Evaluation of Antineoplastic Drug Exposure of Health Care Workers at Three University-Based US Cancer Centers
Thomas H. Connor, D. Gayle DeBord, Jack R. Pretty, M. Sieber Oliver, Tracy Roth, Peter S. J. Lees, Edward F. Krieg, Bonnie Rogers, Carmen P. Escalante, Christine Toennis, John C. Clark, Belinda C. Johnson, Melissa A. McDiarmid
Journal of Occupational and Environmental Medicine, Vol. 52, Issue 10, pp. 1019–1027 (2010)
10.1097/jom.0b013e3181f72b63
PMID: 20881620
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.
Topics
Field: Health Professions · Subfield: Occupational Therapy
Keywords
Antineoplastic Drugs,Medicine,Occupational exposure,Drug,Cancer,Environmental health,Pharmacology,Internal medicine
MeSH Terms
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