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A simple and inexpensive method to monitor and minimize exposure from manipulation of cytotoxic drugs

dc.contributor.authorAli, Nuro
dc.contributor.authorCarmo, Helena
dc.contributor.authorRobalo, Raquel
dc.contributor.authorRocha, Luísa
dc.contributor.authorFernandes, Cristina
dc.contributor.authorMoreira, Fernando
dc.date.accessioned2023-06-07T10:16:23Z
dc.date.available2023-06-07T10:16:23Z
dc.date.issued2023-05-07
dc.description.abstractPharmacy personnel that manipulate cytotoxic drugs are under continuous exposure risk. Therefore, training and strict adherence to recommended practices should always be promoted. The main objective of this study was to develop and apply a safe, effective and low-cost method for the training and assessment of the safe handling of cytotoxic drugs, using commercially available tonic water. To evaluate the potential of tonic water as a replacement marker for quinine hydrochloride, deliberate spills of 1 mL of four different tonic waters (one coloured and three non-coloured) were analysed under ultraviolet light (300–400 nm). The pigmented sample did not produce fluorescence under ultraviolet (UV) light. The three commercially available tonic waters that exhibited fluorescence were further analysed by UV/Vis spectrophotometry (300–500 nm). Afterwards, a protocol of simulated manipulation of cytotoxic drugs was developed and applied to 12 pharmacy technicians, that prepared 24 intravenous bags according to recommended routine procedures using tonic water. Participants responded to a brief questionnaire to evaluate the adequacy and applicability of the activity. Seven of the participants had spillages during manipulation, the majority of which recorded during manipulation with needles. All participants scored the tonic water manipulation simulation with 4 or 5 points for simplicity, efficiency and feasibility. The obtained results suggest that tonic water can be used to simulate the manipulation of cytotoxic drugs in training and assessment programs. By using this replacement marker for quinine hydrochloride, it is possible to perform a more cost-effective, yet equally effective, assessment.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationAli N, Carmo H, Robalo R, Rocha L, Fernandes C, Moreira F. A simple and inexpensive method to monitor and minimize exposure from manipulation of cytotoxic drugs. Journal of Oncology Pharmacy Practice. 2023;0(0). doi:10.1177/10781552231173878pt_PT
dc.identifier.doi10.1177/10781552231173pt_PT
dc.identifier.eissn1477-092X
dc.identifier.issn1078-1552
dc.identifier.urihttp://hdl.handle.net/10400.22/23082
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSAGE Journalspt_PT
dc.relation.publisherversionhttps://journals.sagepub.com/doi/full/10.1177/10781552231173878pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectCytotoxic drugspt_PT
dc.subjectAntineoplasticpt_PT
dc.subjectHazardous drugspt_PT
dc.subjectOccupational exposurept_PT
dc.titleA simple and inexpensive method to monitor and minimize exposure from manipulation of cytotoxic drugspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage6pt_PT
oaire.citation.startPage1pt_PT
oaire.citation.titleJournal of Oncology Pharmacy Practicept_PT
person.familyNameMoreira
person.givenNameFernando
person.identifier2947760
person.identifier.ciencia-id5F16-AB92-94D0
person.identifier.orcid0000-0002-3452-1459
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication81213e80-09a5-4655-93dc-e54199edb2fe
relation.isAuthorOfPublication.latestForDiscovery81213e80-09a5-4655-93dc-e54199edb2fe

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