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Evaluation of the efficacy of a self-cleaning automated compounding system for the decontamination of cytotoxic drugs

INTRODUCTION: Low surface contamination levels of hazardous drugs in compounding areas can be used as indicators of exposure and efficacy of cleaning procedures. We report the efficacy results of the KIRO® Oncology self-cleaning automated compounding system for decontamination of cytotoxic drugs, as...

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Autores principales: Telleria, Naiara, García, Nerea, Grisaleña, Jaione, Algaba, Naiara, Bergareche, Eider, Tamés, María José, Cajaraville, Gerardo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8438772/
https://www.ncbi.nlm.nih.gov/pubmed/32854575
http://dx.doi.org/10.1177/1078155220951866
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author Telleria, Naiara
García, Nerea
Grisaleña, Jaione
Algaba, Naiara
Bergareche, Eider
Tamés, María José
Cajaraville, Gerardo
author_facet Telleria, Naiara
García, Nerea
Grisaleña, Jaione
Algaba, Naiara
Bergareche, Eider
Tamés, María José
Cajaraville, Gerardo
author_sort Telleria, Naiara
collection PubMed
description INTRODUCTION: Low surface contamination levels of hazardous drugs in compounding areas can be used as indicators of exposure and efficacy of cleaning procedures. We report the efficacy results of the KIRO® Oncology self-cleaning automated compounding system for decontamination of cytotoxic drugs, assessed in an oncology health center using a sanitizing method and an alkaline method. METHODS: The study was conducted for six-days over a three-week period. A mixture with known levels of 5-fluorouracil, ifosfamide, cyclophosphamide, gemcitabine, etoposide, methotrexate, paclitaxel, docetaxel and carboplatin was added to the KIRO® Oncology’s compounding area surface before each self-cleaning method was used. Contamination levels were determined, with a surface wipe sampling kit, at the end of the self-cleaning process. RESULTS: Background surface contamination for quantified levels of cytotoxic drugs during routine use of KIRO® Oncology was below limit of quantification (<LOQ) for all drugs, except for carboplatin, which has a very low LOQ (0.2 ng/sample). The quantified drug levels detected on surface wipe samples after self-cleaning using both methods in the KIRO® Oncology’s compounding area surface sections were all <LOQ when spiking with 1 ng/cm(2) (ten times the ‘safe’ reference value), except for carboplatin (alkaline method only), although its levels were still below the ‘safe’ reference value (0.1 ng/cm(2)). For surface contamination levels when spiking with 100 ng/cm(2), both self-cleaning methods had decontamination efficacies >99.8% for all cytotoxic drugs analyzed. CONCLUSION: This study provides evidence on the efficacy of the KIRO® Oncology automatic self-cleaning system for surface area decontamination during the preparation of cytotoxic drugs.
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spelling pubmed-84387722021-09-15 Evaluation of the efficacy of a self-cleaning automated compounding system for the decontamination of cytotoxic drugs Telleria, Naiara García, Nerea Grisaleña, Jaione Algaba, Naiara Bergareche, Eider Tamés, María José Cajaraville, Gerardo J Oncol Pharm Pract Original Articles INTRODUCTION: Low surface contamination levels of hazardous drugs in compounding areas can be used as indicators of exposure and efficacy of cleaning procedures. We report the efficacy results of the KIRO® Oncology self-cleaning automated compounding system for decontamination of cytotoxic drugs, assessed in an oncology health center using a sanitizing method and an alkaline method. METHODS: The study was conducted for six-days over a three-week period. A mixture with known levels of 5-fluorouracil, ifosfamide, cyclophosphamide, gemcitabine, etoposide, methotrexate, paclitaxel, docetaxel and carboplatin was added to the KIRO® Oncology’s compounding area surface before each self-cleaning method was used. Contamination levels were determined, with a surface wipe sampling kit, at the end of the self-cleaning process. RESULTS: Background surface contamination for quantified levels of cytotoxic drugs during routine use of KIRO® Oncology was below limit of quantification (<LOQ) for all drugs, except for carboplatin, which has a very low LOQ (0.2 ng/sample). The quantified drug levels detected on surface wipe samples after self-cleaning using both methods in the KIRO® Oncology’s compounding area surface sections were all <LOQ when spiking with 1 ng/cm(2) (ten times the ‘safe’ reference value), except for carboplatin (alkaline method only), although its levels were still below the ‘safe’ reference value (0.1 ng/cm(2)). For surface contamination levels when spiking with 100 ng/cm(2), both self-cleaning methods had decontamination efficacies >99.8% for all cytotoxic drugs analyzed. CONCLUSION: This study provides evidence on the efficacy of the KIRO® Oncology automatic self-cleaning system for surface area decontamination during the preparation of cytotoxic drugs. SAGE Publications 2020-08-27 2021-08 /pmc/articles/PMC8438772/ /pubmed/32854575 http://dx.doi.org/10.1177/1078155220951866 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Articles
Telleria, Naiara
García, Nerea
Grisaleña, Jaione
Algaba, Naiara
Bergareche, Eider
Tamés, María José
Cajaraville, Gerardo
Evaluation of the efficacy of a self-cleaning automated compounding system for the decontamination of cytotoxic drugs
title Evaluation of the efficacy of a self-cleaning automated compounding system for the decontamination of cytotoxic drugs
title_full Evaluation of the efficacy of a self-cleaning automated compounding system for the decontamination of cytotoxic drugs
title_fullStr Evaluation of the efficacy of a self-cleaning automated compounding system for the decontamination of cytotoxic drugs
title_full_unstemmed Evaluation of the efficacy of a self-cleaning automated compounding system for the decontamination of cytotoxic drugs
title_short Evaluation of the efficacy of a self-cleaning automated compounding system for the decontamination of cytotoxic drugs
title_sort evaluation of the efficacy of a self-cleaning automated compounding system for the decontamination of cytotoxic drugs
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8438772/
https://www.ncbi.nlm.nih.gov/pubmed/32854575
http://dx.doi.org/10.1177/1078155220951866
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