Personal Protective Equipment Use and Surface Contamination With Antineoplastic Drugs: The Impact of the COVID-19 Pandemic

Personal Protective Equipment Use and Surface Contamination With Antineoplastic Drugs: The Impact of the COVID-19 Pandemic

Surface contamination with antineoplastic drugs (ADs) is persistent. The use of personal protective equipment (PPE) is recommended to reduce exposure to ADs. This study explored the impact of the COVID-19 pandemic on nurses' PPE use and surface contamination with ADs. Demographic characteristic...

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Bibliographic Details
Published in:Clinical journal of oncology nursing Vol. 28; no. 4; pp. 380 - 388
Main Authors: Walton, AnnMarie, Powell, Melissa, Silva, Susan G, Jin, Haesu, Hatch, Daniel, Spasojevic, Ivan
Format: Journal Article
Language:English
Published: United States Oncology Nursing Society 01-08-2024
Subjects:
Adult
Antineoplastic Agents - therapeutic use
Chemotherapy
Conflicts of interest
COVID-19
COVID-19 - prevention & control
Cyclophosphamide - therapeutic use
Disease transmission
Drugs
Etoposide - therapeutic use
Female
Humans
Influence
Male
Medical personnel
Middle Aged
Nurses
Nursing
Nursing Staff, Hospital
Occupational Exposure - prevention & control
Occupational safety
Oncology
Oncology Nursing - standards
Pandemics
Patients
Peers
Perceptions
Personal Protective Equipment
SARS-CoV-2
Self-efficacy
Toxicity
surface contamination
personal protective equipment
antineoplastic drugs
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Summary:Surface contamination with antineoplastic drugs (ADs) is persistent. The use of personal protective equipment (PPE) is recommended to reduce exposure to ADs. This study explored the impact of the COVID-19 pandemic on nurses' PPE use and surface contamination with ADs. Demographic characteristics, PPE use, and associated factors were assessed on two inpatient oncology units where etoposide and cyclophosphamide were administered before (N = 26) and during the COVID-19 pandemic (N = 31). PPE use when handling contaminated excreta was significantly higher during the pandemic. Perceived risk of chemotherapy exposure was significantly associated with greater PPE use when handling AD-contaminated excreta, and conflict of interest was related to less PPE use during AD administration and handling of AD-contaminated excreta. During the pandemic, surface contamination with etoposide increased in shared areas and decreased in patient rooms.
Bibliography:ObjectType-Article-1
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ISSN:1092-1095
1538-067X
1538-067X
DOI:10.1188/24.CJON.380-388