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Review
. 2017 Apr-Jun;38(2):190-197.
doi: 10.4103/ijmpo.ijmpo_174_16.

Cytotoxic Drug Dispersal, Cytotoxic Safety, and Cytotoxic Waste Management: Practices and Proposed India-specific Guidelines

Malini R Capoor  1 , Kumar Tapas Bhowmik  2
Affiliations
Review

Cytotoxic Drug Dispersal, Cytotoxic Safety, and Cytotoxic Waste Management: Practices and Proposed India-specific Guidelines

Malini R Capoor et al. Indian J Med Paediatr Oncol. 2017 Apr-Jun.

Abstract

This article deals with practices related to cytotoxic drug dispersal, cytotoxic safety, and cytotoxic waste management and attempts at India-specific guidelines for their dispersal and disposal. The articles related to cytotoxic drug dispersal, cytotoxic safety, and cytotoxic waste management were reviewed from PubMed and their applicability in Indian health-care facilities (HCFs) was also reviewed. All HCFs dealing with cytotoxic drugs should consider cytotoxic policy, patient safety and health-care worker safety, and environmental monitoring program as per the available international guidelines customized as per Indian conditions. Utmost care in handling cytotoxic waste is quintessential. The formation of India-specific cytotoxic guidelines requires the inputs from all stakeholders. Cytotoxic waste, cytotoxic safety, and cytotoxic waste management should be the subject of a national strategy with an infrastructure, cradle-to-grave legislation, competent regulatory authority, and trained personnel.

Keywords: Cytotoxic drug dispersal; cytotoxic safety; cytotoxic waste.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
(a) Cytotoxic label (b) Cytotoxic container and cytotoxic bag for final disposal with cytotoxic label
Figure 2
Figure 2
(a) A health-care worker wearing appropriate and adequate personal protective equipment for handling cytotoxic spill. (b) Cytotoxic spill kit: Cytotoxic container, cytotoxic bag, cytotoxic degrading agent, hypochlorite solution, water, personal protective equipment as shown, absorbent, forceps, scissors, tape, marker pen, dust pan, shovels, mops, securing signage, tape, appropriate disposal bag
Figure 3
Figure 3
Biosafety hood with high-efficiency particulate air filter
See this image and copyright information in PMC

References

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