The Italian Society of Preventive Medicine for Health Care Workers has examined the guidelines recently published by the Italian Ministry of Health for implementation of safe handling practices for antineoplastic drugs and produced recommendations. On the basis of literature data and the field research carried out by the Society, different aspects covering risk assessment, environmental and biological monitoring, workplace and individual protection measures, education and training of health care and technical personnel, health surveillance programs, were focused on. The creation of a single central unit for preparing antineoplastic drugs or at least a drastic reduction in the number of preparation units currently operating in each hospital are the most relevant objectives of both the guidelines and the Society document. This must be accompanied by correct management of technical and organizational measures, improvement of safety and health of personnel involved in different activities and reduction of the number of exposed subjects. Finally the importance is stressed of clear specific mandatory procedures with which to manage and control the different aspects of job organization.

译文

意大利卫生保健工作者预防医学学会审查了意大利卫生部最近发布的实施抗肿瘤药物安全处理实践的指南,并提出了建议。在文献数据和学会进行的实地研究的基础上,重点关注了风险评估,环境和生物监测,工作场所和个人保护措施,卫生保健和技术人员的教育和培训,健康监测计划等各个方面。建立一个用于制备抗肿瘤药物的中央单元,或者至少大幅减少每个医院目前正在运行的制备单元的数量,是指南和社会文件中最相关的目标。这必须伴随着对技术和组织措施的正确管理,改善参与不同活动的人员的安全和健康,并减少暴露对象的数量。最后,强调了明确的特定强制性程序来管理和控制工作组织的不同方面的重要性。

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