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私立医学微生物实验室医疗废物的产生与构成

Generation and composition of medical wastes from private medical microbiology laboratories.

作者信息

Komilis Dimitrios, Makroleivaditis Nikolaos, Nikolakopoulou Eftychia

机构信息

School of Science and Technology, Hellenic Open University, Patras, Greece.

Chemistry Teacher, M.Sc. graduate of the Hellenic Open University, Patras, Greece.

出版信息

Waste Manag. 2017 Mar;61:539-546. doi: 10.1016/j.wasman.2017.01.033. Epub 2017 Feb 3.

DOI:10.1016/j.wasman.2017.01.033
PMID:28162901
Abstract

A study on the generation rate and the composition of solid medical wastes (MW) produced by private medical microbiology laboratories (PMML) was conducted in Greece. The novelty of the work is that no such information exists in the literature for this type of laboratories worldwide. Seven laboratories were selected with capacities that ranged from 8 to 88 examinees per day. The study lasted 6months and daily recording of MW weights was done over 30days during that period. The rates were correlated to the number of examinees, examinations and personnel. Results indicated that on average 35% of the total MW was hazardous (infectious) medical wastes (IFMW). The IFMW generation rates ranged from 11.5 to 32.5g examinee d while an average value from all 7 labs was 19.6±9.6g examinee d or 2.27±1.11g examination d. The average urban type medical waste generation rate was 44.2±32.5g examinee d. Using basic regression modeling, it was shown that the number of examinees and examinations can be predictors of the IFMW generation, but not of the urban type MW generation. The number of examinations was a better predictor of the MW amounts than the number of examinees. Statistical comparison of the means of the 7PMML was done with standard ANOVA techniques after checking the normality of the data and after doing the appropriate transformations. Based on the results of this work, it is approximated that 580 tonnes of infectious MW are generated annually by the PMML in Greece.

摘要

在希腊开展了一项关于私立医学微生物学实验室(PMML)产生的固体医疗废物(MW)的产生率及成分的研究。这项工作的新颖之处在于,全球范围内此类实验室的相关信息在文献中尚无记载。选取了7家实验室,其每日检测能力在8至88人次之间。该研究持续了6个月,在此期间的30天内每天记录医疗废物重量。这些比率与受检者数量、检测项目及工作人员数量相关。结果表明,医疗废物总量中平均35%为有害(感染性)医疗废物(IFMW)。IFMW产生率在11.5至32.5克/受检者·天之间,7家实验室的平均值为19.6±9.6克/受检者·天或2.27±1.11克/检测项目·天。城市类型医疗废物的平均产生率为44.2±32.5克/受检者·天。通过基本回归模型表明,受检者数量和检测项目数量可作为IFMW产生量的预测指标,但不能作为城市类型医疗废物产生量的预测指标。检测项目数量比受检者数量更能准确预测医疗废物量。在检查数据正态性并进行适当变换后,采用标准方差分析技术对7家私立医学微生物学实验室的均值进行了统计比较。根据这项工作的结果,估计希腊的私立医学微生物学实验室每年产生580吨感染性医疗废物。

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