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尼日利亚阿布贾联邦首都地区固体医疗废物的特征与管理

Characterization and management of solid medical wastes in the Federal Capital Territory, Abuja Nigeria.

作者信息

Bassey B E, Benka-Coker M O, Aluyi H S A

机构信息

Department of Medical Laboratory Services, General Hospital Wuse, Garki-Abuja, Nigeria.

出版信息

Afr Health Sci. 2006 Mar;6(1):58-63. doi: 10.5555/afhs.2006.6.1.58.

Abstract

BACKGROUND

Medical establishment such as hospitals and research institutes generate sizable amount of hazardous waste. Health care workers, patients are at risk of acquiring infection from sharps and contamination of environment with multiple drug resistant microorganisms if wastes are not properly managed.

OBJECTIVES

To characterize types and evaluate waste disposal techniques employed in the management of solid medical wastes in five selected hospitals in the Federal Capital Territory, Abuja.

METHODS

This was a cross section study involving the use of questionnaires, in-depth interview, meetings, discussions and participant observed strategy. It also involved the collection, sorting (segregation), identification and characterization and weighing of waste types from wards and units in the selected hospitals.

RESULTS

The average waste generation rate per bed/day was determined and found to be 2.78 kg of solid waste, 26.5% of the total waste was hazardous in nature. Waste segregation was found not to be practiced by any of the hospitals surveyed, 18.3% of the hospitals incinerated waste in a locally built brick incinerator; 9.1% bury; 36.3% burn waste in open pits while 36.3% dispose of a waste into municipal dumpsites.

CONCLUSION

Waste management officers do not have formal training in waste management techniques; and hospital administrators pay very little attention to appropriate management of medical waste. Therefore, we must educate waste generators of their responsibility to properly manage the waste so that their staff, patients, environment and community is protected.

摘要

背景

医院和研究机构等医疗机构会产生大量危险废物。如果废物管理不当,医护人员和患者有因锐器受伤而感染以及被多重耐药微生物污染环境的风险。

目的

对阿布贾联邦首都地区五家选定医院固体医疗废物管理中采用的废物类型进行特征描述并评估废物处理技术。

方法

这是一项横断面研究,采用问卷调查、深入访谈、会议、讨论以及参与观察策略。还包括从选定医院的病房和科室收集、分类(隔离)、识别和描述以及称量废物类型。

结果

确定了每张病床每天的平均废物产生率,发现为2.78千克固体废物,其中26.5%的总废物具有危险性。在所调查的医院中,没有一家医院进行废物分类,18.3%的医院在当地建造的砖砌焚烧炉中焚烧废物;9.1%填埋;36.3%在露天坑中焚烧废物,而36.3%将废物倒入城市垃圾场。

结论

废物管理人员没有接受过废物管理技术的正规培训;医院管理人员对医疗废物的妥善管理关注甚少。因此,我们必须教育废物产生者妥善管理废物的责任,以便保护其工作人员、患者、环境和社区。

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