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Ambulatory oncology therapy: impact on public health and environment

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Abstract(s)

The increasing use of chemotherapy has impelled hospitals to reorganize their services, shifting from inpatient to outpatient care. Antineoplastic drugs are a heterogeneous group of widely used treatments for neoplastic and non-neoplastic diseases, proved to be mutagens, carcinogens, and teratogens. Chemical contamination that for a long time was concentrated in care institutions can be shifting towards homes and environment. Patients excrete these drugs and their metabolic by-products in body wastes, which can expose home caregivers and family members by skin absorption and unintentional ingestion from hand to mouth contact. An example of environmental impact is their presence in freshwater systems and the consequent contamination of the potable water supply, with a risk of human exposure. This study intends to create and validate a checklist for identification of the daily routine of the patients to define surfaces which are often touched and/or used or where potential spillage of drug-loaded urine or vomit is most likely. This information is crucial to do proposals of the most appropriate corrective measures to eliminate/reduce contamination and exposure of family members in homes of ambulatory chemotherapy patients.

Description

Projeto IPL/2017/OncoAmb_ESTeSL

Keywords

Public health Oncology Ambulatory oncology therapy Chemotherapy Hospital Antineoplastic drug Chemical contamination Projeto IPL/2017/OncoAmb_ESTeSL

Citation

Costa-Veiga A, Medeiros B, Luís R, Viegas S. Ambulatory oncology therapy: impact on public health and environment. In: ICOETox 2018 – 4th International Congress on Occupational & Environmental Toxicology, Matosinhos, October 24-26, 2018.

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