Biomonitoring of pharmacists and nurses at occupational risk from handling antineoplastic agents†

Author:

Santos Andreza Negreli12,Oliveira Rodrigo Juliano1234,Pessatto Lucas Roberto14,Gomes Roberto da Silva56,Alberto Ferreira de Freitas Carlos13ORCID

Affiliation:

1. Center for Stem Cell Research, Cell Therapy and Toxicological Genetics, Maria Aparecida Pedrossian University Hospital, Brazilian Company of Hospital Services, Federal University of Mato Grosso do Sul, Campo Grande, Mato Grosso do Sul, Brazil

2. Master’s Program in Pharmaceutics, School of Pharmaceutical Sciences, Food and Nutrition, Federal University of Mato Grosso do Sul, Campo Grande, Mato Grosso do Sul, Brazil

3. Dr. Hélio Mandetta School of Medicine, Federal University of Mato Grosso do Sul, Campo Grande, Mato Grosso do Sul, Brazil

4. Graduate Program in Genetics and Molecular Biology, Biological Sciences Center, Londrina State University, Londrina, Paraná, Brazil

5. Laboratory of Molecular Synthesis and Modification, School of Exact Sciences and Technology, Federal University of Grande Dourados, Dourados, Mato Grosso do Sul, Brazil

6. Chemistry Graduate Program, Institute of Chemistry, Federal University of Mato Grosso do Sul, Campo Grande, Mato Grosso do Sul, Brazil

Abstract

Abstract Objective The objective of this study was to evaluate the frequency of genetic lesions in pharmacists and nurses who prepare and/or handle antineoplastic agents and to evaluate whether there are traces of contaminants in the urine of these professionals. Methods A total of 59 professionals participated in the study, of which 10 were non-exposed professionals (controls), 25 were pharmacists, and 24 were nurses. Key findings There was a significant increase in genetic damage in lymphocytes and cells of the oral mucosa in both pharmacists and nurses. The levels of cyclophosphamide and ifosfamide were also increased in the urine samples from those individuals. Conclusions: These results demonstrate the growing need for genetic biomonitoring and biomonitoring of trace antineoplastic agents in the urine of health professionals who prepare and/or handle antineoplastic agents.

Publisher

Oxford University Press (OUP)

Subject

Public Health, Environmental and Occupational Health,Health Policy,Pharmaceutical Science,Pharmacy

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