Pandey Anita, Ahuja Sanjiv, Madan Molly, Asthana Ajay Kumar
Professor, Department of Microbiology, Subharti Medical College , Meerut, Uttar Pradesh, India .
Assistant Professor, Department of Microbiology, Subharti Medical College , Meerut, Uttar Pradesh, India .
J Clin Diagn Res. 2016 Nov;10(11):DC01-DC03. doi: 10.7860/JCDR/2016/22595.8822. Epub 2016 Nov 1.
Bio-Medical Waste (BMW) management is of utmost importance as its improper management poses serious threat to health care workers, waste handlers, patients, care givers, community and finally the environment. Simultaneously, the health care providers should know the quantity of waste generated in their facility and try to reduce the waste generation in day-to-day work because lesser amount of BMW means a lesser burden on waste disposal work and cost saving.
To have an overview of management of BMW in a tertiary care teaching hospital so that effective interventions and implementations can be carried out for better outcome.
The observational study was carried out over a period of five months from January 2016 to May 2016 in Chhatrapati Shivaji Subharti Hospital, Meerut by the Infection Control Team (ICT). Assessment of knowledge was carried out by asking set of questions individually and practice regarding awareness of BMW Management among the Health Care Personnel (HCP) was carried out by direct observation in the workplace. Further, the total BMW generated from the present setup in kilogram per bed per day was calculated by dividing the mean waste generated per day by the number of occupied beds.
Segregation of BMW was being done at the site of generation in almost all the areas of the hospital in color coded polythene bags as per the hospital protocol. The different types of waste being collected were infectious solid waste in red bag, soiled infectious waste in yellow bag and sharp waste in puncture proof container and blue bag. Though awareness (knowledge) about segregation of BMW was seen in 90% of the HCP, 30%-35% did not practice. Out of the total waste generated (57912 kg.), 8686.8 kg. (15%) was infectious waste. Average infectious waste generated was 0.341 Kg per bed per day. The transport, treatment and disposal of each collected waste were outsourced and carried out by 'Synergy' waste management Pvt. Ltd.
The practice of BMW Management was lacking in 30-35% HCP which may lead to mixing of the 15% infectious waste with the remaining non-infectious. Therefore, training courses and awareness programs about BMW management will be carried out every month targeting smaller groups.
生物医疗废物（BMW）管理至关重要，因为其管理不当会对医护人员、废物处理人员、患者、护理人员、社区乃至环境构成严重威胁。同时，医疗服务提供者应了解其机构产生的废物量，并在日常工作中努力减少废物产生，因为较少的生物医疗废物意味着废物处理工作负担减轻和成本节约。
全面了解一家三级护理教学医院的生物医疗废物管理情况，以便能够实施有效的干预措施并取得更好的效果。
感染控制团队（ICT）于2016年1月至2016年5月在密鲁特的贾特拉帕蒂·希瓦吉·苏巴尔蒂医院开展了为期五个月的观察性研究。通过单独询问一系列问题来评估知识掌握情况，并通过在工作场所直接观察来了解医护人员（HCP）对生物医疗废物管理的认识实践情况。此外，通过将每日产生的平均废物量除以占用床位数，计算出当前设置下每张病床每天产生的生物医疗废物总量（以千克为单位）。
几乎医院所有区域都按照医院规定在产生地使用颜色编码的聚乙烯袋对生物医疗废物进行分类。收集的不同类型废物包括红色袋中的感染性固体废物、黄色袋中的污染感染性废物以及防穿刺容器和蓝色袋中的锐器废物。尽管90%的医护人员了解生物医疗废物分类知识，但30%-35%的人未付诸实践。在产生的总废物（57912千克）中，8686.8千克（15%）为感染性废物。每张病床每天平均产生的感染性废物为0.341千克。每种收集到的废物的运输、处理和处置都外包给了“协同”废物管理私人有限公司。
30%-35%的医护人员缺乏生物医疗废物管理实践，这可能导致15%的感染性废物与其余非感染性废物混合。因此，将每月针对较小群体开展关于生物医疗废物管理的培训课程和宣传项目。
