Evaluation of the ceiling levels of ortho‐phthalaldehyde exposure among health care workers engaged in endoscope disinfection: A new methodology using video‐exposure monitoring

Objectives The present study aimed to develop a method for measuring the ceiling level of ortho‐phthalaldehyde (OPA) exposure and evaluate the ceiling levels of OPA exposure among health care workers who handle disinfectant solutions containing OPA for the disinfection of endoscopes. Methods The stu...

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Veröffentlicht in:Journal of occupational health 2020-01, Vol.62 (1), p.e12139-n/a
Hauptverfasser: Yamamoto, Shinobu, Hachiya, Yuriko, Yuasa, Eri, Takeuchi, Akito, Ishidao, Toru, Mihara, Mitsuhisa, Terauchi, Yasuhiro, Ichiba, Masayoshi, Hori, Hajime
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container_title Journal of occupational health
container_volume 62
creator Yamamoto, Shinobu
Hachiya, Yuriko
Yuasa, Eri
Takeuchi, Akito
Ishidao, Toru
Mihara, Mitsuhisa
Terauchi, Yasuhiro
Ichiba, Masayoshi
Hori, Hajime
description Objectives The present study aimed to develop a method for measuring the ceiling level of ortho‐phthalaldehyde (OPA) exposure and evaluate the ceiling levels of OPA exposure among health care workers who handle disinfectant solutions containing OPA for the disinfection of endoscopes. Methods The study consisted of a preliminary survey and main survey. In the preliminary survey, processes involving high‐concentration exposure to OPA were identified by video‐exposure monitoring (VEM). In the main survey, the ceiling levels of OPA exposure for high‐concentration exposure processes identified from the results of the preliminary survey were determined using a measuring method combining sampling using a 2,4‐dinitrophenylhydrazine‐silica cartridge and analysis by high‐performance liquid chromatography tandem mass spectrometry. Results In the preliminary survey, seven processes involving high‐concentration exposure to OPA were identified by VEM. The duration of each process was short, lasting from 20 seconds to a few minutes. In the main survey, the OPA concentrations for the identified high‐concentration exposure processes ranged from 1.18 to 4.49 ppb, which markedly exceeded the threshold limit value ceiling (TLV‐C) of 0.1 ppb recommended by the American Conference of Governmental Industrial Hygienists. Conclusions The method for measuring the ceiling level of OPA exposure was established using VEM and the highly sensitive method of chemical analysis; and we successfully evaluated the ceiling levels of OPA exposure among health care workers engaged in endoscope disinfection. This approach can also be applied to other chemical substances with recommended TLV‐Cs, and important information for reducing exposure can thus be obtained.
doi_str_mv 10.1002/1348-9585.12139
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Methods The study consisted of a preliminary survey and main survey. In the preliminary survey, processes involving high‐concentration exposure to OPA were identified by video‐exposure monitoring (VEM). In the main survey, the ceiling levels of OPA exposure for high‐concentration exposure processes identified from the results of the preliminary survey were determined using a measuring method combining sampling using a 2,4‐dinitrophenylhydrazine‐silica cartridge and analysis by high‐performance liquid chromatography tandem mass spectrometry. Results In the preliminary survey, seven processes involving high‐concentration exposure to OPA were identified by VEM. The duration of each process was short, lasting from 20 seconds to a few minutes. In the main survey, the OPA concentrations for the identified high‐concentration exposure processes ranged from 1.18 to 4.49 ppb, which markedly exceeded the threshold limit value ceiling (TLV‐C) of 0.1 ppb recommended by the American Conference of Governmental Industrial Hygienists. Conclusions The method for measuring the ceiling level of OPA exposure was established using VEM and the highly sensitive method of chemical analysis; and we successfully evaluated the ceiling levels of OPA exposure among health care workers engaged in endoscope disinfection. This approach can also be applied to other chemical substances with recommended TLV‐Cs, and important information for reducing exposure can thus be obtained.</description><identifier>ISSN: 1348-9585</identifier><identifier>ISSN: 1341-9145</identifier><identifier>EISSN: 1348-9585</identifier><identifier>DOI: 10.1002/1348-9585.12139</identifier><identifier>PMID: 32713059</identifier><language>eng</language><publisher>Australia: John Wiley &amp; Sons, Inc</publisher><subject>Camcorders ; Cameras ; Cartridges ; Chemical analysis ; Chromatography ; Disinfectants ; Disinfectants - adverse effects ; Disinfectants - analysis ; Disinfection ; Disinfection &amp; disinfectants ; endoscope ; Endoscopes ; Environmental Monitoring - methods ; Equipment Contamination - prevention &amp; control ; Exposure ; Gas flow ; Health care ; Health Personnel ; Humans ; Inhalation Exposure ; Liquid chromatography ; Mass spectrometry ; Mass spectroscopy ; measurement method ; Measurement methods ; Medical personnel ; Monitoring ; o-Phthalaldehyde - adverse effects ; o-Phthalaldehyde - analysis ; Occupational exposure ; Occupational Exposure - analysis ; Occupational health ; Original ; ortho‐phthalaldehyde ; Polls &amp; surveys ; Scientific imaging ; Sensors ; Silica ; Silicon dioxide ; Surveys and Questionnaires ; threshold limit value‐ceiling ; video exposure monitoring ; VOCs ; Volatile organic compounds ; Workers</subject><ispartof>Journal of occupational health, 2020-01, Vol.62 (1), p.e12139-n/a</ispartof><rights>2020 The Authors. published by John Wiley &amp; Sons Australia, Ltd on behalf of The Japan Society for Occupational Health</rights><rights>2020 The Authors. Journal of Occupational Health published by John Wiley &amp; Sons Australia, Ltd on behalf of The Japan Society for Occupational Health.</rights><rights>2020. This work is published under http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c5319-d24efa0f5751484de99a641e82eb919a4f0441e7ce0a5303bbfdb1c1130f61263</cites><orcidid>0000-0002-0523-1794 ; 0000-0003-1782-6565</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7382765/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7382765/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,1411,27901,27902,45550,45551,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32713059$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yamamoto, Shinobu</creatorcontrib><creatorcontrib>Hachiya, Yuriko</creatorcontrib><creatorcontrib>Yuasa, Eri</creatorcontrib><creatorcontrib>Takeuchi, Akito</creatorcontrib><creatorcontrib>Ishidao, Toru</creatorcontrib><creatorcontrib>Mihara, Mitsuhisa</creatorcontrib><creatorcontrib>Terauchi, Yasuhiro</creatorcontrib><creatorcontrib>Ichiba, Masayoshi</creatorcontrib><creatorcontrib>Hori, Hajime</creatorcontrib><title>Evaluation of the ceiling levels of ortho‐phthalaldehyde exposure among health care workers engaged in endoscope disinfection: A new methodology using video‐exposure monitoring</title><title>Journal of occupational health</title><addtitle>J Occup Health</addtitle><description>Objectives The present study aimed to develop a method for measuring the ceiling level of ortho‐phthalaldehyde (OPA) exposure and evaluate the ceiling levels of OPA exposure among health care workers who handle disinfectant solutions containing OPA for the disinfection of endoscopes. Methods The study consisted of a preliminary survey and main survey. In the preliminary survey, processes involving high‐concentration exposure to OPA were identified by video‐exposure monitoring (VEM). In the main survey, the ceiling levels of OPA exposure for high‐concentration exposure processes identified from the results of the preliminary survey were determined using a measuring method combining sampling using a 2,4‐dinitrophenylhydrazine‐silica cartridge and analysis by high‐performance liquid chromatography tandem mass spectrometry. Results In the preliminary survey, seven processes involving high‐concentration exposure to OPA were identified by VEM. The duration of each process was short, lasting from 20 seconds to a few minutes. In the main survey, the OPA concentrations for the identified high‐concentration exposure processes ranged from 1.18 to 4.49 ppb, which markedly exceeded the threshold limit value ceiling (TLV‐C) of 0.1 ppb recommended by the American Conference of Governmental Industrial Hygienists. Conclusions The method for measuring the ceiling level of OPA exposure was established using VEM and the highly sensitive method of chemical analysis; and we successfully evaluated the ceiling levels of OPA exposure among health care workers engaged in endoscope disinfection. This approach can also be applied to other chemical substances with recommended TLV‐Cs, and important information for reducing exposure can thus be obtained.</description><subject>Camcorders</subject><subject>Cameras</subject><subject>Cartridges</subject><subject>Chemical analysis</subject><subject>Chromatography</subject><subject>Disinfectants</subject><subject>Disinfectants - adverse effects</subject><subject>Disinfectants - analysis</subject><subject>Disinfection</subject><subject>Disinfection &amp; disinfectants</subject><subject>endoscope</subject><subject>Endoscopes</subject><subject>Environmental Monitoring - methods</subject><subject>Equipment Contamination - prevention &amp; control</subject><subject>Exposure</subject><subject>Gas flow</subject><subject>Health care</subject><subject>Health Personnel</subject><subject>Humans</subject><subject>Inhalation Exposure</subject><subject>Liquid chromatography</subject><subject>Mass spectrometry</subject><subject>Mass spectroscopy</subject><subject>measurement method</subject><subject>Measurement methods</subject><subject>Medical personnel</subject><subject>Monitoring</subject><subject>o-Phthalaldehyde - adverse effects</subject><subject>o-Phthalaldehyde - analysis</subject><subject>Occupational exposure</subject><subject>Occupational Exposure - analysis</subject><subject>Occupational health</subject><subject>Original</subject><subject>ortho‐phthalaldehyde</subject><subject>Polls &amp; 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Methods The study consisted of a preliminary survey and main survey. In the preliminary survey, processes involving high‐concentration exposure to OPA were identified by video‐exposure monitoring (VEM). In the main survey, the ceiling levels of OPA exposure for high‐concentration exposure processes identified from the results of the preliminary survey were determined using a measuring method combining sampling using a 2,4‐dinitrophenylhydrazine‐silica cartridge and analysis by high‐performance liquid chromatography tandem mass spectrometry. Results In the preliminary survey, seven processes involving high‐concentration exposure to OPA were identified by VEM. The duration of each process was short, lasting from 20 seconds to a few minutes. In the main survey, the OPA concentrations for the identified high‐concentration exposure processes ranged from 1.18 to 4.49 ppb, which markedly exceeded the threshold limit value ceiling (TLV‐C) of 0.1 ppb recommended by the American Conference of Governmental Industrial Hygienists. Conclusions The method for measuring the ceiling level of OPA exposure was established using VEM and the highly sensitive method of chemical analysis; and we successfully evaluated the ceiling levels of OPA exposure among health care workers engaged in endoscope disinfection. This approach can also be applied to other chemical substances with recommended TLV‐Cs, and important information for reducing exposure can thus be obtained.</abstract><cop>Australia</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>32713059</pmid><doi>10.1002/1348-9585.12139</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-0523-1794</orcidid><orcidid>https://orcid.org/0000-0003-1782-6565</orcidid><oa>free_for_read</oa></addata></record>
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subjects Camcorders
Cameras
Cartridges
Chemical analysis
Chromatography
Disinfectants
Disinfectants - adverse effects
Disinfectants - analysis
Disinfection
Disinfection & disinfectants
endoscope
Endoscopes
Environmental Monitoring - methods
Equipment Contamination - prevention & control
Exposure
Gas flow
Health care
Health Personnel
Humans
Inhalation Exposure
Liquid chromatography
Mass spectrometry
Mass spectroscopy
measurement method
Measurement methods
Medical personnel
Monitoring
o-Phthalaldehyde - adverse effects
o-Phthalaldehyde - analysis
Occupational exposure
Occupational Exposure - analysis
Occupational health
Original
ortho‐phthalaldehyde
Polls & surveys
Scientific imaging
Sensors
Silica
Silicon dioxide
Surveys and Questionnaires
threshold limit value‐ceiling
video exposure monitoring
VOCs
Volatile organic compounds
Workers
title Evaluation of the ceiling levels of ortho‐phthalaldehyde exposure among health care workers engaged in endoscope disinfection: A new methodology using video‐exposure monitoring
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