Literature DB >> 20886552

Evaluation of environmental contamination by platinum and exposure risks for healthcare workers during a heated intraperitoneal perioperative chemotherapy (HIPEC) procedure.

Armande Konate1, Joël Poupon, Antoine Villa, Robert Garnier, Hélène Hasni-Pichard, Danielle Mezzaroba, Gabriel Fernandez, Marc Pocard.   

Abstract

UNLABELLED: The study was plan to assess platinum (Pt) contamination in the operating room and its exposure to health workers during heated intraperitoneal perioperative chemotherapy (HIPEC) using oxaliplatin.
MATERIALS AND METHODS: Pt was measured in urinary and environmental (air and surfaces) samples via inductively coupled plasma mass spectrometry (ICP-MS). Urinary samples were obtained from 11 members of the staff before and after the procedure and from 6 controls. Samples from 15 surfaces and from 3 filters from the air extractors were also analyzed for Pt contamination.
RESULTS: Before HIPEC, Pt levels in urinary samples were similar in both the exposed and control groups; concentrations were below the limit of detection (i.e., 1.5 ng/L). No elevation was observed in the exposed group at the end of the procedure. Surgeon gloves were heavily contaminated. On other analyzed surfaces, lesser amounts of Pt were measured, ranging from 2 ng on the surgeon's hands to 183 ng on the forceps. All three air filters tested negative.
CONCLUSION: No contamination of healthcare workers or of the air in the operating room was detected. However, the heavy contamination of the surgeon's gloves demonstrates why doubling of specialized gloves for the surgeon should be mandatory.

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Year:  2011        PMID: 20886552     DOI: 10.1002/jso.21740

Source DB:  PubMed          Journal:  J Surg Oncol        ISSN: 0022-4790            Impact factor:   3.454


  10 in total

Review 1.  [Morbidity and mortality of hyperthermic intraperitoneal chemoperfusion].

Authors:  J O W Pelz; C-T Germer
Journal:  Chirurg       Date:  2013-11       Impact factor: 0.955

Review 2.  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

Review 3.  Safety considerations for Health care Workers involved in Cytoreductive Surgery and Perioperative chemotherapy.

Authors:  Aditi Bhatt; Sourabh Mittal; K S Gopinath
Journal:  Indian J Surg Oncol       Date:  2016-02-02

Review 4. 

Authors:  Céline Poupeau; Christel Roland; Jean-François Bussières
Journal:  Can J Hosp Pharm       Date:  2016-10-31

5.  Cisplatin and oxaliplatin surface contamination in intensive care units (ICUs) and hospital wards during attendance of HIPEC patients.

Authors:  K-E Schenk; R Schierl; M Angele; A Burkhart-Reichl; G Glockzin; A Novotny; D Nowak
Journal:  Int Arch Occup Environ Health       Date:  2016-05-03       Impact factor: 3.015

6.  Environmental safety during the administration of Pressurized IntraPeritoneal Aerosol Chemotherapy (PIPAC).

Authors:  Martin Graversen; Peter B Pedersen; Michael B Mortensen
Journal:  Pleura Peritoneum       Date:  2016-11-25

7.  Evaluation of oxaliplatin exposure of healthcare workers during heated intraperitoneal perioperative chemotherapy (HIPEC).

Authors:  Antoine F Villa; Souleiman El Balkhi; Radia Aboura; Herve Sageot; Helene Hasni-Pichard; Marc Pocard; Dominique Elias; Nathalie Joly; Didier Payen; François Blot; Joel Poupon; Robert Garnier
Journal:  Ind Health       Date:  2014-10-17       Impact factor: 2.179

Review 8.  Identification of Knowledge Gaps Regarding Healthcare Workers' Exposure to Antineoplastic Drugs: Review of Literature, North America versus Europe.

Authors:  Chun-Yip Hon; Cris Barzan; George Astrakianakis
Journal:  Saf Health Work       Date:  2014-06-11

9.  Current practice and perceptions of safety protocols for the use of intraperitoneal chemotherapy in the operating room: results of the IP-OR international survey.

Authors:  Daniel Clerc; Martin Hübner; K R Ashwin; S P Somashekhar; Beate Rau; Wim Ceelen; Wouter Willaert; Naoual Bakrin; Nathalie Laplace; Mohammed Al Hosni; Edgar Luis Garcia Lozcano; Sebastian Blaj; Pompiliu Piso; Andrea Di Giorgio; Giuseppe Vizzelli; Cécile Brigand; Jean-Baptiste Delhorme; Amandine Klipfel; Rami Archid; Giorgi Nadiradze; Marc A Reymond; Olivia Sgarbura
Journal:  Pleura Peritoneum       Date:  2021-02-12

10.  Is the blood of a surgeon performing HIPEC contaminated by irinotecan, its major metabolites and platinum compounds?

Authors:  Guillaume Saint-Lorant; Simon Rodier; Jean-Marc Guilloit; Sophie Ndaw; Mathieu Melczer; Stéphanie Lagadu; Agnès Palix; Raphaël Delépée
Journal:  Pleura Peritoneum       Date:  2021-03-03
  10 in total

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