Answer to Question #8690 Submitted to "Ask the Experts"
Category: Nuclear Medicine Patient Issues — Therapeutic Nuclear Medicine
The following question was answered by an expert in the appropriate field:
I was treated with 444 MBq of 131I for hyperthyroidism two days ago. I have followed the safety precautions to minimize exposure to others. However, I have two sons: 12 months and five years old. I'm afraid to touch any surface they may come in contact with, like doorknobs, chairs, refrigerator door, and even the floor since the baby crawls. I'm supposed to maintain a distance for three days. What happens after the three days? I understand that the half-life is eight days and I'll be "radioactive" until after 80 days. Are there any other precautions that I need to take?
I can understand your concern regarding keeping the exposure to your children as low as possible.
My facility has done surveys in people's homes after radioiodine therapy and mainly found contamination (1) on the person's pillowcase—because your head sweats and there is iodine in the sweat, (2) on the telephone from the sweat from people's hands, and (3) on the bathroom sink. People also lose hair when they brush it or just through the day, so daily vacuuming for the first week or so will keep the floor clean for the children.
Frequent hand washing is another good practice to keep your house free of contamination. Washing your hands before preparing food is especially important for at least two weeks. I would recommend not sharing food or drink with the children for the first two weeks.
I would also recommend not letting the children sleep with you for two months.
I think if you follow these suggestions, you will keep their exposure low and do not have to be concerned about their possibly ingesting any radioactive iodine.
Marcia Hartman, MS