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土耳其医疗废物管理法规变化的评估。

Evaluation of the regulation changes in medical waste management in Turkey.

机构信息

Istanbul Special Provencial Administration, European Union Projects Coordinator, Aksaray, Istanbul, Turkey.

出版信息

Waste Manag Res. 2010 Nov;28(11):1034-8. doi: 10.1177/0734242X10366158. Epub 2010 Apr 20.

DOI:10.1177/0734242X10366158
PMID:20406751
Abstract

In this study, a survey containing 28 questions concerning general information about the healthcare services, waste collection, training, waste quantities, storage and general evaluation was applied to 311 healthcare services. The response rate was 82%, which was considered acceptable for the evaluation of the results. The separate collection of medical waste and sharps was completely achieved in all of the healthcare services participating in the survey and 82.6% of the healthcare services used containers for separate collection of medical waste. Only 5% of the containers used for waste collection and temporary storage were inappropriate for collecting medical waste. Almost 33% of healthcare services organized courses monthly, 40% quarterly and 20% at least twice a year. A total of 88% of the hospitals have temporary storage depots for medical waste and all of these depots complied with the Medical Waste Control Regulation. The results of this study showed that the medical waste generation rate was 2.35 kg bed(-1) day(-1). The amount of liquid waste and sharps was determined for the first time in Turkey. The rate of separate collection for recyclables increased to 94%, having been 83% in 2006. The results indicate that in the period 2006-2009, the healthcare services conformed completely to the Medical Waste Control Regulation as it applied. Any deficiencies observed will be satisfied by precautionary actions that will be taken by hospital managers and local administrations.

摘要

在这项研究中,我们向 311 家医疗服务机构发放了一份包含 28 个问题的调查问卷,内容涉及医疗服务、废物收集、培训、废物量、储存和总体评估等方面的一般信息。调查的回复率为 82%,这被认为是评估结果的可接受水平。所有参与调查的医疗服务机构都实现了医疗废物和锐器的分类收集,82.6%的医疗服务机构使用容器进行医疗废物的分类收集。只有 5%用于废物收集和临时储存的容器不适合收集医疗废物。近 33%的医疗服务机构每月组织课程,40%每季度组织,20%至少每年组织两次。共有 88%的医院设有医疗废物临时储存库,这些储存库均符合《医疗废物控制条例》的要求。研究结果显示,医疗废物产生率为 2.35 公斤/床/天。这是土耳其首次确定的液体废物和锐器的数量。可回收物的分类收集率上升至 94%,2006 年这一比例为 83%。结果表明,在 2006 年至 2009 年期间,医疗服务机构完全符合当时适用的《医疗废物控制条例》。任何观察到的缺陷都将通过医院管理者和地方行政部门采取的预防措施得到解决。

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