Abstract

Purpose : To evaluate DNA damage in lymphocytes and cognitive deficits in a nursing team occupationally exposed to ionizing radiation in a university hospital in southern Brazil. Method : Cross-sectional study, case-control design, included 79 women working in a nursing team in Hemodynamics, Radiology, Ambulatory and Midwifery Units. They were classified in two groups: 1_Exposed to ionizing radiation, n=38 (Hemodynamics and Radiology Units) and 2_Unexposed to ionizing radiation, n=41 (Ambulatory and Midwifery Unit). Blood was collected and DNA damage in lymphocytes was analyzed using the comet assay and micronucleus test (MN). The cells were classified according to the damage frequency (DF) and index (DI) based on the comet tail size. Cognition was also evaluated according to the scores obtained in Stroop test, the digit and word span. Results : No difference was found for the variables DI, DF, MN, Stroop_word, Stroop_color, Stroop_color/word between the groups. However, when the groups were analyzed independently of their exposure condition, the damage index in the Hemodynamics was lower than in all other Units. The damage frequency in Midwifery Unit was higher than in Ambulatory and Hemodynamics. The frequency of micronucleus was not different among the employees from the four Units. Conclusions : DNA damage in lymphocytes did not differ between nursing teams occupationally exposed or not exposed to ionizing radiation. However, higher damage in a non exposed group may indicate other risks to the healthcare team.

Highlights

  • The biological effects of ionizing radiation are well characterized for high dose exposures, such as those found, for example, in nuclear accidents and for therapeutic purpose

  • The aim of this study was to compare the DNA damage of lymphocytes and the performance in cognitive tests of a nursing team occupationally exposed to ionizing radiation, within the annual legal dose limit, to a nursing team not exposed to radiation

  • The present study did not show differences in lymphocyte DNA damage in a female nursing team occupationally exposed to ionizing radiation when compared to a nursing team not exposed to it

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Summary

Introduction

The biological effects of ionizing radiation are well characterized for high dose exposures, such as those found, for example, in nuclear accidents and for therapeutic purpose. Low levels of low linear energy transfer ionizing radiation are found in x-rays and gamma rays up to about 100 mSv (BEIR, 2006). The employees who work in these areas are potentially exposed to radiation, and attitudes of radioprotection are mandatory to minimize the risk of injury. Those who work in an environment of diagnostic or therapeutic radiation are exposed to low doses of radiation. In Japan, a study reported an annual mean effective dose to nurses in interventional radiology procedures to be around 1.34 mSv (Chida et al, 20122013). There is an occupational dose exposure legal limit (currently 20 mSv/year), this limit has been periodically reviewed and it has been historically decreased (Linet et al, 2010)

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