Evaluation of the Efficacy of Additional Measures Introduced
for the Protection of Healthcare Personnel Handling
Antineoplastic Drugs

J 2013

Evaluation of the Efficacy of Additional Measures Introduced for the Protection of Healthcare Personnel Handling Antineoplastic Drugs

ODRÁŠKA, Pavel, Lenka DOLEZALOVA, Jan KUTA, Michal ORAVEC, Pavel PILER et. al.

Basic information

Original name

Evaluation of the Efficacy of Additional Measures Introduced for the Protection of Healthcare Personnel Handling Antineoplastic Drugs

Authors

ODRÁŠKA, Pavel (203 Czech Republic, guarantor), Lenka DOLEZALOVA (203 Czech Republic), Jan KUTA (203 Czech Republic, belonging to the institution), Michal ORAVEC (203 Czech Republic, belonging to the institution), Pavel PILER (203 Czech Republic, belonging to the institution) and Luděk BLÁHA (203 Czech Republic, belonging to the institution)

Edition

ANNALS OF OCCUPATIONAL HYGIENE, OXFORD, OXFORD UNIV PRESS, 2013, 0003-4878

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30104 Pharmacology and pharmacy

Country of publisher

United Kingdom of Great Britain and Northern Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

Impact factor

Impact factor: 2.068

RIV identification code

RIV/00216224:14310/13:00067961

Organization unit

Faculty of Science

DOI

http://dx.doi.org/10.1093/annhyg/mes057

UT WoS

000315158600008

Keywords in English

chemical analysis; cytotoxic drugs; hazardous pharmaceuticals; occupational exposure; safety engineering

Abstract

V originále

Antineoplastic drugs are considered as a potential health risk to healthcare personnel, due to their adverse effects. The objective of the study was to compare the surface contamination level of the conventional preparation room and outpatient clinic before and after the implementation of a set of additional protective measures. To determine the surface contamination level with antineoplastic drugs, cyclophosphamide and platinum were determined in wipe samples with high performance liquid chromatography with tandem mass spectrometry and inductively coupled plasma mass spectrometry.In the preparation room, depending on the sampling spot and analyte, median concentrations ranged from 5 to 267 pg cm(2) and from 2 to 368 pg cm(2) before and after implementation of the measures, respectively. In the outpatient clinic, median concentrations ranged from 5 to 5310 pg cm(2) and from < 0.2 to 574 pg cm(2) before and after implementation of the measures, respectively. Depending on the sampling spot, median contamination of the outpatient clinic with cyclophosphamide and platinum was reduced by 5799% and 6198%, respectively.The measures implemented in the outpatient clinic were shown to reduce workplace contamination effectively. Therefore, they can be recommended also for other workplaces where antineoplastic drugs are administered. In contrast, measures implemented in the preparation room, where relatively strict regulations had already been adopted before the study, were less effective. To decrease the actual contamination of the preparation room, other protective measures (e.g. closed-system transfer devices) should be considered.

Links

ED0001/01/01, research and development project

Name: CETOCOEN

EE2.3.20.0053, research and development project

Name: Podpora odborníků a mezinárodního networkingu v oblastech environmentálního výzkumu v ČR

LM2011028, research and development project

Name: RECETOX ? Národní infrastruktura pro výzkum toxických látek v prostředí

Investor: Ministry of Education, Youth and Sports of the CR

Citovat

ODRÁŠKA, Pavel, Lenka DOLEZALOVA, Jan KUTA, Michal ORAVEC, Pavel PILER and Luděk BLÁHA. Evaluation of the Efficacy of Additional Measures Introduced for the Protection of Healthcare Personnel Handling Antineoplastic Drugs. ANNALS OF OCCUPATIONAL HYGIENE. OXFORD: OXFORD UNIV PRESS, 2013, vol. 57, No 2, p. 240-250. ISSN 0003-4878. Available from: https://dx.doi.org/10.1093/annhyg/mes057.

@article{1093228,
   author = {Odráška, Pavel and Dolezalova, Lenka and Kuta, Jan and Oravec, Michal and Piler, Pavel and Bláha, Luděk},
   article_location = {OXFORD},
   article_number = {2},
   doi = {http://dx.doi.org/10.1093/annhyg/mes057},
   keywords = {chemical analysis; cytotoxic drugs; hazardous pharmaceuticals; occupational exposure; safety engineering},
   language = {eng},
   issn = {0003-4878},
   journal = {ANNALS OF OCCUPATIONAL HYGIENE},
   title = {Evaluation of the Efficacy of Additional Measures Introduced for the Protection of Healthcare Personnel Handling Antineoplastic Drugs},
   volume = {57},
   year = {2013}
}

TY  - JOUR
ID  - 1093228
AU  - Odráška, Pavel - Dolezalova, Lenka - Kuta, Jan - Oravec, Michal - Piler, Pavel - Bláha, Luděk
PY  - 2013
TI  - Evaluation of the Efficacy of Additional Measures Introduced for the Protection of Healthcare Personnel Handling Antineoplastic Drugs
JF  - ANNALS OF OCCUPATIONAL HYGIENE
VL  - 57
IS  - 2
SP  - 240-250
EP  - 240-250
PB  - OXFORD UNIV PRESS
SN  - 00034878
KW  - chemical analysis
KW  - cytotoxic drugs
KW  - hazardous pharmaceuticals
KW  - occupational exposure
KW  - safety engineering
N2  - Antineoplastic drugs are considered as a potential health risk to healthcare personnel, due to their adverse effects. The objective of the study was to compare the surface contamination level of the conventional preparation room and outpatient clinic before and after the implementation of a set of additional protective measures. To determine the surface contamination level with antineoplastic drugs, cyclophosphamide and platinum were determined in wipe samples with high performance liquid chromatography with tandem mass spectrometry and inductively coupled plasma mass spectrometry.In the preparation room, depending on the sampling spot and analyte, median concentrations ranged from 5 to 267 pg cm(2) and from 2 to 368 pg cm(2) before and after implementation of the measures, respectively. In the outpatient clinic, median concentrations ranged from 5 to 5310 pg cm(2) and from < 0.2 to 574 pg cm(2) before and after implementation of the measures, respectively. Depending on the sampling spot, median contamination of the outpatient clinic with cyclophosphamide and platinum was reduced by 5799% and 6198%, respectively.The measures implemented in the outpatient clinic were shown to reduce workplace contamination effectively. Therefore, they can be recommended also for other workplaces where antineoplastic drugs are administered. In contrast, measures implemented in the preparation room, where relatively strict regulations had already been adopted before the study, were less effective. To decrease the actual contamination of the preparation room, other protective measures (e.g. closed-system transfer devices) should be considered.
ER  -

ODRÁŠKA, Pavel, Lenka DOLEZALOVA, Jan KUTA, Michal ORAVEC, Pavel PILER and Luděk BLÁHA. Evaluation of the Efficacy of Additional Measures Introduced for the Protection of Healthcare Personnel Handling Antineoplastic Drugs. \textit{ANNALS OF OCCUPATIONAL HYGIENE}. OXFORD: OXFORD UNIV PRESS, 2013, vol.~57, No~2, p.~240-250. ISSN~0003-4878. Available from: https://dx.doi.org/10.1093/annhyg/mes057.

Detailed Information on Publication Record