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- Protective equipment applicable to a centralized cytostatic preparation unitPublication . Gonçalves, Ana; Oliveira, Rui; Fernandes, Paula OdeteOccupational exposure to cytotoxic agents has been recognized as a potential danger to the health of handlers. However, collective and individual protection equipment has been developed for use by professionals. This article aims to identify and describe the protection equipment applicable to a centralized unit of cytostatics preparation, using a qualitative and quantitative descriptive analysis. A questionnaire survey yielded 83 responses, covering 18 centralized cytostatic preparation units. The results show some weaknesses detected in some institutions such as the absence of a shower and eyewash fountain, the lack of knowledge about the procedures manual, and the use of a surgical mask. However, the results point to awareness by the general manipulators regarding the use of some personal protective equipment. This study contributes to the investigation of the use of equipment for the protection of cytostatic manipulators at work in centralized cytostatic preparation units.
- The occupational risks and health effects resulting from exposition to cytotoxic drugs preparationPublication . Gonçalves, Ana; Oliveira, Rui; Fernandes, Paula O.Health professionals dealing with cytotoxic drugs are exposed to occupational hazards, which need to be controlled and reduced to the lowest possible level. The research intends to analyse the effect on the health of the manipulators and the main risks exposition in the preparation of cytotoxic drugs. To achieve this aim, a quantitative analysis was carried out based on data collected through the application of a survey developed for cytotoxic drugs manipulators in Portuguese Oncology institutions. The main results show some symptoms for general manipulators, the occurrence of accidents in the past and more training is required as important. The number of accidents is not connected with more training needs and proceedings lack of knowledge by manipulators. The research intends to contribute to the manipulation of cytotoxic drugs by health professionals, proposing the necessity of better and good practices implemented and organised throughout the CTX manipulation process that must be transversal between different oncology institutions.