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American Journal of Public Health Research. 2018, 6(1), 11-17
DOI: 10.12691/AJPHR-6-1-3
Original Research

Effects of Isoflurane Exposure to Fertility through Estrogen Gene Expression in Operating Room Nurses

Rika Handayani1, Tahir Abdullah2, Furqaan Naiem3, Anwar Mallongi4, Rahmat Haji Saeni5, Ekayanti Hafidah Ahmad6 and Prihantono Prihantono7,

1Syekh Yusuf Academy of Midwifery, Makassar, Indonesia

2Departement of Reproductive Health and Family, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia

3Department of Occupational Health, School of Public Health, Hasanuddin University, Makassar, Indonesia

4Departement of Environmental Health, School of Public Health, Hasanuddin University, Makassar, Indonesia

5Departement of Nutrition, Polytechnic of Health, Mamuju, Indonesia

6Makassar Nursing Academy, Makassar, Indonesia

7Departement of Surgery, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia

Pub. Date: January 22, 2018

Cite this paper

Rika Handayani, Tahir Abdullah, Furqaan Naiem, Anwar Mallongi, Rahmat Haji Saeni, Ekayanti Hafidah Ahmad and Prihantono Prihantono. Effects of Isoflurane Exposure to Fertility through Estrogen Gene Expression in Operating Room Nurses. American Journal of Public Health Research. 2018; 6(1):11-17. doi: 10.12691/AJPHR-6-1-3

Abstract

Background. Operating room is one of the many workplace hazards. In the operating room nurses and other health personnel at risk of exposure to chemicals. One type of inhalation anesthetic gas that is isoflurane (foran, aeran). Isoflurane a halogenated hydrocarbon compounds volatile ether. Exposure to halogenated anesthetic gases can result in effects on reproductive health. Method. The study design used is Retrospective cohort, with a sample size of 16 exposed and 16 unexposed. Mechanical sampling random sampling. Data analysis used independent t-test. Results. The results showed that exposure status isoflurane effect on fertility disorder where there are differences in average significantly between hormone gene expression estrogen the exposed group (9.35 ± 1.78) and unexposed (11.65 ± 1.44) with values p = 0.013 (p < 0.05). The tenure of the effect on fertility disorder where there are differences in average significantly between the tenure of the hormone gene expression estrogen namely the working period of 5-9 years (11.84 ± 1.16) and ≥10 years (8.52 ± 0.94) with values p = 0.006 ( p < 0.05). Hormone gene expression estrogen effect on fertility disorder where there are differences in average significantly between hormone gene expression estrogen against fertility disorder that nurses are experiencing hormonal changes in gene expression estrogen risk of impaired fertility (8.52 ± 0.94) and that did not change hormone gene expression estrogen not at risk of reduced fertility (11.69 ± 1.33) with values p = < 0.001 (p < 0.05). Conclusion: Based on this it is expected that the Health and Safety at Work Hospital perform periodic monitoring the work environment primarily in the operating room.

Keywords

exposure status isoflurane, work period, hormone gene expression estrogen and fertility disorders

Copyright

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]  Kepmenkes RI. Standard of Occupational Health and Safety at RS Directorate of Occupational Health 2010.
 
[2]  NIOSH. Guidelines for Protecting the Safety and Health of Health Care Workers. In: Services HaH, (ed.). Washington: Public Health Services, 1988.
 
[3]  Safaa MH, Rady AA, Aiad AEA and Zahran MA. Occupational hazards to anesthetists and their prevention. American Science. 2014; 10: 31-5.
 
[4]  Khalid AA and Mohammed NAE. Occupational Hazards Associated With Exposure to Anesthetic Gases on Reproductive Health in Operating Theatre Staff in Three Hospitals in Khartoum State. Sudan 2016.
 
[5]  D.Miller R and Manuel C.Pardo J. Basics of Anesthesia. In: Larson MD and L.Shafer S, (eds.). History of Anesthesia, Basic Pharmacologic Principles, Inhaled Anesthetics, Anesthesia Delivery System Sixth ed. Philadelphia: Elsevier, 1939.
 
[6]  Edling C. Anesthetic gases as an occupational-Hazard A review. Scandinavian Journal Work Environment & Health. 2016; 6: 85.
 
[7]  Tankó B, Molnár L, Fülesdi B and Molnár C. Occupational Hazards of Halogenated Volatile Anesthetics and their Prevention: Review of the Literature. Anesthesia & Clinical Research. 2014; 5: 2-7.
 
[8]  C.Gupta R. Veterinary Toxicology.
 
[9]  Evans TJ and Ganjam VK. Reproductive Anatomy and Physiology. In: C.Gupta R, (ed.). First ed.: Elsevier, 2011, p. 7.
 
[10]  Gold ABCMdD. Safety and Health In the Use of Chemicals in the Workplace. Geneva: ILO, 1998.
 
[11]  ILO. Occupational Safety and Health Jakarta 2013.
 
[12]  Saber AT and Hougaard KS. Isoflurane, Sevoflurane, and Desflurane. Sweden: University of Gothenburg, 2009.
 
[13]  Votava RA. Limiting Exposure to Isoflurane in a Veterinary Occupational Setting. School of Nursing and Health Professions. The University of San Francisco: The University of San Francisco, 2015.
 
[14]  Richard I M, M.D, Masahiko Fujinaga MD, Susan A. Rice PD, Stephen B. Harris PD, M SJ and Baden MD. Reproductive and Teratogenic Effects of Nitrous Oxide, Halothane, Isoflurane, and Enflurane in Sprague-Dawley Rats. Anesthesiology. 1986; 64: 339-44.
 
[15]  NIOSH. Criteria for a Recommended Standard: Occupational Exposure to Waste Anesthetic Gases and Vapors. In: US and Department of Health E, and Welfare, (eds.). Washington1977.
 
[16]  NIOSH. The Effects of Workplace Hazards on Female Reproductive Health. Columbia 1999.
 
[17]  Xu XL, Pana C, Hua J-x, et al. Effects of isoflurane inhalation on the male reproductive system in rats. Environmental Toxicology and Pharmacology 2012: 688-93.
 
[18]  Richard I M, M.D, Masahiko Fujinaga MD, Susan A. Rice PD, Stephen B. Harris PD and Jeffery M. Baden MD. Reproductive and Teratogenic Effects of Nitrous Oxide, Fentanyl and Their Combination In Sparague-Dawley Rats British Journal of Anesthesiology. 1987; 59: 1291-7.
 
[19]  Ceyhan A, Cincik M, Bedir S, H.Ustun, Dagli G and Kalender H. Effect of Exposure to New Inhalational Anesthetics on Spermatogenesis and Sperm Morphology in Rabbits Archives of Andrology 2005; 51: 305-15.
 
[20]  Liua S, Zhang L, Liuc Y, Shend X and Yange L. Isoflurane Inhibits Embryonic Stem Cell Self-Renewal Through Retinoic Acid Receptor. Elsevier. 2015; 74.
 
[21]  Lucio LMC, Braz MG, Junior PdN, Braz JRC and Braz LG. Occupational Hazards, DNA Damage, and Oxidative Stress on Exposure to Waste Anesthetic Gases. Revista Brasileira De Anestesiologia. 2017.
 
[22]  Karabiyik L, S.Sardas, U.Polat, N.A.Kocabas and A.E.Karakaya. Comparison of genotoxicity of sevoflurane and isoflurane in human lymphocytes studied in vivo using the comet assay. Elsevier Science. 2001: 99-107.
 
[23]  Shaker DA, Samir AM, Hagag HA, El-Aal AAA and Afify RA. Cytogenetic Damage in Operating Room Nurses Exposed to Anesthetic Gases. Med J Cairo Univ. 2011; 79.
 
[24]  Rosa ACd, Beier SL, Oleskovicz N, et al. Effects of exposure to halothane, isoflurane, and sevoflurane on embryo viability and gestation in female mice. 2015; 36: 871-82.
 
[25]  Araujo TKd, Silva-Grecco RLd, Bisinotto FMB, et al. Genotoxic Effects of Anesthetics in Operating Room Personnel Evaluated by Micronucleus Test. Anesthesiology & Clinical Science. 2013.
 
[26]  Jałoszyn´ski P, Kujawski M, Wa˛sowicz M, Szulc R and Szyfter K. Genotoxicity of Inhalation Anesthetics Halothane and Isoflurane in Human Lymphocytes Studied in Vitro Using the Comet Assay. Mutation Research. 1999; 439.
 
[27]  Warren JR, Shaw B and Steinkampf MP. Inhibition of Preimplantation Mouse Embryo Development By Isoflurane. Am J Obstet Gynecol. 1991.
 
[28]  Beilin Y, Bodian CA, Mukherjee T, et al. The Use of Propofol, Nitrous Oxide, or Isofluran Does Not Affect the Reproductive Success rate Following Gamete Intrafallopian Transfert (GIFT) A Multicenter Pilot Trial/Survey. Anesthesiology. 1999; 90: 36-41.
 
[29]  Campion SN, Cappon GD, Chapin RE, Jamon RT, Winton TR and Nowland WS. Isoflurane reduces motile sperm counts in the Sprague-Dawley rat. Drug and Chemical Toxicology. 2012; 35: 20-4.
 
[30]  Serkan Y and Calbayram NC. Exposure to Anesthetic Gases Among Operating Room Personnel and Risk of Genotoxicity: A Systematic Review of The Human Biomonitoring Studies. Clinical Anesthesia 2016; 35.
 
[31]  Kepmenkes RI. Use of Medical Gas On Health Service Facilities Number: 1439 /Menkes /SK / XI / 2002. Jakarta: Decree of the Minister of Health of the Republic of Indonesia 2002, p. 1-12.
 
[32]  Smith FD. Management of Exposure to Waste Anesthetic Gases. AORN 2010; 91.
 
[33]  G.McGregor D. Occupational Exposure to Trace Concentrations of Waste anesthetic Gases. Mayo Foundation for Medical Education and Research. 2000; 75: 273-7.
 
[34]  Husein ASF, Pratomo BY and Suryono B. Comparison of Sevoflurane and Nitrous Oxide (N2O) Levels During Anesthesia in the Operating Room With Hepa Filter and No Hepa Filter Anesthesia Complications. 2016; 3.
 
[35]  Sanabria CP, E RP, E JM, et al. Occupational Exposure to Nitrous Oxide and Sevoflurane During Pediatric Anesthesia: Evaluation of an Anesthetic Gas Extractor. 2006.
 
[36]  Baek J, Uhm M, Bae S and Singh KP. Assessing Operating Room Nurses Occupational Exposure to Nitrous Oxide. 2009.
 
[37]  A.Flack L. Nurse Exposure to Waste Anesthetic Gases in a Post Anesthesia Care Unit. Enviromental and Occupational Health College of Public Health: University of South Florida, 2006.
 
[38]  Sifakis S, Androutsopoulos VP, Tsatsakis AM and Spandidos DA. Human Exposure to Endocrine Disrupting Chemicals: Effects On The Male And Female Reproductive System. 2017.
 
[39]  Damodaran TV. Genotoxicities and Infertility. In: C.Gupta R, (ed.). First ed.: Elsevier, 2011, p. 923.
 
[40]  Committee TACoOaGCnHCFUWASfRMP. Exposure to Toxic Enviromental Agents. The University of California, San Fransisco Program on Reproductive Health and the Enviroment: The American College of Obstetricians and Gynecologist
 
[41]  Tannenbaum TN and Goldberg RJ. Exposure to Anesthetic Gases and Reproductive Outcome. Occupational Medicine. 1985; 27.
 
[42]  Sastroasmoro S and Ismail S. Dasar-dasar Metode Penelitian Klinis. Sagung Seto, 2010.
 
[43]  Bruner-Tran KL, BS JG, Ding T, MLI DRG, Pensabene V and Osteen KG. Exposure to the Environmental Endocrine Disruptor TCDD and Human Reproductive Dysfunction: Translating Lessons from Murine Models. 2016.
 
[44]  Talamanca FI. Reproductive Problems Among Women Health Care Workers: Epidemiologic Evidence and Preventive Strategies. Epidemiologic Reviews. 2000; 22.
 
[45]  Rezk BM and Sikka S. Developmental and Reproductive Disorders: Role of Endocrine Disruptors in Testicular Toxicity. In: C.Gupta R, (ed.). Elsevier, 2011, p. 903.