Surface Wipe Sampling of Hazardous Medicinal Products: A European Interlaboratory Comparison Study
Year: 2025
Type: article
Abstract: ABSTRACT Workplace monitoring of hazardous medicinal products (HMPs) using surface wipe sampling is becoming common practice in many European hospitals and pharmacies. However, no independent quality control is available to validate wiping procedures and analytical methods. This study aimed to conduct a Europe‐wide interlaboratory comparison (ILC) program to independently and blindly assess laboratory performance and variability in HMP detection. Four European laboratories participated in the study. Six HMPs—cyclophosphamide, etoposide, gemcitabine, ifosfamide, methotrexate, and paclitaxel—were prepared at four concentrations (5000, 2000, 200, and 20 ng/mL) and applied to a 400‐cm 2 stainless‐steel surface, then wiped by the coordinating body according to each laboratory's protocol. Wipe samples were distributed to individual laboratories, where blind analyses were conducted. Target criteria for accuracy and recovery were set at 70%–130% and 50%–130%, respectively. Of the 80 samples, 69 (86%) met accuracy targets, and 70 (88%) met recovery targets. Accuracy was often overestimated for the lowest concentrations of cyclophosphamide, etoposide, methotrexate, and paclitaxel by Laboratory A. Laboratory D showed low accuracy for paclitaxel at three lower concentrations. Among the 10 samples that did not meet recovery targets, all were below 50% and involved etoposide and paclitaxel. This ILC program demonstrates a viable method for evaluating laboratory performance in HMP detection, offering an external validation mechanism for surface wipe sampling methods. A future goal is to establish a global ILC program with a designated coordinating body for managing it effectively.
Source: Drug Testing and Analysis
DOI: 10.1002/dta.3902
Institutions: Medisch Centrum Haaglanden, Amsterdam University Medical Centers, Stichting Haaglanden Medisch Centrum, Vrije Universiteit Amsterdam, Amsterdam UMC Location Vrije Universiteit Amsterdam, Poznan University of Medical Sciences, Universidade do Porto, Institute of Public Health, University of Porto, Masaryk University, RECETOX, Institut für Energie- und Umwelttechnik, University of Duisburg-Essen, Apotheek Haagse Ziekenhuizen, Haga Hospital
Language: English
Subfield: Occupational Therapy
Field: Health Professions
Domain: Health Sciences
Open Access status: hybrid
Estimated APC paid: $4,440
Awards: G2342356290, Unidade de Investigação em Epidemiologia - Instituto de Saúde Pública da Universidade do Porto, G252385833, G2593471574, ALICE - Laboratório Associado em Engenharia Química, G2782804314, The overlooked side of cancer therapy – engineering tools to protect healthcare professionals and caregivers from cytostatics’ hazards, G3537227798, G4161343291, Laboratório de Engenharia de Processos, Ambiente, Biotecnologia e Energia, Laboratório para a Investigação Integrativa e translacional em Saúde Populacional, G5088119131, G5538107981, Laboratório de Engenharia de Processos, Ambiente, Biotecnologia e Energia, Laboratório de Processos de Separação e Reacção - Laboratório de Catálise e Materiais, Laboratório de Processos de Separação e Reacção - Laboratório de Catálise e Materiais, G6701175450
OpenAlex ID: W4410083074
