title: Personal exposure level and environmental ethylene oxide gas concentration in sterilization facilities of hospitals in Japan.
abstract: Personal and environmental (stationary) ethylene oxide (EO) gas concentrations in gas sterilization facilities were measured at six workplaces in five hospitals. An ethylene oxide gas monitor (3M #3551) was used for both personal and stationary samplings. A gas detector tube was also used for instantaneous sampling. In most workplaces, the personal exposure levels of EO were below the detection limit of the gas monitor. Most of the time-weighted average (TWA) concentrations by the stationary sampling were below the threshold limit value of EO (TLV-TWA = 1 ppm), but in one workplace, more than 4 ppm of EO were detected in front of the sterilizer in a clean room during a 24-hour measurement, although all the personal exposure levels were below the detection limit. Method of aeration after the sterilization was very important for reducing the EO exposure. The EO gas concentrations in two workplaces where sufficient aeration was carried out were below the detection limit in all the stationary samples. In one workplace where insufficient aeration was performed, EO was detected from 16 of 17 stationary samples, and more than 90-200 ppm of EO was determined by the gas detector tube near the worker's face at the moment when the door of the sterilizer was opened and the sterilized materials were removed.
authors.affiliation: Departament of Environmental Management, School of Health Sciences, University of Occupational and Environmental Health, Kitakyushu, Japan.
authors.forename: Hajime
authors.initials: H
authors.lastname: Hori
authors.forename: Katsuya
authors.initials: K
authors.lastname: Yahata
authors.forename: Kazuya
authors.initials: K
authors.lastname: Fujishiro
authors.forename: Koji
authors.initials: K
authors.lastname: Yoshizumi
authors.forename: Ding
authors.initials: D
authors.lastname: Li
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Goto
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Higashi
mesh_terms: D000395:Air Pollutants, Occupational / Q000032:analysis*; D004784:Environmental Monitoring / Q000379:methods*; D005027:Ethylene Oxide / Q000032:analysis*; D005260:Female; D006282:Health Personnel; D006757:Hospital Units; D006801:Humans; D007564:Japan; D008297:Male; D008452:Maximum Allowable Concentration; D016272:Occupational Health; D018570:Risk Assessment; D013242:Sterilization; D017132:Workplace
chemical_list: D000395:Air Pollutants, Occupational; D005027:Ethylene Oxide