CA: A Cancer Journal for Clinicians, Vol 33, 258-263, Copyright
© 1983 by American Cancer Society
Safe Handling of Chemotherapeutic Agents: A Report from The Mount Sinai Medical Center
Roy B. Jones Ph.D., M.D.1,
Robert Frank R.Ph.2, and
Terry Mass R.N., B.S.N.3
1 Assistant Professor of Neoplastic Diseases at The Mount Sinai Medical Center in New York, New York.
2 Oncology Pharmacist at The Mount Sinai Medical Center in New York, New York.
3 Oncology Nurse Coordinator at The Mount Sinai Medical Center in New York, New York.
There are no definitive data about the carcinogenic or fetotoxic risk of handling or admixing antineoplastic agents. These agents differ widely in their toxic potential. Although an increase in urinary mutagens may follow exposure, the ultimate meaning of these data is unclear. There are no direct data that these mutagens are either chemotherapeutic agents or their metabolites. Substantial improvements in presently available analytical methodology may be required to detect the trace levels of any involved drugs. Epidemiologic studies aimed at detecting increased numbers of cancers or fetotoxicities among health care personnel who handle antineoplastic agents are desirable, but are not available. In the interim, we feel it is prudent to afford the affected health care personnel the same level of protection required for laboratory workers exposed to substances of similar or identical biohazard potential.