Identifying and Eliminating Laboratory Contamination by Topical Testosterone Therapeutics

Author:

Genzen Jonathan R12,La'ulu Sonia L3,Wyness Sara P3,Scholes Kelly L1,Signorelli Heather N12,Greer Ryan W1

Affiliation:

1. ARUP Laboratories, Salt Lake City, UT

2. Department of Pathology, University of Utah, Salt Lake City, UT

3. ARUP Institute for Clinical and Experimental Pathology, Salt Lake City, UT

Abstract

Abstract Many prescription and over-the-counter drugs are available as topical formulations. Contamination of clinical laboratory workspaces by topical drugs may increase the risk of potential interference with diagnostic testing. An example of localized workspace contamination attributed to a topical hormonal drug (testosterone, T) is presented to highlight significant challenges in identifying and resolving this potential problem. Investigation included precision studies, instrument service and parts replacement, instrument replacement, airflow analysis, environmental dust sampling, and the development of customized methods for workspace monitoring and cleaning. Laboratory policies and procedures were also revised to minimize future risk.

Publisher

Oxford University Press (OUP)

Subject

Biochemistry (medical),Clinical Biochemistry

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2. S Billets. A literature review of wipe sampling methods for chemical warfare agents and toxic industrial chemicals. US Environmental Protection Agency, Washington, DC, EPA/600/R-07/004, 2007. https://permanent.access.gpo.gov/lps84975/600r07004.pdf (Accessed September 2018).

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4. Testosterone II package insert. 2011-11 V3;Roche Diagnostics

5. Skin contamination by oestradiol gel—a remarkable source of error in plasma oestradiol measurements during percutaneous hormone replacement therapy;Vihtamaki;Maturitas,2004

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