DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20163808

Compliance with standard norms in collection, segregation and transport of biomedical waste in a tertiary care hospital: a cross-sectional study

Aniruddha A. Malgaonkar, S. Kartikeyan

Abstract


Background: This cross-sectional study was conducted to determine the gaps between the stipulated procedures for collection, segregation and transportation of bio-medical waste (BMW) and the actual practices; the levels of BMW-related awareness and training status of hospital employees; the protocols for occupational exposure to hazardous BMW and their implementation; and to recommend corrective measures.

Methods: Primary data were collected by interviewing the staff in-charge of all BMW generating units of a tertiary care hospital and by recording information by direct on-site observation on a checklist. The participant’s confidentiality was maintained throughout the study.

Results: The interviews and actual observations in 26 BMW generating units (out-patient departments, in-patient wards, laboratories, operation theatres, post-mortem room) revealed availability of trained person in-charge for BMW (3.85%), mixing of infectious and non-infectious waste at point of generation (73.07%), untreated syringes sent for final disposal (60.86%), availability of colour-coded bags (50%) and absence of puncture-proof containers (85.71%). 84.61% of interviewees reported having taken tetanus and hepatitis B immunizations.

Conclusions: The necessary interventions include periodic training and re-training of personnel, active supervision of BMW handlers to enforce the use of protective gear and vaccination of all staff against tetanus and hepatitis B. Periodic BMW audit would be essential to determine the trends in the diversity and quantities of waste produced in health care settings and facilitate administrators to devise strategies for improved management of BMW.


Keywords


Bio-medical waste, Hospital personnel, Medical waste disposal

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References


Ministry of Environment, Forest and Climate Change. Notification. The Gazette of India, Extraordinary, Part II, Section 3, Sub-section (i). New Delhi. 28th March 2016.

Ministry of Environment and Forests (MOEF). Notification N. S.O.630 (E). Biomedical waste (Management and Handling) Rules, 1998. The Gazette of India, Extraordinary, Part II, Section 3, Sub-section (ii). New Delhi. 27th July 1998.

Birpinar ME, Bilgili MS, Erdoğan T. Medical waste management in Turkey: The case study of Istanbul. Waste Manag. 2009;29(1):445-8.

Yong Z, Gang X, Guanxing W, Tao Z, Dawei J. Medical Waste Management in China: A case study of Nanjing. Waste Manag. 2009;29(4):1376-82.

Patil AD, Shekdar AV. Health-care waste management in India. J Environ Manage. 2001;63(2):211-20.

Bdour AN, Altrabsheh B, Hadadin NA, Al-Shareif M. Assessment of medical wastes management practice: A case study of the northern part of Jordan. Waste Manag. 2007;27:746-59.

Sachan R, Patel ML, Nischal A. Assessment of the knowledge, attitude and practices regarding Biomedical Waste Management amongst the medical and paramedical staff in tertiary health care centre. Int J Sci Res Pub. 2012:2(7):1-6.

Government of Gujarat. Biomedical Waste Checklist. Available at: http://www.gujhealth.gov.in/ images/ pdf/ bmw-guidline. pdf. pages 38-41. Accessed on: 28 Aug 2016.

Yadavannavar MC, Berad AS, Jagirdar PB. Biomedical Waste Management: A study of knowledge, attitude and practices in a tertiary health care institution in Bijapur. Indian J Community Med. 2010;35(1):170-1.

Basu M, Das P, Pal R. Assessment of future physicians on biomedical waste management in a tertiary care hospital of West Bengal. J Nat Sc Biol Med 2012;3:38-42.

Hassan MM, Ahmed SA, Rahman KA, Biswas TK. Pattern of medical waste management: existing scenario in Dhaka City, Bangladesh. BMC Public Health. 2008,8:36.

Pandit NB, Mehta HK, Kartha GP, Choudhary SK. Management of Bio-medical waste: Awareness and practices in a district of Gujarat. Indian J Public Health. 2005;49(4):245-7.

Soliman S, Ahmed AI. Overview of biomedical waste management in selected Governorates in Egypt: A pilot study. Waste Management. 2007;27:1920-3.

Phukan P. Compliance to occupational safety measures among the paramedical workers in a tertiary hospital in Karnataka, South India. Int J Occup Environ Med 2014;5(1):40-50.

Omar AA, Abdo NM, Salama MF, Al-Mousa HH. Occupational injuries prone to infectious risks amongst healthcare personnel in Kuwait: A Retrospective Study. Med Princ Pract. 2015;24(2):123-8.