An Investigation of Oxidative DNA Damage in Pharmacy Technicians Exposed to Antineoplastic Drugs in

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Objective To investigate oxidative DNA damage in pharmacy technicians preparing antineoplastic drugs at the PIVAS (Pharmacy Intravenous Admixture Service) in two Chinese hospitals.Methods Urinary 8-OHdG served as a biomarker.5-Fluorouracil (5-FU) concentrations in air,masks and gloves were determined.The spill exposure of each PIVAS technician to antineoplastic drugs was investigated.Eighty subjects were divided into exposed group I,II,and control group I,II.Results 5-FU concentration ratios for gloves and masks in exposed group I were significantly higher than those in exposed group II (P<0.05 or P<0.01).The average urinary 8-OHdG concentrations in exposed group I,control group I,exposed group II,and control group II were 14.69±0.93,10.68±1.07,10.57±0.55,and 11.96±0.73 ng/mg Cr,respectively.Urinary 8-OHdG concentration in exposed group I was significantly higher than that in control group I or that in exposed group II (P<0.01).There was a significant correlation between urinary 8-OHdG concentrations and spill frequencies per technician (P<0.01).Conclusion There was detectable oxidative DNA damage in PIVAS technicians exposed to antineoplastic drugs.This oxidative DNA damage may be associated with their spill exposure experience and contamination of their personal protective equipment. Objective To investigate oxidative DNA damage in pharmacy technicians preparing antineoplastic drugs at the PIVAS (Pharmacy Intravenous Admixture Service) in two Chinese hospitals. Methods Urinary 8-OHdG served as a biomarker. 5-Fluorouracil (5-FU) gloves were determined. The spill exposure of each PIVAS technician to antineoplastic drugs was investigated. Eye subjects were divided into exposed groups I, II, and control group I, II. Results 5-FU concentration ratios for gloves and masks in exposed group I were were higher than those in exposed group II (P <0.05 or P <0.01). The average urinary 8-OHdG concentrations in exposed group I, control group I, exposed group II, and control group II were 14.69 ± 0.93, 10.68 ± 1.07 , 10.57 ± 0.55, and 11.96 ± 0.73 ng / mg Cr, respectively. Urinary 8-OHdG concentration in exposed group I was significantly higher than that in control group I or that in exposed group II (P <0.01). Where was a significant correlation between urinary 8- OHdG concentrations and spill frequencies per technician (P <0.01) .Conclusion There was detectable oxidative DNA damage in PIVAS technicians exposed to antineoplastic drugs. His oxidative DNA damage may be associated with their spill exposure experience and contamination of their personal protective equipment.
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