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  Estabilidad	
  microbiológica	
  de	
  medicamentos…	
  

	
  

     10. 	
  Hessel	
   H,	
   et	
   al.	
   The	
   genotoxic	
   risk	
   of	
   hospital,	
   pharmacy	
   and	
   medical	
   personnel	
  
          occupationally	
   exposed	
   to	
   cytostatic	
   drugs-­--­-evaluation	
   by	
   the	
   micronucleus	
   assay.	
   Mutat	
  
          Res.	
  2001;497(1-­-2):101-­-9.	
  

     11. 	
  Roth	
   S,	
   et	
   al.	
   Analysis	
   of	
   chromosomal	
   aberrations,	
   sister-­-chromatid	
   exchanges	
   and	
  
          micronuclei	
   in	
   peripheral	
   lymphocytes	
   of	
   pharmacists	
   before	
   and	
   after	
   working	
   with	
  
          cytostatic	
  drugs.	
  Mutat	
  Res.	
  1994;325(4):157-­-62.	
  

     12. 	
  McDiarmid	
  MA,	
  et	
  al.	
  Chromosome	
  5	
  and	
  7	
  abnormalities	
  in	
  oncology	
  personnel	
  handling	
  
           anticancer	
  drugs.	
  J	
  Occup	
  Environ	
  Med.	
  2010;52(10):1028-­-34.	
  

     13. 	
  Dranitsaris	
  G,	
  et	
  al.	
  Are	
  health	
  care	
  providers	
  who	
  work	
  with	
  cancer	
  drugs	
  at	
  an	
  increased	
  
           risk	
   for	
   toxic	
   events?	
   A	
   systematic	
   review	
   and	
   meta-­-analysis	
   of	
   the	
   literature.	
   J	
   Oncol	
  
          Pharm	
  Pract.	
  2005;11(2):69-­-78.	
  

     14. Sauere-­-Cubizolles	
  MJ,	
  et	
  al.	
  Ectopic	
  pregnancy	
  and	
  occupational	
  exposure	
  to	
  antineoplastic	
  
          drugs.	
  Lancet.	
  1993;	
  341:	
  1169-­-71.	
  

     15. Hansen	
   J,	
   et	
   al.	
   Cancer	
   morbidity	
   among	
   Danish	
   female	
   pharmacy	
   technicians.	
   Scand	
   J	
  
          Work	
  Environ	
  Health.	
  1994;20(1):22-­-6.	
  

     16. Valanis	
  BG,	
  et	
  al.	
  Association	
  of	
  antineoplastic	
  drug	
  handling	
  with	
  acute	
  adverse	
  effects	
  in	
  
          pharmacy	
  personnel.	
  Am	
  J	
  Hosp	
  Pharm.	
  1993;50(3):455-­-62.	
  

     17. Chaffee	
   BW,	
   et	
   al.	
   Guidelines	
   for	
   the	
   safe	
   handling	
   of	
   hazardous	
   drugs:	
   consensus	
  
          recommendations.	
  Am	
  J	
  Health	
  Syst	
  Pharm.	
  2010;67(18):1545-­-6.	
  

     18. 	
  International	
   Society	
   of	
   Oncology	
   Pharmacy	
   Practicioners	
   Standards	
   Committee.	
   ISOPP	
  
          standards	
   of	
   practice.	
   Safe	
   handling	
   of	
   cytotoxics.	
   J	
   Oncol	
   Pharm	
   Pract.	
   2007;13	
   Suppl:1-­-
          81.	
  

     19. National	
  Institute	
  for	
  Occupational	
  Safety	
  and	
  Health.	
  Preventing	
  occupational	
  exposure	
  to	
  
          antineoplastic	
   and	
   other	
   hazardous	
   drugs	
   in	
   health	
   care	
   settings.	
   NIOSH	
   publication	
   nº	
  
          2004-­-165.	
  www.cdc.gov/niosh/docs/2004-­-165	
  (acceso	
  diciembre	
  2011).	
  

     20. Sessink	
   P,	
   et	
   al.	
   Evaluation	
   of	
   the	
   PhaSeal	
   hazardous	
   drug	
   containment	
   system.	
   Hosp	
  
          Pharm.	
  1999;	
  34:	
  1311-­-7.	
  

     21. Connor	
   T,	
   et	
   al.	
   Effectiveness	
   of	
   a	
   closed-­-system	
   device	
   in	
   containing	
   surface	
  
          contamination	
   with	
   cyclophosphamide	
   and	
   ifosfamide	
   in	
   an	
   I.V.	
   admixture	
   area.	
   Am	
   J	
  
          Health	
  Syst	
  Pharm.	
  2002;	
  59:	
  68-­-72.	
  

     22. Harrison	
   B,	
   et	
   al.	
   Comparison	
   of	
   surface	
   contamination	
   with	
   cyclophosphamide	
   and	
  
          fluorouracil	
   using	
   a	
   closed-­-system	
   drug	
   transfer	
   device	
   versus	
   standard	
   preparation	
  
          techniques.	
  Am	
  J	
  Health	
  Syst	
  Pharm.	
  2006;	
  63:	
  1736-­-44.	
  

     23. Siderov	
  J,	
  et	
  al.	
  Reducing	
  workplace	
  cytotoxic	
  surface	
  contamination	
  using	
  a	
  closed-­-system	
  
          drug	
  transfer	
  device.	
  J	
  Oncol	
  Pharm	
  Pract.	
  2010;16(1):19-­-25.	
  

     24. Yoshida	
   J,	
   et	
   al.	
   Use	
   of	
   a	
   closed	
   system	
   device	
   to	
   reduce	
   occupational	
   contamination	
   and	
  
          exposure	
   to	
   antineoplastic	
   drugs	
   in	
   the	
   hospital	
   work	
   environment.	
   Ann	
   Occup	
   Hyg.	
  
          2009;53(2):153-­-60.	
  

     25. Vandenbroucke	
   J,	
   et	
   al.	
   How	
   to	
   protect	
   environment	
   and	
   employees	
   against	
   cytotoxic	
  
          agents,	
  the	
  UZ	
  Ghent	
  experience.	
  J	
  Oncol	
  Pharm	
  Pract.	
  2001;	
  6:	
  146-­-152.	
  

     26. United	
   States	
   Pharmacopeia,	
   Inc.	
   U.S.	
   Pharmacopeia	
   27.	
   Chapter	
   <797>:	
   Pharmaceutical	
  
          Compounding	
   -­-	
   Sterile	
   Preparations.	
   Rockville,	
   MD:	
   United	
   States	
   Pharmacopeial	
  
          Convention,	
  2004;2461-­-77.	
  

     27. Wilson	
   JP,	
   et	
   al.	
   Aseptic	
   technique	
   as	
   a	
   safety	
   precaution	
   in	
   the	
   preparation	
   of	
  
          antineoplastic	
  agents.	
  Hosp	
  Pharm.	
  1981;16(11):575-­-6,	
  579-­-81.	
  

     28. De	
   Prijck	
   K,	
   et	
   al.	
   Microbiological	
   challenge	
   of	
   four	
   protective	
   devices	
   for	
   the	
  
          reconstitution	
  of	
  cytotoxic	
  agents.	
  Lett	
  Appl	
  Microbiol.	
  2008;47(6):543-­-8.	
  

     29. McMichael	
  D,	
  et	
  al.	
  Utility	
  of	
  the	
  PhaSeal	
  closed	
  system	
  drug	
  transfer	
  device.	
  The	
  American	
  
          Journal	
  of	
  Pharmacy	
  Benefits.	
  2011;3(1):	
  9-­-16.	
  

                                                                                                                            	
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