Surface contamination of chemotherapy drug vials and evaluation of new vial-cleaning techniques: Results of three studies.

Purpose. The results of three studies that describe the external contamination of chemotherapy drug vials are presented. New techniques for the improved decontamination of vials containing cisplatin are also described. Summary. Study 1 evaluated the external contamination of drug vials with cyclopho...

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Publicado en:American Journal of Health-System Pharmacy Vol. 62; no. 5; pp. 475 - 476
Autores principales: Connor TH, Sessink PJ, Harrison BR, Pretty JR, Peters BG, Alfaro RM, Bilos A, Beckmann G, Bing MR, Anderson LM, Dechristoforo R
Formato: research Journal Article
Publicado: Oxford University Press / USA 3/1/2005
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 3/1/2005
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      pub: Oxford University Press / USA
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        atl: Surface contamination of chemotherapy drug vials and evaluation of new vial-cleaning techniques: Results of three studies.
      aug:
        au:
          Connor TH
          Sessink PJ
          Harrison BR
          Pretty JR
          Peters BG
          Alfaro RM
          Bilos A
          Beckmann G
          Bing MR
          Anderson LM
          Dechristoforo R
      sug:
        subj:
          Antineoplastic Agents
          Decontamination, Hazardous Materials Methods
          Antineoplastic Agents Analysis
          Drug Packaging
          Equipment Contamination Prevention and Control
          Pharmacy Service
          Human
      ab: Purpose. The results of three studies that describe the external contamination of chemotherapy drug vials are presented. New techniques for the improved decontamination of vials containing cisplatin are also described. Summary. Study 1 evaluated the external contamination of drug vials with cyclophosphamide and ifosfamide in a pharmacy setting. Widespread contamination of the outside of drug vials was found with each drug. Study 2 evaluated the surface contamination of drug vials with cyclophosphamide and fluorouracil in three pharmacies. Sporadic contamination with fluorouracil was detected, while cyclophosphamide was found on most vials. In study 3, investigators compared the decontamination abilities of a standard decontamination procedure at the manufacturer level with an improved decontamination procedure and the use of sleeves to further decrease contamination. Though the methods of each study reported herein differed, the outcomes were similar. All chemotherapy drug vials studied demonstrated levels of contamination with the drug well above the limit of detection. Improved decontamination procedures, combined with the use of protective sleeves, reduced the level of platinum contamination by 90%, suggesting that standard decontamination procedures should be reconsidered. Conclusion. The results of these studies are consistent with several others that have reported contamination of the outside surface of drug vials for a number of chemotherapy drugs. Contamination can be reduced by using decontamination equipment and protective sleeves during the manufacturing process.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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