评估埃托波和环胺污染以及患者浴室当前的清洁做法
AnnMarie L Walton1, Margaret A Bush2, Anthony D Sung3
1AnnMarie L. Walton.
Clinical journal of oncology nursing
|March 17, 2025
概括
排水清洁显著减少了所和地板上的抗瘤药物 (AD) 污染. 然而,墙壁和地板上的环胺仍然受到污染,这表明需要改善卫生保健工作人员安全的清洁方案.
科学领域:
- 环境科学 环境科学
- 职业健康 职业健康 职业健康
- 制药科学 制药科学
背景情况:
- 抗瘤药物 (ADs) 对医疗保健工作者构成重大健康风险.
- 患者的浴室经常被ADs污染,排泄物被确定为潜在的来源.
- 了解环境污染对于防止医疗保健工作者暴露至关重要.
研究的目的:
- 为了评估患者浴室中的AD污染水平.
- 评估当前清洁实践在消除AD表面污染方面的有效性.
主要方法:
- 从三个浴室地点采集了表面样本,用于接受埃托波和/或环胺治疗的患者.
- 污染水平在三个时间点使用液态染色学-并联质谱分析.
- 清洁实践通过采访和对日常和排放清洁程序的直接观察来评估.
主要成果:
- 排放清洁导致了所表面和地板上的埃托波化物污染的显著减少.
- 在浴室墙壁上没有观察到对埃托波或环胺的污染有显著的减少.
- 在排放清洗后,地板上的环胺污染没有显著减少.
结论:
- 目前的排放清洁协议在减少AD污染方面是部分有效的,特别是对某些表面的埃托化物.
- 从墙壁上去除ADs和从地板上去除环胺的不足凸显了现有清洁实践中的缺陷.
- 增强的清洁策略是必要的,以减轻医疗保健人员的AD暴露风险.
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