Document Detail


Simulated neonatal exposure to DEHP and MEHP from PVC enteral nutrition products.
MedLine Citation:
PMID:  18063492     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The leaching of di(2-ethylhexyl)phthalate (DEHP) and mono(2-ethylhexyl)phthalate (MEHP) from medical products made of polyvinyl-chloride (PVC) to enteral nutrition (EN) for neonatal patients was determined in a simulated study. The study simulated a typical case of EN administration to a neonatal patient (body weight, 3 kg) in a neonatal care unit (temperature, 25 degrees C); the medical products used were an irrigator and catheter containing DEHP (9.1-31.8%, w/w) as a plasticizer. The worst-case daily exposures of the neonatal patient to DEHP and MEHP by the administration of EN were estimated to be 148 and 3.72 microg/(kg day), respectively, as assessed from the levels of these compounds leaching from the medical products to the EN. The use of DEHP-free medical products reduced the exposure of DEHP and MEHP to the minimum levels contained in the EN at preparation. A transition to DEHP-free medical products for neonatal patients would be effective in reducing the exposure of neonatal patients to DEHP via EN administration.
Authors:
Satoshi Takatori; You Okamoto; Yoko Kitagawa; Shinjiro Hori; Shun-Ichiro Izumi; Tsunehisa Makino; Hiroyuki Nakazawa
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2007-10-26
Journal Detail:
Title:  International journal of pharmaceutics     Volume:  352     ISSN:  0378-5173     ISO Abbreviation:  Int J Pharm     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-02-26     Completed Date:  2008-07-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7804127     Medline TA:  Int J Pharm     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  139-45     Citation Subset:  IM    
Affiliation:
Division of Food Chemistry, Osaka Prefectural Institute of Public Health, 1-3-69 Nakamichi, Higashinari-ku, Osaka 537-0025, Japan. sts-tkt@iph.pref.osaka.jp
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MeSH Terms
Descriptor/Qualifier:
Chromatography, High Pressure Liquid
Diethylhexyl Phthalate / adverse effects,  analogs & derivatives*,  analysis*,  chemistry
Enteral Nutrition / adverse effects*,  instrumentation
Equipment Design
Food Contamination / prevention & control*
Humans
Infant Formula / chemistry*
Infant, Newborn
Intensive Care Units, Neonatal*
Plasticizers / adverse effects,  analysis*
Polyvinyl Chloride / adverse effects,  chemistry*
Risk Assessment
Spectrometry, Mass, Electrospray Ionization
Spectrum Analysis, Raman
Tandem Mass Spectrometry
Chemical
Reg. No./Substance:
0/Plasticizers; 117-81-7/Diethylhexyl Phthalate; 4376-20-9/mono-(2-ethylhexyl)phthalate; 9002-86-2/Polyvinyl Chloride

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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