Szmyd Krzysztof, Haus Olga
Akademia Medyczna, Wrocław Klinika Transplantacji Szpiku, Onkologii i Hematologii Dzieciecej.
Med Pr. 2011;62(1):17-21.
The majority of antineoplastic agents have been found to show mutagenic, teratogenic and carcinogenic potential. Biological effects of long-term contact with low levels of cytostatic drugs are not well known. The results of many studies are ambiguous, which might be associated with varying levels of exposure in different hospitals.
About 100 physicians and nurses employed in the Department of Pediatric Bone Marrow Transplantation, Hematology and Oncology, Wroclaw Medical University, are exposed to cytostatic drugs. Over the last 15 years, nine cases of cancer occured, which may result from occupational exposure to antineoplastic agents. The most severely affected professional group are physicians, among whom 5 cases of cancer were identified.
Clinical situation of the Department requires an immediate action, including genetic studies, which are already under way. Moreover, all of the safety rules applicable when working with antineoplastic agents should be applied.
已发现大多数抗肿瘤药物具有致突变、致畸和致癌潜力。长期接触低水平细胞毒性药物的生物学效应尚不清楚。许多研究结果不明确,这可能与不同医院的接触水平不同有关。
弗罗茨瓦夫医科大学儿科骨髓移植、血液学和肿瘤学系约100名医生和护士接触细胞毒性药物。在过去15年中,发生了9例癌症,可能是职业接触抗肿瘤药物所致。受影响最严重的职业群体是医生,其中确诊了5例癌症。
该科室的临床情况需要立即采取行动,包括已经在进行的基因研究。此外,应适用所有与抗肿瘤药物相关的安全规则。