A group of workers who were employed at a pharmaceutical manufacturing
company and who participated in the entire production cycle were stud
ied. Numerous substances, including iodo-chloro-oxyquinoline, erythrom
ycin, disinfectants, small amounts of cortisones, and preserving agent
s (prevan and parabenzoates), were used in the manufacturing processes
. A control group comprised individuals who were not exposed to hepato
toxic substances. This investigation was designed to determine the ris
k of hepatotoxicity in the pharmaceutical industry, and a protocol was
used that allowed for ease of screening. In the presence of a physici
an, all subjects completed a clinical history questionnaire. They all
underwent a general clinical examination, and specific blood chemistry
tests were performed. Certain liver indices that were correlated with
cytotoxicity were significantly higher in the pharmaceutical workers
than among the controls. The findings confirmed that there was a probl
em of hepatic involvement among workers in this sector, indicating tha
t the clinical-biohumoral screening protocol used in this study was va
lid for identifying subjects at risk of hepatotoxicity.