Environmental and biological monitoring of formaldehyde inside a hospital setting: a combined approach to manage chemical risk in workplaces

  • Oriana Motta
    Department of Medicine, Surgery and Dentistry “Scuola Medica Salernitana”, University of Salerno, Baronissi; University Hospital “San Giovanni di Dio e Ruggi d’Aragona”, Salerno , Italy.
    https://orcid.org/0000-0003-1088-6741
  • Bruno Charlier
    Department of Medicine, Surgery and Dentistry “Scuola Medica Salernitana”, University of Salerno, Baronissi; University Hospital “San Giovanni di Dio e Ruggi d’Aragona”, Salerno , Italy.
  • Francesco De Caro
    Department of Medicine, Surgery and Dentistry “Scuola Medica Salernitana”, University of Salerno, Baronissi; University Hospital “San Giovanni di Dio e Ruggi d’Aragona”, Salerno , Italy.
    https://orcid.org/0000-0001-9659-9940
  • Albino Coglianese
    Department of Medicine, Surgery and Dentistry “Scuola Medica Salernitana”, University of Salerno, Baronissi , Italy.
    https://orcid.org/0000-0002-2724-8212
  • Federica De Rosa
    University Hospital “San Giovanni di Dio e Ruggi d’Aragona”, Salerno, Italy.
    https://orcid.org/0000-0002-5057-4032
  • Giuseppina Moccia
    Department of Medicine, Surgery and Dentistry “Scuola Medica Salernitana”, University of Salerno, Baronissi; University Hospital “San Giovanni di Dio e Ruggi d’Aragona”, Salerno , Italy.
  • Concetta Pironti
    University Hospital “San Giovanni di Dio e Ruggi d’Aragona”, Salerno, Italy.
  • Mario Capunzo
    Department of Medicine, Surgery and Dentistry “Scuola Medica Salernitana”, University of Salerno, Baronissi; University Hospital “San Giovanni di Dio e Ruggi d’Aragona”, Salerno , Italy.
  • Anna Borrelli
    University Hospital “San Giovanni di Dio e Ruggi d’Aragona”, Salerno, Italy.
  • Amelia Filippelli
    Department of Medicine, Surgery and Dentistry “Scuola Medica Salernitana”, University of Salerno, Baronissi; University Hospital “San Giovanni di Dio e Ruggi d’Aragona”, Salerno , Italy.
  • Viviana Izzo
    Department of Medicine, Surgery and Dentistry “Scuola Medica Salernitana”, University of Salerno, Baronissi , Italy.
    https://orcid.org/0000-0001-6066-7569

ABSTRACT

Background: The safety of healthcare workers exposed to formaldehyde remains a great matter of concern for healthcare management units. This work aimed at describing the results of a combined monitoring approach (environmental and biological) to manage occupational exposure to formaldehyde in a hospital setting.

Design and Methods: 
Environmental monitoring of working spaces and biological monitoring of urinary formaldehyde in 16 exposed healthcare workers of the Anatomic Pathology Unit of a University Hospital in Southern Italy was performed on a four-year timescale (2016-2019).

Results:
 Values of aero-dispersed formaldehyde identified were on average low; although workers' urinary formaldehyde levels were also minimal, the statistical analysis highlighted a slight weekly accumulation.

Conclusions:
 Our data confirm that both environmental and biological monitoring are important to identify risk situations, in particular when values of hazardous compounds are below the accepted occupational exposure levels.

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