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[抗有丝分裂药物暴露:来自药物生产场地环境监测数据的统计分析]

[Antiblastic drug exposure: statistical analysis of the data coming from environmental monitoring of a site devoted to drug production].

作者信息

Miraglia N, Castiglia L, Muselli A, Astarita S, Acampora A, Sannolo N

机构信息

Dipartimento di Medicina Sperimentale, Sezione di Medicina del Lavoro, Igiene e Tossicologia Industriale, Seconda Università degli Studi di Napoli, Via L. De Crecchio, 80138 Napoli.

出版信息

G Ital Med Lav Ergon. 2007 Jul-Sep;29(3 Suppl):739-40.

Abstract

An environmental monitoring strategy was carried out for the determination of surface concentrations of cyclophosphamide (CP), ifosfamide (IF) and 5-fluorouracil (5-FU) in a drug preparation room of an oncology ward. Analytes were determined by wipe tests, liquid-liquid extraction with diatomaceous earths and GC/MSMS or HPLC/UV analysis. The analysed 249 samples showed concentrations of CP, IF and 5-FU varying in the ranges 0.020-18.83, 0.100-26.96, 0.740-208.9 microg/dm2, respectively. It is noteworthy that the 9.3% (CP), 18.6% (IF) and 76.3% (5-FU) of the investigated surfaces showed high contamination levels, with analytes amount higher than 0.5 microg/dm2 and a progressive contamination decrement going from workbenches, floor, hood planes and other examined surfaces (interphone, telephone etc.). A significant correlation (rhos = 0.303, p = 0.001) between the measured analyte concentration and the analyte handled amount was found only in the case of IF, and a diffuse contamination (traces of all the three analytes) was found on all investigated surfaces, even when analytes were not been used during the sampling days.

摘要

在一个肿瘤病房的药物配制室进行了一项环境监测策略,以测定环磷酰胺(CP)、异环磷酰胺(IF)和5-氟尿嘧啶(5-FU)的表面浓度。通过擦拭试验、用硅藻土进行液液萃取以及气相色谱/串联质谱(GC/MSMS)或高效液相色谱/紫外(HPLC/UV)分析来测定分析物。所分析的249个样本显示,CP、IF和5-FU的浓度范围分别为0.020 - 18.83、0.100 - 26.96、0.740 - 208.9微克/平方分米。值得注意的是,9.3%(CP)、18.6%(IF)和76.3%(5-FU)的被调查表面显示出高污染水平,分析物含量高于0.5微克/平方分米,并且从工作台、地板、通风橱平面和其他检查表面(对讲机、电话等)呈现出逐渐降低的污染程度。仅在IF的情况下,发现测量的分析物浓度与分析物处理量之间存在显著相关性(rhos = 0.303,p = 0.001),并且在所有被调查表面都发现了弥漫性污染(所有三种分析物的痕迹),即使在采样日未使用分析物的情况下也是如此。

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