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细胞毒性药物的处理风险。II. 细胞毒性药物使用建议。

The risks of handling cytotoxic drugs. II. Recommendations for working with cytotoxic drugs.

作者信息

Kaijser G P, Underberg W J, Beijnen J H

机构信息

Pharmaceutical Laboratory, Utrecht University, The Netherlands.

出版信息

Pharm Weekbl Sci. 1990 Dec 14;12(6):228-35. doi: 10.1007/BF01967822.

DOI:10.1007/BF01967822
PMID:2091018
Abstract

Presuming that preparation of antineoplastic drugs without proper protection may lead to mutagenic urine (of which the effects are uncertain), one has to take great care when preparing these drugs. Apart from Norway no other country has national regulations issued by the government for handling cytostatic agents. Many organizations in various countries have made their own guidelines, which may be adapted to the situations in local hospitals. The following recommendations have been compiled after a review of the literature. They reflect a personal set of guidelines for preparation, administration and disposal of cytotoxic drugs. They are probably the minimum precautions that should be taken, and have not been approved by any committee or agency. Further precautions must first have their potential benefit weighed against probable inconvenience and additional costs.

摘要

假设在没有适当防护的情况下配制抗肿瘤药物可能会导致尿液发生诱变(其影响尚不确定),那么在配制这些药物时必须格外小心。除挪威外,没有其他国家由政府发布关于处理细胞毒性药物的国家法规。各国的许多组织都制定了自己的指南,这些指南可能会根据当地医院的情况进行调整。以下建议是在查阅文献后汇编而成的。它们反映了一套关于细胞毒性药物配制、给药和处置的个人指南。它们可能是应该采取的最低限度预防措施,并且尚未得到任何委员会或机构的批准。进一步的预防措施必须首先权衡其潜在益处与可能带来的不便和额外成本。

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Implementing a multiple-isolator unit for centralized preparation of cytotoxic drugs in a cancer center pharmacy.
Pharm World Sci. 1999 Aug;21(4):177-83. doi: 10.1023/a:1008731406552.
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The risks of handling cytotoxic drugs. I. Methods of testing exposure.处理细胞毒性药物的风险。I. 检测暴露的方法。
Pharm Weekbl Sci. 1990 Dec 14;12(6):217-27. doi: 10.1007/BF01967821.
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Centralized preparation of hazardous drugs. A choice between isolator and laminar airflow.
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4

本文引用的文献

1
Guidelines for safe handling of cytotoxic drugs in pharmacy departments and hospital wards.药房和医院病房中细胞毒性药物安全处理指南。
Hosp Pharm. 1981 Jan;16(1):17-20.
2
The handling of antineoplastic drugs in a major cancer center.
Hosp Pharm. 1980 Jun;15(6):302-4.
3
Precautions followed by personnel involved with the preparation of parenteral antineoplastic medications.
Hosp Pharm. 1980 Jun;15(6):293, 295-6, 298-9 passim.
4
Detection of contamination with antineoplastic agents in a hospital pharmacy department.
Pharm Weekbl Sci. 1992 Feb 21;14(1):16-22. doi: 10.1007/BF01989220.
Handling of injectable antineoplastic agents.
注射用抗肿瘤药物的处理
Br Med J. 1980 Aug 30;281(6240):589-91. doi: 10.1136/bmj.281.6240.589.
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Precautionary measures in the preparation of antineoplastics.
Am J Hosp Pharm. 1980 Sep;37(9):1184, 1186.
6
Recommendations for the safe handling of injectable antineoplastic drug products.
Am J Hosp Pharm. 1981 Nov;38(11):1693-5.
7
Developing guidelines for working with antineoplastic drugs.
Am J Hosp Pharm. 1981 Nov;38(11):1686-93.
8
Airborne drug levels in a laminar-flow hood.层流罩内的空气传播药物水平。
Am J Hosp Pharm. 1981 Sep;38(9):1301-3.
9
Antineoplastics: a safety hazard?
Am J Hosp Pharm. 1981 May;38(5):624.
10
Co-mutagenic effects of 2-aminoanthracene and cigarette smoke condensate on smoker's urine in the Ames Salmonella assay system.在艾姆斯沙门氏菌检测系统中,2-氨基蒽与香烟烟雾冷凝物对吸烟者尿液的共诱变效应。
Cancer Lett. 1981 Aug;13(3):203-12. doi: 10.1016/0304-3835(81)90019-7.