Surface wipe sampling for antineoplastic (chemotherapy) and other hazardous drug residue in healthcare settings: Methodology and recommendations.

Surface wipe sampling for various hazardous agents has been employed in many occupational settings over the years for various reasons such as evaluation of potential dermal exposure and health risk, source determination, quality or cleanliness, compliance, and others. Wipe sampling for surface resid...

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Published in:Journal of Occupational & Environmental Hygiene Vol. 13; no. 9; pp. 658 - 668
Main Authors: Connor, Thomas H., Zock, Matthew D., Snow, Amy H.
Format: CEU pictorial review tables/charts Journal Article
Published: Taylor & Francis Ltd Sep2016
Online Access:View this record in EBSCOhost
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      dt: Sep2016
      vid: 13
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      pub: Taylor & Francis Ltd
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        10.1080/15459624.2016.1165912
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        atl: Surface wipe sampling for antineoplastic (chemotherapy) and other hazardous drug residue in healthcare settings: Methodology and recommendations.
      aug:
        au:
          Connor, Thomas H.
          Zock, Matthew D.
          Snow, Amy H.
        affil: Division of Applied Research and Technology, National Institute for Occupational Safety and Health, Cincinnati, Ohio
      sug:
        subj:
          Sampling Methods
          Antineoplastic Agents Adverse Effects
          Occupational Exposure Risk Factors
          Hazardous Materials
          Occupational Health
          Education, Continuing (Credit)
      ab: Surface wipe sampling for various hazardous agents has been employed in many occupational settings over the years for various reasons such as evaluation of potential dermal exposure and health risk, source determination, quality or cleanliness, compliance, and others. Wipe sampling for surface residue of antineoplastic and other hazardous drugs in healthcare settings is currently the method of choice to determine surface contamination of the workplace with these drugs. The purpose of this article is to review published studies of wipe sampling for antineoplastic and other hazardous drugs, to summarize the methods in use by various organizations and researchers, and to provide some basic guidance for conducting surface wipe sampling for these drugs in healthcare settings.  Recommendations on wipe sampling methodology from several government agencies and organizations were reviewed. Published reports on wipe sampling for hazardous drugs in numerous studies were also examined. The critical elements of a wipe sampling program and related limitations were reviewed and summarized.  Recommendations and guidance are presented concerning the purposes of wipe sampling for antineoplastic and other hazardous drugs in the healthcare setting, technical factors and variables, sampling strategy, materials required, and limitations. The reporting and interpretation of wipe sample results is also discussed.  It is recommended that all healthcare settings where antineoplastic and other hazardous drugs are handled consider wipe sampling as part of a comprehensive hazardous drug “safe handling” program. Although no standards exist for acceptable or allowable surface concentrations for these drugs in the healthcare setting, wipe sampling may be used as a method to characterize potential occupational dermal exposure risk and to evaluate the effectiveness of implemented controls and the overall safety program. A comprehensive safe-handling program for antineoplastic drugs may utilize wipe sampling as a screening tool to evaluate environmental contamination and strive to reduce contamination levels as much as possible, using the industrial hygiene hierarchy of controls.
      pubtype: Academic Journal
      doctype:
        CEU
        pictorial
        review
        tables/charts
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      ougenre: Article
    language: English
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