Urgent need to improve the safety of chemotherapy ward personnel in hospitals

Document Type : Letter to The Editor

Authors

Center for Nanotechnology in Drug Delivery, Shiraz University of Medical Sciences, Shiraz, Iran

Abstract

Cytotoxic and hazardous drugs, which mainly include chemotherapeutic agents,(1) have serious well-known side effects. Where we deliberately use these medicines to save the patient's life, these side effects are acceptable. But now we know that the treatment staff who are occupationally exposed to chemotherapeutic agents are at risk of contamination, which can be avoided. There are several reports on the occurrence of acute complications due to contamination with cytotoxic drugs among the personnel of oncology departments. The safety situation of oncology hospitals and clinics is worrying and should be addressed urgently and the health of the personnel should be prioritized. However, it seems that the main problem is not lack of equipment nor financial resources, but lack of attention and understanding the importance of safety. Paying attention to the safety issue not only reduces future financial costs, but can also prevent human disasters. In order to reduce the exposure risk and make the workplace safer for personnel, a combination of measures and controls must be taken.

Keywords

References

1.    Pan_American_Health_Organization. Safe Handling of Hazardous Chemotherapy Drugs in Limited-Resource Settings 2013 [Available from: https://iris.paho.org/handle/10665.2/28554.
2.    Canadin_Union_of_Public_Employees. Cytotoxic drugs 2020 [Available from: https://cupe.ca/cytotoxic-drugs.
3.    Siderov J, Kirsa S, McLauchlan R. Surface contamination of cytotoxic chemotherapy preparation areas in Australian hospital pharmacy departments. J Pharma Pract Res. 2009;39(2):117-21.
4.    Korczowska E, Crul M, Tuerk J, Meier K. Environmental contamination with cytotoxic drugs in 15 hospitals from 11 European countries—results of the MASHA project. Eur J Oncol Pharm. 2020;3(2):e24.
5.    Rai R, El-Zaemey S, Dorji N, Rai BD, Fritschi L. Exposure to Occupational Hazards among Health Care Workers in Low- and Middle-Income Countries: A Scoping Review. Int J Environ Res Public Health. 2021 Mar 5;18(5):2603. doi: 10.3390/ijerph18052603. PMID: 33807727; PMCID: PMC7967386.
6.    Rezazadeh Azari M, Akbari M E, Abdollahi M B, Mirzaei H R, Salehi Sahlabadi A, et al. Biological Monitoring of the Oncology Healthcare Staff Exposed to Cyclophosphamide in Two Hospitals in Tehran. Int J Cancer Manag.2019;12(1):e86537. doi: 10.5812/ijcm.86537.
7.    Manesh R, Panjali Z, Khani F, Habibi-Mohraz M, Borhani M. Knowledge and Attitude about Exposure to Cytotoxic Drugs in Oncology Nurses. J Occup Health. 2019;3(3):371-9.
8.    Momeni M, Askarian M, Azad H, Danaei M. Exposure to cytotoxic drugs threatens the health of staff in oncology wards. Russian Open Med J. 2021;10(3):318.
9.    von Grünigen S, Geissbühler A, Bonnabry P. The safe handling of chemotherapy drugs in low- and middle-income countries: An overview of practices. J Oncol Pharm Pract. 2022 Mar;28(2):410-420. doi: 10.1177/1078155221995539. Epub 2021 Feb 23. PMID: 33622088; PMCID: PMC8832569.
10.    Alehashem M, Baniasadi S. Safe handling of anti-neoplastic drugs in the university hospitals: a descriptive survey study among oncology nurses. Int J Cancer Manag. 2018;11(2):e6482. doi: 10.5812/ijcm.6482.
Trends in Pharmaceutical Sciences
Volume 8, Issue 4
December 2022
Pages 293-296

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