Evaluation of Chemotherapy Contamination Following the Implementation of Closed System Transfer Devices

This study compared the contamination of the chemotherapeutic agent cyclophosphamide between using a conventional admixing procedure and closed system transfer devices (CSTDs). Surface wipes and urine samples were collected for two weeks before and two weeks after the CSTDs were used. The surface w...

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Main Authors: Warunsuda Sripakdee, Suphat Subongkot, Wannaporn Wattanawong, Saroch Onlaor
Format: Article
Language:English
Published: Environmental Research Institute, Chulalongkorn University 2015-02-01
Series:Applied Environmental Research
Subjects:
Online Access:https://ph01.tci-thaijo.org/jer/index.php/aer/article/view/31072
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author Warunsuda Sripakdee
Suphat Subongkot
Wannaporn Wattanawong
Saroch Onlaor
author_facet Warunsuda Sripakdee
Suphat Subongkot
Wannaporn Wattanawong
Saroch Onlaor
author_sort Warunsuda Sripakdee
collection DOAJ
description This study compared the contamination of the chemotherapeutic agent cyclophosphamide between using a conventional admixing procedure and closed system transfer devices (CSTDs). Surface wipes and urine samples were collected for two weeks before and two weeks after the CSTDs were used. The surface wipe samples were collected from critical areas in an aseptic dispensary unit and a chemotherapy patient care unit. The urine samples were collected from healthcare workers. Contamination from cyclophosphamide in the surface wipe samples was detected in fewer areas following the implementation of CSTDs. The median cyclophospha-mide concentration in aseptic dispensary unit areas following the usage of CSTDs was significantly lower than what was detected when the conventional method (p = 0.036, Mann-Whitney’s U-test) was used. Cyclophosphamide contamination was not detected in critical areas of the patient care unit following the use of the CSTDs. This study demonstrates the potential advantages of utilizing CSTDs to reduce contamination from chemotherapeutic agents in a work setting.
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spelling doaj.art-5aae2c517020428290c7508f5fe9adc22024-02-26T10:51:00ZengEnvironmental Research Institute, Chulalongkorn UniversityApplied Environmental Research2287-075X2015-02-0137110.35762/AER.2015.37.1.7Evaluation of Chemotherapy Contamination Following the Implementation of Closed System Transfer DevicesWarunsuda Sripakdee0Suphat Subongkot1Wannaporn Wattanawong2Saroch Onlaor3Faculty of Pharmaceutical Sciences, Prince of Songkla University, Songkhla, ThailandFaculty of Pharmaceutical Sciences, Khon Kaen University, Khon Kaen, ThailandAseptic Dispensary Unit, Sapphasitthiprasong Hospital, Ubon Ratchathani, ThailandAseptic Dispensary Unit, Sapphasitthiprasong Hospital, Ubon Ratchathani, Thailand This study compared the contamination of the chemotherapeutic agent cyclophosphamide between using a conventional admixing procedure and closed system transfer devices (CSTDs). Surface wipes and urine samples were collected for two weeks before and two weeks after the CSTDs were used. The surface wipe samples were collected from critical areas in an aseptic dispensary unit and a chemotherapy patient care unit. The urine samples were collected from healthcare workers. Contamination from cyclophosphamide in the surface wipe samples was detected in fewer areas following the implementation of CSTDs. The median cyclophospha-mide concentration in aseptic dispensary unit areas following the usage of CSTDs was significantly lower than what was detected when the conventional method (p = 0.036, Mann-Whitney’s U-test) was used. Cyclophosphamide contamination was not detected in critical areas of the patient care unit following the use of the CSTDs. This study demonstrates the potential advantages of utilizing CSTDs to reduce contamination from chemotherapeutic agents in a work setting. https://ph01.tci-thaijo.org/jer/index.php/aer/article/view/31072Closed system transfer deviceAntineoplastic drugChemotherapeutic agentHealthcare workerContamination
spellingShingle Warunsuda Sripakdee
Suphat Subongkot
Wannaporn Wattanawong
Saroch Onlaor
Evaluation of Chemotherapy Contamination Following the Implementation of Closed System Transfer Devices
Applied Environmental Research
Closed system transfer device
Antineoplastic drug
Chemotherapeutic agent
Healthcare worker
Contamination
title Evaluation of Chemotherapy Contamination Following the Implementation of Closed System Transfer Devices
title_full Evaluation of Chemotherapy Contamination Following the Implementation of Closed System Transfer Devices
title_fullStr Evaluation of Chemotherapy Contamination Following the Implementation of Closed System Transfer Devices
title_full_unstemmed Evaluation of Chemotherapy Contamination Following the Implementation of Closed System Transfer Devices
title_short Evaluation of Chemotherapy Contamination Following the Implementation of Closed System Transfer Devices
title_sort evaluation of chemotherapy contamination following the implementation of closed system transfer devices
topic Closed system transfer device
Antineoplastic drug
Chemotherapeutic agent
Healthcare worker
Contamination
url https://ph01.tci-thaijo.org/jer/index.php/aer/article/view/31072
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