Risk management of excreta in a cancer unit

Although many legal and clinical requirements are in effect for the preparation and administration of the antineoplasic drugs, limited data exist on the potential cytotoxic risk to healthcare personnel from exposure of excreta (urine, feces, expectorations, saliva, perspiration, and vomiting) from patients. A preliminary risk analysis was conducted with a multidisciplinary work group. The objectives were to identify all potential hazards and accidental events that may lead to an accident related to the excreta management and to implement a global risk reduction and quality improvement policy. The findings revealed the potential risks of excreta contamination in health service and led to recommendations for the healthcare team to optimize working conditions, ensure public protection and occupational health, and promote environmental and employee safety.