RESUMEN
Introduction :Coronavirus disease 2019(COVID-19) saw an overhaul in the biomedical waste management (BMWM) practices. Waste handlers were at the brunt of these changes. If the challenges pertaining to BMWM at the ground level are better understood, more effective measures to overcome them can be formulated. 1. To identify myths and concerns regarding BMWM in the context of COVID-Objectives: 19 pandemic. 2. To explore the challenges faced in BMWM amidst the COVID-19 pandemic. 3.To explore opportunities and future perspectives of BMWM. In-depth interviews were conducted among 17Method: purposively selected Class IV health care workers during August to November 2021 in a tertiary care institute in Mumbai. Data was reported using thematic analysis. Three major themes - challengesResults: and concerns faced by BMW handlers, enablers/ motivators, opportunities and future practices were generated from the transcripts. Various challenges faced by waste handlers were- difficulties in segregation and transport of BMW, exhaustion from PPE usage and fear of acquiring and spreading COVID-19 from work, stigma faced from public, and handling COVID-19 deaths. Support from family and colleagues, incentives and a positive change in public perception enabled them to work. Forming redressal committees, addressing job security concerns and timely provision of good quality equipment can improve hospital waste management measures in the future. It is of utmost importance to address challenges faced byConclusion: waste handlers in BMWM. Onus should also be on periodic training in BMWM
RESUMEN
Bio medical Waste (BMW) collection and disposal has become major concern for the medical and general Community. Improper waste management is hazardous to health care workers, patients, general Public and largely the environment. i) To evaluate the practices of BMW Management at source of generation and Aims & Objectives: transportation among different patient care areas at Vydehi Hospital ii) To analyze the quantity of waste generates iii)To assess the Knowledge, Attitude and Practices(KAP)among health care personnel regarding waste management. Methodology: It is a direct Observational and cross-sectional study which was conducted for a period of 12 months at VIMS & RC (Vydehi Institute of Medical Sciences & Research Centre). It was evaluated under 4 categories, with a checklist of 20 parameters among 40 patient care areas. Simple random sampling technique is used to select the study subjects for the KAP questionnaire. At VIMS & RC, the BMW Results: management mean observation was at the level of “Condition of waste receptacles” were good (95.79%) & least observation noted with “waste transportation” (52.5%). The total Infectious waste generated was 0.135kg/bed/day and the hospital has got separate colour coded bins in each ward for collection of waste. The safety measure taken by health care workers regarding KAP of biomedical waste management was not satisfactory among Class IV Employees and it was not due to unavailability of personal protective measures but because of un-awareness of health hazards which may occur due to improper waste management practices. It is concluded that there should be strict implementation of waste management policy, proper training and Conclusion: motivation regarding BMW management for all health care workers in hospital.
RESUMEN
Background: Injection is an important drug delivery system especially for severely ill patient, acute emergency condition and immunization. A safe injection is that, does not harm the recipient (patient), does not expose the provider (Health Workers) to any avoidable risk and does not result in waste that is dangerous for the community. Nursing personnel are an important risk group for occupational exposure to needle stick injuries as they are directly involved in the patient care activities like giving injections, starting IV line, taking blood sample etc. Objectives: To study the knowledge & impact of educational intervention of injection safety, post exposure prophylaxis following needle stick injury and segregation of bio medical waste among study nd rd nd rd participants. Methods: An Interventional study was carried out among 2 ,3 and final year B.Sc. & 2 ,3 year GNM nursing students of one of the Nursing Colleges in Ahmedabad. Results: Out of total, 233 (89.6%) were females and 27(10.4%) were males. Overall comparison between pre-test and post-test score regarding various factor of knowledge and practice of safe injection was statistically significant. Out of total, 36(13.8%) study participants were suffered from needle stick injury due to quickness or not wearing gloves. Only 11.1% study participants were not taking post exposure prophylaxis because of lack of knowledge and dread about long time medication course. Conclusion: Practice of injection safety standards was inappropriate except for routine use of hand gloves. The level of knowledge was poor especially in Post-Exposure Prophylaxis and Needle-prick injury accident management (NPIAM) protocol and register for post-exposure prophylaxis. Post-intervention assessment showed significant improvement in Knowledge for injection safety, PEP/NPIAM and category wise segregation of Bio-medical waste. Periodic reinforcement of the Nursing students by MBBS level educator with IEC and hands on training intervention will significantly protect them from NSIs and prevent the spread of blood borne pathogens.
RESUMEN
Background:The bio-medical waste products create particularly serious problems for the municipalities and its safe disposal is becoming a serious environmental problem. The concern regarding medical wastes is mainly due to the presence of pathogenic organisms and organic substances in hospital solid wastes in significantly higher concentrations. About one fourth of biomedical waste is considered as hazardous and may affect the health of both medical personnel and general community. Aim and objectives of the research was to assess the knowledge, attitude and practice about the biomedical waste management among the staff (medical and paramedical) of a tertiary care medical institute. Methods:The design of the study was observational, descriptive and cross-sectional. It was conducted in a 500 bedded private sector tertiary care medical institute in Lucknow. The study unit consisted of medical and paramedical staff (doctors, staff nurses, and ward boys) and sample size was 241 who consented to be a part of the study. All the study units who had been in the job for atleast 6 months in IIMSR who consented for the study were included; purposive convenience sampling was implemented and study period was from January 2018 to March 2018.Results:Majority across all the types of study participants were males, married, residing in urban areas and having not undergone any formal training. Our study found that though all the study participants in various groups were having the relevant level of knowledge but attitude and practices were variable.Conclusions:This study showed that knowledge may be higher but attitude and practices are variable and are not related to educational level.
RESUMEN
The study aims to determine knowledge regarding biomedical waste management policy, attitude & practice of BMWmanagement, prevalence of needle-stick injury and appropriate response to needle stick injury among the doctors working atAdesh Medical College and Hospital, India. A cross-sectional study was conducted using a questionnaire with closed-endedquestions. The questionnaire was distributed to all doctors working in the college. The resulting answers were graded and thepercentages for each question was obtained and analyzed. The results showed that the level of knowledge and awareness ofbiomedical waste generation, associated hazards, legislations and management practices among health care personnel is good.However, it was surprising that this is not getting translated to action, especially when their personal well-being is concerned. Itwas found that none of respondents had an excellent level of knowledge on responding appropriately to needle stick injury andonly 17.9% respondents had good knowledge about needle stick injury and its management while 82.1% respondents had anaverage knowledge. It may be concluded that the knowledge about BMW among doctors is good but there are poor levels ofknowledge and awareness about needle stick injury and its management. Regular monitoring and training are required at alllevels.
RESUMEN
Background: Total biomedical waste produced globally is 484 tonnes per day (TPD). 447 TPD is treated and 37 TPD is untreated. Hospital waste causes contamination of environment and leads to serious health consequences in healthcare workers and general public due to poor handling as a result of inadequate and improper treatment knowledge. Every health care professional should have a proper knowledge and capacity to guide others regards proper management of biomedical waste. The objective of the present study was conducted to assess the knowledge, attitude and practice of biomedical waste management among interns of SDMCMSH, Dharwad.Methods: A cross-sectional hospital based study was conducted to assess knowledge, attitude and practice of biomedical waste management among interns of SDMCMSH, Dharwad. There were 100 interns in the institute and all 100 were included in the study after obtaining informed consent. Pre-tested, semi-structured questionnaire was used to collect the data.Results: Out of 100 responses obtained, 81 were complete in all respect hence, and others were excluded from the analysis. Majority, 55.5% were females. 15% of the interns were not able to name correctly color codes of bags. Only two-third were aware about where and how bio-medical wastes are treated. In general, males gave correct answers more often compared to female interns and this was statistically significant (p<0.05).Conclusions: Though interns are aware about the seriousness of the biomedical waste to the public health, there still exists a knowledge attitude and practice gap. This needs to be identified and suitably addressed.
RESUMEN
"Introduction: Bio-medical wastes are of great importance due to its potential environmental hazards and health problems. The waste produced in the course of health care activities carries a higher potential for infection and injury than any other type of waste. It is estimated that annually 0.33 million tons of hospital waste is generated in India. The objective of this study is to analyze the medical waste management practices in different health care settings, analyze the risk perceptions of health care personnel and assess the attitude towards the waste management policies.Materials and methods:A cross-sectional study is conducted using a pre-tested questionnaire to assess the awareness, knowledge and practices on medical waste management among health care personnel in different health care settings in Mangalore city.Pullishery F,Panchmal GS, Siddique S, Abraham A. Awareness, Knowledge and Practices on Bio Medical Waste Management Among Health Care Professionals in Mangalore A Cross Sectional Study. IAIM, 2016; 3(1):29-355.Page 30 Results: Doctors, nurses, and laboratory technicians have better knowledge than sanitary staff regarding biomedical waste management. Knowledge regarding the color coding and waste segregation was found to be better among nurses and laboratory staff as compared to doctors. Conclusion:The management of hospital waste requires its segregation and removal from the health care establishments in such a way that it will not be a source of health hazards to those who are directly or indirectly related to the hospital environment. The segregation of waste in almost all hospitals is not satisfactory. Proper and judicious handling of Bio-medical waste continues to be a matter of serious concern for health authorities in India."
RESUMEN
Health care institutions are generating large amount of Bio-Medical Waste (BMW), which needs to be properly segregated and treated. With this concern, a questionnaire based cross-sectional study was done to determine the current status of awareness and practices regarding BMW Management (BMWM) and areas of deficit amongst the HCWs in a tertiary care teaching hospital in New Delhi, India. The correct responses were graded as satisfactory (more than 80%), intermediate (50–80%) and unsatisfactory (less than 50%). Some major areas of deficit found were about knowledge regarding number of BMW categories (17%), mercury waste disposal (37.56%) and definition of BMW (47%).
RESUMEN
Background: Infections occurring from waste produced in health care establishments are more when compared to any other type of waste. There is inadequate and inappropriate knowledge of biomedical waste management among health care personnel which might have serious health consequences and pose a threat to the environment. This study was conducted to determine the knowledge of health care professionals about the proper disposal of biomedical waste and practice in following preventive measures while handling bio medical waste. Methods: This cross sectional study was conducted at three tertiary care teaching hospitals attached to Kasturba Medical College (KMC), Mangalore. Health care professionals comprising of doctors, nurses, lab technicians and class IV employees were enrolled in the study based on convenient sampling technique after obtaining their informed written consent. The data was collected using a pre tested, semi structured questionnaire. SPSS Version 16.0 was used for entering the data and analysis. Results: It was found that doctors had better knowledge compared to other health care professionals about the correct disposal of needles (n=56, 84.8%) and disposal of discarded medicines (n=45, 68.2%). Knowledge about the correct disposal of tubes and catheters were almost equal among doctors (n=47, 71.2%) and nurses (n=47, 73.4%). Only 44.5% (n=97) of health care professionals were utilizing all the personal protective equipments while handling bio medical waste. Conclusions: It can be concluded that the awareness regarding proper disposal of biomedical waste was better among doctors, staff nurses and lab technicians when compared to class IV employees.
RESUMEN
Background & objectives: A legislative framework for bio-medical waste management (BMWM) was established in the country more than a decade ago. Though some studies have identified gaps at local levels, no systematic effort was done to collect data from different parts of the country. The objective of this nationwide study was to document existing resources, infrastructure and practices related to BMWM across the study districts. Methods: The study was conducted in 25 districts spread over 20 States of India including urban and rural areas. Primary (n=388), secondary (n=25) and tertiary care (n=24) health facilities from public (n=238) and private (n=199) sector were assessed and scored for the state of BMWM through 9 items representing system capacity, availability of resources and processes in place. Health facilities were assigned into one of the three categories (Red, Yellow and Green) based on the cumulative median scores. Results: Around 82 per cent of primary, 60 per cent of secondary and 54 per cent of tertiary care health facilities were in the ‘RED’ category. Multivariate analysis indicated that charts at the point of waste generation, availability of designated person, appropriate containers and bags, availability of functional needle destroyers, availability of personal protective gears, segregation of waste at point of generation and log book maintenance were independently (OR-between 1.2-1.55; P<0.03 or less) associated with better BMWM system in the health facilities. This was true for both rural-urban and public or private health facilities. Interpretation & conclusions: The study highlighted the urgent need for greater commitments at policy and programme levels for capacity building, and resource investments in BMWM.