Thirty-four new drugs were added to the list since 2014 and no drugs were deleted. The publication also provides guidance on how to generate your own specific list of hazardous drugs based on drugs purchased and usage within the healthcare facility. Healthcare professionals are reminded that as new drugs enter the marketplace, they must also be evaluated based on the criteria of carcinogenicity, teratogenicity or other developmental toxicity, reproductive toxicity, organ toxicity at low doses, genotoxicity, and structure and toxicity profiles that mimic existing drugs determined hazardous by the above criteria. Table 5 of the publication provides examples of scenarios that may occur in healthcare settings and recommends appropriate engineering controls and personal protective equipment.
The NIOSH List of Antineoplastic and Other Hazardous Drugs in Healthcare Settings, 2016 can be accessed at http://www.cdc.gov/niosh/topics/antineoplastic/pdf/hazardous-drugs-list_2016-161.pdf.