抗がん薬のバイアル内圧の記載に関する兵庫県下67病院における薬剤師の意識調査

抄録

Some powder formulations of anticancer drugs are currently distributed under negative pressure in vials. However, the internal pressures of the vials are not described in the package inserts. Therefore, an awareness survey was conducted involving pharmacists regarding their descriptions.

Anonymous questionnaires, consisting of a 5-grade scale and free description questions, were distributed to the member hospitals of Hyogo Pharmaceutical Society, and responses were collected by FAX and 2-top ratio analysis was performed. In addition, an intergroup comparison was conducted by dividing the responders into two groups based on their experiences (i.e., more or less than 3 years) of dispensing anticancer drugs.

Responses were collected from 246 pharmacists of 67 hospitals: “Need prior information” (82.5％) and “Need description” (79.3％). Among the pharmacists with experience of less than 3 years, “Feel anxiety,” “Need prior information,” and “Feel safe with description” were more common (P < 0.05). Of them, 79.3％ specified description sites: vial body (90.8％), cap (65.1％), and package insert (39.5％). Internal pressures were listed on a sheet or described in the procedure manual in only 13 hospitals, demonstrating dependence on dispensers' experiences. Besides the internal pressure, they needed information on the recommended gauge, amount of dissolution, and kind of solvent on the vial bodies.