Surveillance Programs for Workers Exposed to Hazardous Medications: A Survey of Current Practices in Health Care Institutions

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Cette étude a utilisé une enquête transversale pour évaluer les pratiques actuelles de surveillance médicale des travailleurs de la santé. Bien que 46 des 91 répondants ont indiqué que leur établissement disposait d’un programme de surveillance des médicaments dangereux, aucune norme consensuelle pour la surveillance médicale n’a été signalée.  Les auteurs formulent des recommandations.

Objective: To assess current medical surveillance monitoring practices for health care workers who prepare, handle, or administer hazardous medications.

Methods: A cross-sectional survey was distributed to members of the American College of Occupational and Environmental Medicine and the National Comprehensive Cancer Network.

Results: Forty-six of the 91 survey respondents indicated that their institution had a hazardous medication surveillance program. We identified the most frequent laboratory (complete blood count) and physical (skin) examination components. A health history was frequently used. Statistical analysis did not suggest an association between institutions with greater resources and presence of a surveillance program.

Conclusions: A consensus standard for medical monitoring was not reported by the respondents. We recommend using a standardized surveillance questionnaire and applying uniform laboratory testing across institutions, in addition to establishing a national repository for surveillance data.

Source
Ressource sous abonnementBREEHER, Laura E., MOLELLA, Robin G., VAUGHN, Andrew I., SWIFT, Melanie D., SPAULDING, Aaron C., BRUEGGEN, Carol M., GREEN-MCKENZIE, Judith et NEWCOMB, Richard D. Medical Surveillance Programs for Workers Exposed to Hazardous Medications: A Survey of Current Practices in Health Care Institutions. Journal of Occupational and Environmental Medicine [en ligne]. 20 novembre 2018. Prépublication. DOI 10.1097/JOM.0000000000001494.

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