Let’s get clinical

Hazardous Drug Exposure takes many forms.
National Institute for Occupational Safety and Health (NIOSH) defines a CSTD as “a drug transfer device that mechanically prohibits the transfer of environmental contaminants into the system and the escape of hazardous drug or vapor concentrations outside the system.”
Or simply as a system that lets nothing in and nothing out.

Filter – Hashtags – Default
Contamination on inner walls of syringes used for compounding and administration of hazardous drugs
Peer-Reviewed
March 2025
#syringe-contamination

Contamination on Inner Walls of Syringes Used for Compounding and Administration of Hazardous Drugs

University Hospital Leuven
Peer-Reviewed
2024
#air-tight
#syringe unit
#syringe-contamination

An Assessment of Exposed Syringe Inner Walls as a Route of Exposure from Hazardous Drugs

UNC Eshelman School of Pharmacy
Independent
February 18, 2016
#air-tight

Assessment of Testing Method for Closed System Transfer Devices Across Vapor Release

Peer-Reviewed
2018
#air-tight

Application of the 2015 proposed NIOSH vapor containment performance protocol for closed system transfer devices used during pharmacy compounding and administration of hazardous drugs

University of North Carolina
Peer-Reviewed
2015
#Head of Pharmacy
#Pharmacist
#plunger-contamination

Syringe plunger contamination by hazardous drugs: A comparative study

Journal Oncology Pharmacy Practice
Peer-Reviewed
2013
#CSTD Preparation
#Head of Pharmacy
#Pharmacist
#surface-contamination

Use of a closed system drug-transfer device eliminates surface contamination with antineoplastic agents

Cleveland Clinic Cancer Center, Fairview Hospital
Peer-Reviewed
2005
#Head of Pharmacy
#Nurse
#Pharmacist
#plunger-contamination

Contamination of Syringe Plungers During the Sampling of Cyclophosphamide Solutions​

Journal of Oncology Pharmacy Practice
Peer-Reviewed
2021
#leak-proof
#surface-contamination

Effectiveness of Closed System Drug Transfer Devices

IRCCS Ospedale Policlinico
Independent
2019

PPC 2016 Poster Abstract

Canadian Society of Hospital Pharmacists