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医院抗癌药物废物处置做法和废水管理:黎巴嫩调查。

Anti-cancer drug waste disposal practices and wastewater management in hospitals: A Lebanese survey.

机构信息

School of Life Sciences, Pharmacy and Chemistry, Kingston University, Kingston Upon Thames, UK.

出版信息

J Oncol Pharm Pract. 2024 Jan;30(1):78-87. doi: 10.1177/10781552231167875. Epub 2023 Apr 2.

DOI:10.1177/10781552231167875
PMID:37006138
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10804692/
Abstract

INTRODUCTION

To achieve continuous environmental sustainability and protect the population's health, healthcare waste (in liquid or solid form) needs appropriate management and suitable treatment strategies before its final disposal in the environment in order to reduce its adverse impacts. This study aims to identify disparities in the waste management of anti-cancer drugs and the wastewater generated in Lebanese hospitals.

METHODS

Three questionnaires were designed to evaluate the level of knowledge, awareness and experience of hospital personnel regardless of their job levels. Data was collected in December 2019 from three departments of each participating hospital: pharmacy, oncology and maintenance departments. A descriptive analysis was conducted to summarise the survey results.

RESULTS

The results revealed a lack of transparency and awareness of the participants, with a high frequency of 'prefer not to say' responses when asked about the disposal methods of anti-cancer drugs and with only 5.7% of the participants in the pharmacy department sharing their disposal procedures. The same perception was deduced regarding hospitals' wastewater treatment, where responses were often contradicting, preventing making assumptions about the fate of hospital wastewater.

CONCLUSION

The results of this survey support the need to establish a more comprehensive waste management programme in Lebanon that would be maintained through regular training and supervision.

摘要

简介

为了实现环境的可持续性并保护公众健康,医疗废物(液体或固体形式)需要在最终环境处置之前进行适当的管理和合适的处理策略,以减少其不利影响。本研究旨在确定黎巴嫩医院在抗癌药物废物管理和废水产生方面的差异。

方法

设计了三份问卷,以评估医院人员(无论其工作级别如何)的知识、意识和经验水平。2019 年 12 月,从每个参与医院的三个部门:药房、肿瘤科和维护部门收集数据。进行描述性分析以总结调查结果。

结果

结果显示参与者缺乏透明度和意识,当被问及抗癌药物的处理方法时,“不愿回答”的回答频率很高,只有 5.7%的药房部门的参与者分享了他们的处理程序。同样可以推断出医院废水处理的情况,其中的反应往往相互矛盾,使得对医院废水的命运无法做出假设。

结论

这项调查的结果支持在黎巴嫩建立一个更全面的废物管理计划的必要性,该计划将通过定期培训和监督来维持。

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Mapping healthcare waste management research: Past evolution, current challenges, and future perspectives towards a circular economy transition.医疗废物管理研究的映射:向循环经济转型的过去演变、当前挑战和未来展望。
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