Developing wipe sampling strategy guidance for assessing environmental contamination of antineoplastic drugs

Title

Developing wipe sampling strategy guidance for assessing environmental contamination of antineoplastic drugs

Published Date

2022-08

Publisher

SAGE

Type

Article

Abstract

Surveillance for environmental contamination of antineoplastic drugs has been recommended by authoritative bodies such as the United States Pharmacopeia and the National Association of Pharmacy Regulatory Authorities. Clear guidance is needed on how to develop sampling strategies that align with surveillance objectives efficiently and effectively. We con- ducted a series of simulations using previously collected surveillance data from nine cancer treatment centers to evaluate different sampling strategies. We evaluated the impact of sampling 2, 5, 10, or 20 surfaces, at monthly, quarterly, semi- annual, and annual frequencies, while employing either a random or sentinel surface selection strategy to assess contam- ination by a single antineoplastic drug (AD) or by a panel of three ADs. We applied two different benchmarks: a binary benchmark of above or below the limit of detection and AD-specific hygienic guidance values, based on 90th percentile values as quantitative benchmarks. The use of sentinel surfaces to evaluate a three-drug panel relative to 90th percentile hygienic guidance values (HGVs) resulted in the most efficient and effective surveillance strategy.

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Funding information

The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the Alberta Health Services (grant number 095233754)

Isbn identifier

Doi identifier

0.1177/10781552221118535

Previously Published Citation

Arnold S, Jeronimo M, Astrakianakis G, et al. Developing wipe sampling strategy guidance for assessing environmental contamination of antineoplastic drugs. Journal of Oncology Pharmacy Practice. August 2022. doi:10.1177/10781552221118535

Suggested citation

Arnold, Susan; Jeronimo, Matthew; Astrakianakis, George; Kunz, Miranda; Petersen, Ashley; Chambers, Carole; Malard Johnson, Darcy; Zimdars, Emily; Davies, Hugh W. (2022). Developing wipe sampling strategy guidance for assessing environmental contamination of antineoplastic drugs. Retrieved from the University Digital Conservancy, 0.1177/10781552221118535.

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