: 3.015

5.  Field evaluation of onsite near real-time monitors for surface contamination by 5-fluorouracil.

Authors:  Jerome P Smith; Deborah Sammons; Shirley Robertson; Edward Krieg; John Snawder
Journal:  J Oncol Pharm Pract       Date:  2018-06-27       Impact factor: 1.809

6.  Hazardous drug residue on exterior vial surfaces: evaluation of a commercial manufacturing process.

Authors:  Luci A Power; Paul J M Sessink; Kathy Gesy; Flay Charbonneau
Journal:  Hosp Pharm       Date:  2014-04

Review 7.  Environmental monitoring by surface sampling for cytotoxics: a review.

Authors:  Petit Marie; Curti Christophe; Roche Manon; Montana Marc; Bornet Charleric; Vanelle Patrice
Journal:  Environ Monit Assess       Date:  2017-01-06       Impact factor: 2.513

8.  Multicenter study of environmental contamination with antineoplastic drugs in 33 Canadian hospitals.

Authors:  Delphine Merger; Cynthia Tanguay; Eric Langlois; Michel Lefebvre; Jean-François Bussières
Journal:  Int Arch Occup Environ Health       Date:  2013-03-08       Impact factor: 3.015

9.  Environmental contamination with hazardous drugs in quebec hospitals.

Authors:  Jean-François Bussières; Cynthia Tanguay; Karine Touzin; Eric Langlois; Michel Lefebvre
Journal:  Can J Hosp Pharm       Date:  2012-11

10.  NIOSH health and safety practices survey of healthcare workers: training and awareness of employer safety procedures.

Authors:  Andrea L Steege; James M Boiano; Marie H Sweeney
Journal:  Am J Ind Med       Date:  2014-02-18       Impact factor: 2.214

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