Disinfecting Effects of Decontamination Solutions and Ultraviolet Irradiation on Exposure to Cyclophosphamide or 5-Fluorouracil Inside Biological Safety Cabinets
DOI:
https://doi.org/10.24203/ncxxjr23Keywords:
antineoplastic drugs, cyclophosphamide, decontamination, UV irradiation, 5-fluorouracilAbstract
To ensure safe decontamination in Biological Safety Cabinets (BSCs), we evaluated various solutions and ultraviolet (UV) irradiation against anticancer drugs. Cyclophosphamide (CPA) and 5-fluorouracil (5-FU) were tested. After 16 h of UV exposure, CPA degraded to 42–55% of its initial amount, while 5-FU showed minimal reduction. A single wipe with purified water effectively decreased drug residues, and the combination of purified water and UV irradiation was most effective for CPA. In contrast, a 0.1% benzalkonium chloride solution showed poor performance with or without UV. Overall, physical cleaning with purified water followed by UV irradiation offers a practical and reliable decontamination method in routine hospital practice.
References
[1] Sessink, P. J. M., Rolf, M.-A. E., & Rydèn, N. S. (1999). Evaluation of the PhaSeal hazardous drug containment system. Hospital Pharmacy, 34, 1311–1317.
[2] Japan Hospital Pharmacists’ Association. (2008). Guideline for aseptic preparation of injections and anticancer drugs. Yakujinippou.
[3] Japanese Society of Cancer Nursing, Japanese Society of Clinical Oncology, & Japanese Society of Hospital Pharmacists. (2015). Guidelines for preventing occupational exposure in cancer chemotherapy drugs. Kanehara Publishing.
[4] JSCN/JSMO/JASPO. (2019). Joint Guidelines for Safe Handling of Cancer Chemotherapy Drugs. Kanehara Publishing.
[5] United States Pharmacopeia. (2020). USP General Chapter <800> Hazardous Drugs—Handling in Healthcare Settings. Retrieved from https://www.usp.org/compounding/general-chapter-hazardous-drugs-handling-healthcare
[6] NHO Safe Handling of HD Research Team. (2018). Anticancer Drug Exposure Control File. Jiho Co., Ltd.
[7] Walton, A. L., Powell, M. A., Ledbetter, L., & Bush, M. A. (2025). A scoping review of surface wipe sampling for antineoplastic drug contamination in patient care areas. Journal of Occupational and Environmental Hygiene, 22(6), 495–514. https://doi.org/10.1080/15459624.2025.2471397
[8] Leeman, M., Wetterling, M., Kåredal, M., & Hedmer, M. (2025). Development and validation of a quantitative wipe sampling method to determine platinum contamination from antineoplastic drugs on surfaces in workplaces at Swedish hospitals. Journal of Oncology Pharmacy Practice, 31(5), 744–753. https://doi.org/10.1177/10781552241259405
[9] Vermette, M. L., Hicks, M. R., Teo, M. Y., Gates, B. D., Wilson, A. J., & Chan, K. C. (2024). Wipe sampling of antineoplastic drugs from workplace surfaces: A review of analytical methods and recommendations. Environmental Advances. https://doi.org/10.1016/j.envadv.2024.100273
[10] Kaouther, Z., Berriri, S., Libong, D., Solgadi, A., Safta, F., Minh Mai Lê, L., & Caudron, E. (2025). Simultaneous determination of residual contamination of antineoplastic agents: a novel, rapid and highly sensitive analytical method. Analytical Science Advances. https://doi.org/10.1002/ansa.70004
[11] Sato, J., Kudo, K., Ban, K., Mibayashi, M., Tsubasa, I., & Takahashi, K. (2011). Investigation of decomposition of anticancer drugs remaining in the safety cabinet using photocatalyst. Jpn J Pharm Health Care Sci, 37(1), 57–61.
[12] Sato, J., Kudo, K., Mibayashi, S. M., Takahashi, I., Umeyasu, T., & Takahashi, K. (2011). Investigation of the degradation of anticancer drugs remaining in the safety cabinet using photocatalyst. Jpn J Pharm Health Care Sci, 37(10), 585–589.
[13] Sato, J., Kikuchi, S., & Kudo, K. (2014). An attempt to decompose anticancer drugs contaminated in the medical environment using a photocatalyst that responds to visible light. Jpn J Pharm Health Care Sci, 134(8), 909–914.
[14] Hirakawa, H., Yonenobu, A., Sano, Y., Negishi, N., & Takeuchi, K. (2009). Chemical decomposition by photocatalyst. Pharmaceutical Journal, 129, 71–92.
[15] Lutterbeck, C. A., Wilde, M. L., Baginska, E., Leder, C., Machado, Ê. L., & Kümmerer, K. (2016). Degradation of cyclophosphamide and 5-fluorouracil by UV and simulated sunlight treatments. Environmental Pollution, 208, 467–476. https://doi.org/10.1016/j.envpol.2015.10.052
[16] Lin, H., & Lin, A. (2014). Photocatalytic oxidation of 5-fluorouracil and cyclophosphamide via UV/TiO2 in an aqueous environment. Water Research, 48, 559–568. https://doi.org/10.1016/j.watres.2013.10.006
[17] Lutterbeck, C. A., Machado, Ê. L., & Kümmerer, K. (2014). Photodegradation of the antineoplastic cyclophosphamide: A comparative study of the efficiencies of UV/H2O2, UV/Fe2+/H2O2 and UV/TiO2 processes. Chemosphere, 120, 538–546. https://doi.org/10.1016/j.chemosphere.2014.08.016
[18] Lamerie, T. Q., Nussbaumer, S., Décaudin, B., Fleury-Souverain, S., Goossens, J. F., Bonnabry, P., & Odou, P. (2013). Evaluation of decontamination efficacy of cleaning solutions on stainless-steel and glass surfaces contaminated by 10 antineoplastic agents. Annals of Occupational Hygiene, 57(4), 456–469. https://doi.org/10.1093/annhyg/met014
[19] Ishikawa, S., Saeki, J., Toda, H., Ozawa, T., Hirobara, M., & Kushida, K. (2015). Exposure to antineoplastic drugs and safe handling from literature reviews. Jpn J Drug Inform, 17(1), 1–10.
[20] Society of Hospital Pharmacists of Australia Committee of Specialty Practice in Oncology. (1999). SHPA Standards of Practice for the Safe Handling of Cytotoxic Drugs in Pharmacy Departments. The Australian Journal of Hospital Pharmacy, 29, 108–116.
[21] European Society of Oncology Pharmacy (ESOP). (2024). Quality Standard for the Oncology Pharmacy Service (QuapoS 7). Retrieved from https://esop.li/wp-content/uploads/2024/11/QuapoS7_1124.pdf
[22] Iso, S., Igarashi, T., & Matsuno, H. (1999). Study on UV/O3 cleaning by Xe excimer lamp. Journal of the Illuminating Engineering Institute of Japan, 83(5), 273–277.
[23] Lee, S. G., Ambados, F., Tkaczuk, M., & Jankewicz, G. (2009). Paclitaxel exposure and its effective decontamination. Journal of Pharmacy Practice and Research, 39, 181–185.
[24] Kim, I., Tanaka, H., Yamashita, N., Kobayashi, K., Okuda, T., Iwasaki, T., Yoshino, K., & Takubo, T. (2006). Batch test on the removal of pharmaceutics by UV treatment. Environmental Engineering Research, 43, 47–56.
[25] The Japan Society for Occupational Health. (2021). Recommendation of occupational exposure limits (2021–2022). Environmental and Occupational Health Practice, 63(5), 179–211. https://doi.org/10.1539/eohp.2021-001
[26] Okawa, A., Koyashiki, T., Nishimura, Y., & Takeda, S. (2015). Study on the effect of combined chlorine-based disinfectant/cleaning agent on various environmental surface materials. Journal of the Japanese Society for Environmental Infection, 30(5), 325–330.
[27] Shiraishi, M., & Nakagawa, Y. (1999). Corrosive effect of various disinfectants on metal corrosion and bactericidal effect. Environmental Infection, 14(4), 275–279.
[28] Sessink, P. (2011). Environmental contamination with cytostatic drugs: past, present and future. Medicine and Biology, 159(4), 124–129.
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