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Occupational exposure to cytotoxic drugs

dc.contributor.authorViegas , Susana
dc.contributor.authorOliveira, de Ana Cebola
dc.contributor.authorCarolino, Elisabete
dc.contributor.authorPádua, Mário
dc.contributor.institutionCentro de Investigação em Saúde Pública (CISP/PHRC)
dc.contributor.pblSciendo
dc.date.accessioned2018-10-10T22:09:37Z
dc.date.available2018-10-10T22:09:37Z
dc.date.issued2018-09-01
dc.description.abstractHealthcare workers who prepare or administer cytotoxic agents run the risk of exposure, and the risks for health are real even at doses lower than those applied in cancer patients, because, in theory, no dose is safe. The most common and problematic route of exposure is through the skin, especially as work surfaces can remain contaminated even after cleaning. This pilot study aimed to demonstrate the importance of having an effective surface decontamination protocol by determining surface contamination with cyclophosphamide, 5-fluorouracil, and paclitaxel as the most common cytotoxic drugs in an oncology day service. Samples were collected before and after drug handling and analysed with high performance liquid chromatography with diode array detection (HPLC-DAD). Of the 29 samples collected before drug handling 23 were contaminated, five of which with more than one drug. Of the 30 samples collected after drug handling 25 were contaminated, eight of which with more than one drug. The two time points did not significantly differ, which evidences a widespread contamination and ineffective cleaning. This calls for revising the cleaning protocol and handling procedure to place contamination under control as much as possible.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent12
dc.format.extent473678
dc.identifier.doi10.2478/aiht-2018-69-3137
dc.identifier.issn0004-1254
dc.identifier.otherPURE: 5989250
dc.identifier.otherPURE UUID: 2cca710b-8294-43c6-bc20-182e5e33c3bc
dc.identifier.otherPubMed: 30285944
dc.identifier.otherWOS: 000446333000005
dc.identifier.otherORCID: /0000-0003-2917-7283/work/54825385
dc.identifier.otherORCID: /0000-0003-2917-7283/work/55386425
dc.identifier.otherScopus: 85054466801
dc.identifier.urihttp://hdl.handle.net/10362/48629
dc.language.isoeng
dc.peerreviewedyes
dc.subjectSDG 3 - Good Health and Well-being
dc.titleOccupational exposure to cytotoxic drugsen
dc.title.subtitlethe importance of surface cleaning to prevent or minimise exposureen
dc.typejournal article
degois.publication.firstPage238
degois.publication.issue3
degois.publication.lastPage249
degois.publication.titleArhiv za higijenu rada i toksikologiju
degois.publication.volume69
dspace.entity.typePublication
rcaap.rightsopenAccess

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