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Development and validation of an analytical method to quantify cytotoxic drugs in gauze dressings used in luer-lock connection systems for a safer preparation

dc.contributor.authorSilva, Clara
dc.contributor.authorCarmo, Helena
dc.contributor.authorOliveira, Vânia
dc.contributor.authorCarvalho, Daniel
dc.contributor.authorMoreira, Fernando
dc.date.accessioned2024-07-11T13:54:32Z
dc.date.available2024-07-11T13:54:32Z
dc.date.issued2024-05
dc.description.abstractDespite patient ́s benefits, healthcare professionals face occupational hazardous when handling cytotoxic drugs used for cancer treatment. Several organizations outline procedures, conditions, and equipment recommended for safe handling. The International Society of Oncology Pharmacy Practice (ISOPP) standards are the guidelines recommended by the European Parliament but, unlike others (e.g. Occupational Safety and Health Administration (OSHA)), they omit the recommendation of using dressings at luer-lock connections to contain cytotoxic leaks. This study aims to develop and validate an analytical method for cyclophosphamide (CP) and 5-fluorouracil (5-FU) identification and quantification in gauze dressings for monitoring real-life occupational situations. Gauze dressings (20x10 cm) containing varying concentrations of CP and 5-FU were placed in 15 mL falcon tubes containing acetonitrile:methanol:water (19:13:68). After stirring, the samples were filtered through a 0.22 μm filter and analyzed using HPLC-DAD, equipped with a C18 column (Hypersil Gold ™150mm x 4.6mm and 5μm particle size). The mobile phases employed were acetonitrile:methanol:water (19:13:68) (CP) and 0.5% acetic acid in water(for 5-FU), with detection set at 205 nm (CP) and 260 nm (5-FU). The mean of five calibration curves was calculated for each drug, each exhibiting R² > 0.997, confirming the linearity for both drugs. Regarding sensitivity, LOD of 0.006 μg/cm2(5-FU) and 0.11 μg/cm2(CP) and LOQs of 0.02 μg/cm2(5-FU) and 0.32 μg/cm2(CP), were obtained. Accuracy ranged between 93%-110%, while precision ranged between 91%-99%. At room temperature, gauze dressings deliberately contaminated exhibited superior stability for 5-FU compared to CP. The method has been successfully validated for analyzing CP and 5-FU residues in gauze, meeting essential validation criteria. Upon suitability verification, the method will be applicable for the evaluation of the importance of using gauze dressing when handling cytotoxic drugs, by assessing contaminations occurring during their real-life handling routine.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationSilva, C., Carmo, H., Oliveira, V., Carvalho, D., & Moreira, F. (2024). Development and validation of an analytical method to quantify cytotoxic drugs in gauze dressings used in luer-lock connection systems for a safer preparation. III 1H-TOXRUN International Congress 2024 - Book of Abstracts, Scientific Letters, 1 (1), 108.pt_PT
dc.identifier.issn2795-5117
dc.identifier.urihttp://hdl.handle.net/10400.22/25783
dc.language.isoengpt_PT
dc.publisherCESPUpt_PT
dc.relation.publisherversionhttps://publicacoes.cespu.pt/index.php/sl/article/view/261/287pt_PT
dc.subjectCytotoxic drugspt_PT
dc.subjectOccupational hazardouspt_PT
dc.subjectChemotherapypt_PT
dc.subjectHPLC-DADpt_PT
dc.titleDevelopment and validation of an analytical method to quantify cytotoxic drugs in gauze dressings used in luer-lock connection systems for a safer preparationpt_PT
dc.typeconference object
dspace.entity.typePublication
oaire.citation.conferencePlacePortopt_PT
oaire.citation.startPage108pt_PT
oaire.citation.titleIII 1H-TOXRUN International Congress 2024 - Book of Abstracts; Scientific Letterspt_PT
oaire.citation.volume1 (1)pt_PT
person.familyNameOliveira
person.familyNameMoreira
person.givenNameVânia
person.givenNameFernando
person.identifier2947760
person.identifier.ciencia-id5F16-AB92-94D0
person.identifier.orcid0009-0002-0101-5303
person.identifier.orcid0000-0002-3452-1459
rcaap.rightsopenAccesspt_PT
rcaap.typeconferenceObjectpt_PT
relation.isAuthorOfPublication583d3d7e-6fa0-46ff-b29c-a910a83becce
relation.isAuthorOfPublication81213e80-09a5-4655-93dc-e54199edb2fe
relation.isAuthorOfPublication.latestForDiscovery81213e80-09a5-4655-93dc-e54199edb2fe

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