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Health hazard evaluation report: HETA-90-155-2169, HCA Wesley Medical Center, Wichita, Kansas.
Cincinnati, OH: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control, National Institute for Occupational Safety and Health, HETA 90-155-2169, 1991 Dec; :1-33
In response to a request from the respiratory therapist educator of HCA Wesley Medical Center (SIC-8062), Wichita, Kansas, an evaluation was made of methods used to control exposures of respiratory therapists and nurses to aerosolized ribavirin (36791045). The facility had about 3000 full time and part time workers. The Pediatric Intensive Care Unit, where ribavirin is sometimes used, had 18 beds. Three visits were made to the site. During the first visit exposures of therapists and nurses to ribavirin was monitored during aerosol administration with infant mannequins. Area samples were collected within the Care Cube disposable hoods used for administration of ribavirin, beside beds to which the hoods were located, and at a location where no exposure was expected. Personal exposure monitoring was conducted for four respiratory therapists and two nurses. Additional measurements were taken on the second and third visits. The author concludes that notable concentrations of aerosolized ribavirin were present in the rooms where the drug was administered despite the addition of a scavenging system to the Care Cube disposable hood. High efficiency air purifying respirators approved by NIOSH/MSHA and assigned to employees based on the results of quantitative fit tests were found to reduce exposures to the limit of detection of the analytical method used. The author recommends that the use of these respirators continue and that a complete respiratory protection program be initiated at this site.
NIOSH-Author; NIOSH-Health-Hazard-Evaluation; NIOSH-Technical-Assistance-Report; HETA-90-155-2169; Hazard-Confirmed; Region-7; Health-care-personnel; Nursing; Pharmaceuticals; Occupational-exposure; Teratogens; Respiratory-protective-equipment; Author Keywords: General Medical and Surgical Hospitals; health care workers; respirators; ribavirin; workplace protection factors
Field Studies; Hazard Evaluation and Technical Assistance
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National Institute for Occupational Safety and Health
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Content source: National Institute for Occupational Safety and Health Education and Information Division