Personal Protective Equipment Use and Surface Contamination With Antineoplastic Drugs: The Impact of the COVID-19 Pandemic.

IF 1.3 4区医学 Q3 NURSING Clinical journal of oncology nursing Pub Date : 2024-07-19 DOI:10.1188/24.CJON.380-388

AnnMarie Walton, Melissa Powell, Susan G Silva, Haesu Jin, Daniel Hatch, Ivan Spasojevic

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Abstract

Background: Surface contamination with antineoplastic drugs (ADs) is persistent. The use of personal protective equipment (PPE) is recommended to reduce exposure to ADs.

Objectives: This study explored the impact of the COVID-19 pandemic on nurses' PPE use and surface contamination with ADs.

Methods: Demographic characteristics, PPE use, and associated factors were assessed on two inpatient oncology units where etoposide and cyclophosphamide were administered before (N = 26) and during the COVID-19 pandemic (N = 31).

Findings: PPE use when handling contaminated excreta was significantly higher during the pandemic. Perceived risk of chemotherapy exposure was significantly associated with greater PPE use when handling AD-contaminated excreta, and conflict of interest was related to less PPE use during AD administration and handling of AD-contaminated excreta. During the pandemic, surface contamination with etoposide increased in shared areas and decreased in patient rooms.

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个人防护设备的使用与抗肿瘤药物的表面污染：COVID-19 大流行的影响。

背景：抗肿瘤药物（ADs）的表面污染是持续存在的。建议使用个人防护设备（PPE）来减少与 ADs 的接触：本研究探讨了 COVID-19 大流行对护士个人防护设备使用和 ADs 表面污染的影响：方法：在COVID-19大流行之前（26人）和期间（31人），对两个使用依托泊苷和环磷酰胺的肿瘤住院病房的人口统计学特征、PPE使用情况和相关因素进行了评估：大流行期间，处理受污染排泄物时使用个人防护设备的比例明显较高。化疗暴露风险的感知与处理AD污染的排泄物时更多地使用个人防护设备密切相关，而利益冲突则与使用AD和处理AD污染的排泄物时较少使用个人防护设备有关。在大流行期间，共用区域的依托泊苷表面污染增加，而病房的污染减少。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical journal of oncology nursing ONCOLOGY-NURSING

CiteScore

1.70

自引率

9.10%

发文量

127

审稿时长

6-12 weeks

期刊介绍： The Clinical Journal of Oncology Nursing (CJON) is an official publication of the Oncology Nursing Society (ONS) and is directed to the practicing nurse specializing in the care of patients with an actual or potential diagnosis of cancer. CJON is a vehicle to promote the mission of ONS, which is to advance excellence in oncology nursing and quality cancer care. The CJON mission is twofold: to provide practical information necessary to care for patients and their families across the cancer continuum and to develop publication skills in oncology nurses.