Please use this identifier to cite or link to this item: https://hdl.handle.net/20.500.14279/10528
DC FieldValueLanguage
dc.contributor.authorIoannou, Solomon-
dc.contributor.authorAndrianou, Xanthi-
dc.contributor.authorCharisiadis, Pantelis-
dc.contributor.authorMakris, Konstantinos C.-
dc.date.accessioned2017-11-17T12:10:12Z-
dc.date.available2017-11-17T12:10:12Z-
dc.date.issued2017-08-01-
dc.identifier.citationJournal of Environmental Sciences, 2017, vol. 58, pp. 217-223en_US
dc.identifier.issn10010742-
dc.identifier.urihttps://hdl.handle.net/20.500.14279/10528-
dc.description.abstractIncreased disinfectant use commonly takes place in hospitals and other health care settings. A cross-sectional study among active nurses in two Cypriot public hospitals (n = 179) was conducted to examine the prevalence of exposure to disinfection byproducts (DBPs), such as trihalomethanes (THMs) using both self-reported information and biomarker measurements. The objectives of this study were to: i) quantify the magnitude and variability of occupational exposure to disinfectants/DBPs in nurses, ii) generate job exposure matrices (JEM) and job task exposure matrices (JTEM) for disinfectants, and iii) assess the major determinants of urinary THMs in nurses. End of shift urinary total THM values showed high variability among the nurses, but did not differ between hospitals. The disinfectant group of alcohols/phenols was used by > 98% of nurses, followed by octenidine (82%), iodine and chlorine (39%, each), chlorhexidine (25%), formaldehyde (12%), hydrogen peroxide (11%), and peracetic acid/ammonia/quaternary ammonium compounds (QACs), all being < 8% each. Chlorine use during the past 24 hr was associated with significantly (p < 0.05) lower brominated THMs (BrTHMs) after adjusting for age, gender and BMI, while a positive association was shown for TCM and the sum of all THMs (TTHMs), albeit not significant. Nurses were exposed to nearly double the levels of TTHMs and BrTHMs (median and IQR, 1027 [560, 2475] ng/g and 323 [212, 497] ng/g, respectively) when compared to those of the general population (552 [309,989] ng/g and 152 [87,261] ng/g, respectively). This was the first occupational health dataset reporting measurements of biomarkers of end of shift exposures to disinfectants/DBPs.en_US
dc.formatpdfen_US
dc.language.isoenen_US
dc.relation.ispartofJournal of Environmental Sciencesen_US
dc.rights© The Research Center for Eco-Environmental Sciences, Chinese Academy of Sciencesen_US
dc.subjectNursesen_US
dc.subjectDisinfectantsen_US
dc.subjectDisinfectionen_US
dc.subjectExposureen_US
dc.subjectBiomarkeren_US
dc.subjectJob exposure matrixen_US
dc.subjectHealthcareen_US
dc.titleBiomarkers of end of shift exposure to disinfection byproducts in nursesen_US
dc.typeArticleen_US
dc.collaborationCyprus University of Technologyen_US
dc.subject.categoryBasic Medicineen_US
dc.journalsSubscriptionen_US
dc.countryCyprusen_US
dc.subject.fieldMedical and Health Sciencesen_US
dc.publicationPeer Revieweden_US
dc.identifier.doi10.1016/j.jes.2017.06.031en_US
dc.relation.volume58en_US
cut.common.academicyear2017-2018en_US
dc.identifier.spage217en_US
dc.identifier.epage223en_US
item.fulltextNo Fulltext-
item.openairecristypehttp://purl.org/coar/resource_type/c_6501-
item.openairetypearticle-
item.grantfulltextnone-
item.languageiso639-1en-
item.cerifentitytypePublications-
crisitem.journal.journalissn1001-0742-
crisitem.journal.publisherElsevier-
crisitem.author.deptCyprus International Institute for Environmental and Public Health-
crisitem.author.deptCyprus International Institute for Environmental and Public Health-
crisitem.author.deptDepartment of Rehabilitation Sciences-
crisitem.author.facultyFaculty of Health Sciences-
crisitem.author.facultyFaculty of Health Sciences-
crisitem.author.facultyFaculty of Health Sciences-
crisitem.author.orcid0000-0002-2906-5743-
crisitem.author.orcid0000-0001-7260-192X-
crisitem.author.orcid0000-0001-5251-8619-
crisitem.author.parentorgFaculty of Health Sciences-
crisitem.author.parentorgFaculty of Health Sciences-
crisitem.author.parentorgFaculty of Health Sciences-
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