Medical devices as a source of phthalate exposure: a review of current knowledge and alternative solutions

Phthalates are a group of phthalic acid esters used as plasticisers in a large number of products to improve their flexibility, softness, and extensibility. Their wide use in medical devices, however, raises a lot of concern, as they can enter the organism and have toxic effects on human liver, thyr...

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Main Authors: Šimunović Antonela, Tomić Siniša, Kranjčec Krunoslav
Format: Article
Language:English
Published: Sciendo 2022-09-01
Series:Arhiv za Higijenu Rada i Toksikologiju
Subjects:
Online Access:https://doi.org/10.2478/aiht-2022-73-3639
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author Šimunović Antonela
Tomić Siniša
Kranjčec Krunoslav
author_facet Šimunović Antonela
Tomić Siniša
Kranjčec Krunoslav
author_sort Šimunović Antonela
collection DOAJ
description Phthalates are a group of phthalic acid esters used as plasticisers in a large number of products to improve their flexibility, softness, and extensibility. Their wide use in medical devices, however, raises a lot of concern, as they can enter the organism and have toxic effects on human liver, thyroid, kidneys, lungs, reproductive, endocrine, nervous, and respiratory system and are associated with asthma, obesity, autism, and diabetes. The aim of this review is to summarise current knowledge about phthalate migration from medical devices during different medical procedures and possible impact on patient health. It also looks at alternative plasticisers with supposedly lower migration rates and safer profile. Not enough is known about which and how many phthalates make part of medical devices or about the health impacts of alternative plasticisers or their migration rates.
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spelling doaj.art-fc884df3a38441fd8a33cbd87c216f0d2022-12-22T02:39:12ZengSciendoArhiv za Higijenu Rada i Toksikologiju1848-63122022-09-0173317919010.2478/aiht-2022-73-3639Medical devices as a source of phthalate exposure: a review of current knowledge and alternative solutionsŠimunović Antonela0Tomić Siniša1Kranjčec Krunoslav2Croatian Agency for Medicinal Products and Medical Devices, Zagreb, CroatiaCroatian Agency for Medicinal Products and Medical Devices, Zagreb, CroatiaCroatian Agency for Medicinal Products and Medical Devices, Zagreb, CroatiaPhthalates are a group of phthalic acid esters used as plasticisers in a large number of products to improve their flexibility, softness, and extensibility. Their wide use in medical devices, however, raises a lot of concern, as they can enter the organism and have toxic effects on human liver, thyroid, kidneys, lungs, reproductive, endocrine, nervous, and respiratory system and are associated with asthma, obesity, autism, and diabetes. The aim of this review is to summarise current knowledge about phthalate migration from medical devices during different medical procedures and possible impact on patient health. It also looks at alternative plasticisers with supposedly lower migration rates and safer profile. Not enough is known about which and how many phthalates make part of medical devices or about the health impacts of alternative plasticisers or their migration rates.https://doi.org/10.2478/aiht-2022-73-3639plasticisershuman exposureregulationreproductive system disorderstoxicologyljudska izloženostplastifikatoriporemećaj reproduktivnog sustavatoksikologijazakonska regulativa
spellingShingle Šimunović Antonela
Tomić Siniša
Kranjčec Krunoslav
Medical devices as a source of phthalate exposure: a review of current knowledge and alternative solutions
Arhiv za Higijenu Rada i Toksikologiju
plasticisers
human exposure
regulation
reproductive system disorders
toxicology
ljudska izloženost
plastifikatori
poremećaj reproduktivnog sustava
toksikologija
zakonska regulativa
title Medical devices as a source of phthalate exposure: a review of current knowledge and alternative solutions
title_full Medical devices as a source of phthalate exposure: a review of current knowledge and alternative solutions
title_fullStr Medical devices as a source of phthalate exposure: a review of current knowledge and alternative solutions
title_full_unstemmed Medical devices as a source of phthalate exposure: a review of current knowledge and alternative solutions
title_short Medical devices as a source of phthalate exposure: a review of current knowledge and alternative solutions
title_sort medical devices as a source of phthalate exposure a review of current knowledge and alternative solutions
topic plasticisers
human exposure
regulation
reproductive system disorders
toxicology
ljudska izloženost
plastifikatori
poremećaj reproduktivnog sustava
toksikologija
zakonska regulativa
url https://doi.org/10.2478/aiht-2022-73-3639
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AT tomicsinisa medicaldevicesasasourceofphthalateexposureareviewofcurrentknowledgeandalternativesolutions
AT kranjceckrunoslav medicaldevicesasasourceofphthalateexposureareviewofcurrentknowledgeandalternativesolutions