Cystostatic drugs and risk of genotoxicity in health workers. A literature review.

Enferm Clin (Engl Ed)

Hospital Sierrallana, Instituto de Investigación Sanitaria Valdecilla, Grupo de Enfermería (IDIVAL), Torrelavega, Cantabria, España; Instituto de Investigación Sanitaria Gregorio Marañón, Grupo de Enfermería (IiSGM), Madrid, España. Electronic address:

Published: September 2019

Objective: To analyse the genotoxic risk of cytostatic drugs in health professionals after occupational exposure.

Method: The literature was searched using the databases PubMed, Lilacs, The Cochrane Library and Scopus with free and controlled language (MeSH terms) using Boolean operators AND and OR. The research was limited to articles published between 2005-2016.

Results: 11 articles were selected depending on their relevancy to this review's aim. Nine of the 11 articles proved the existence of damage to genetic material (DNA) of health workers, who were exposed to cytostatics. Furthermore, current security practices do not fully eliminate the chance of exposure. Therefore, new clinical trials are required.

Conclusions: Handling cytostatic drugs can cause a genotoxic risk to health workers who are exposed to these substances. This exposure may cause damage to the workers' DNA. There are not enough data to prove a cause-effect relationship between the genotoxic risk and adverse reactions in individuals. Health education will be the main way to raise awareness of and prevent this problem.

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http://dx.doi.org/10.1016/j.enfcli.2019.07.003DOI Listing

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