Cytotoxic and Cytostatic Drugs: Managing Highly Hazardous Medical Waste

03.07.25
Cytotoxic and Cytostatic Drugs: Managing Highly Hazardous Medical Waste

Cytotoxic and cytostatic drugs (18 01 08, 18 02 07)* are used in chemotherapy and pose severe risks due to their mutagenic and carcinogenic properties. They are considered highly hazardous waste.

Hazardous waste management requires documentation and classification immediately upon identification of the substance.

Handling of hazardous waste includes:

  • isolating the waste from other materials
  • using double packaging
  • labeling for toxicity and access restriction

Environmental servicing of enterprises in healthcare must involve:

  • staff training in handling hazardous pharmaceuticals
  • internal tracking and waste accounting
  • compliance audits

Storage of hazardous waste requires:

  • sealed, labeled containers
  • refrigeration or controlled temperature
  • secured areas with limited access

Transportation of hazardous waste must be carried out by licensed carriers using:

  • shock-resistant packaging
  • regulatory documentation
  • contamination control measures

Processing of hazardous waste uses methods like high-temperature incineration or chemical neutralization in specialized facilities.

Main risks include:

  • accidental exposure to staff
  • contamination of surfaces and drains
  • reactive degradation during improper storage

Safe handling of hazardous waste requires precise standards, certified operators, and ongoing monitoring.

Environmental servicing of enterprises in the medical sector ensures compliance, health protection, and ecological safety.

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