Department of prevention and security of care, Sahloul University hospital of Sousse, Sousse, Tunisia.
Faculty of Medicine Of Sousse, University of Sousse, Sousse, Tunisia.
Antimicrob Resist Infect Control. 2024 Oct 10;13(1):122. doi: 10.1186/s13756-024-01446-w.
Healthcare waste (HCW) poses a global hazard, particularly in developing country hospitals where mismanagement is common due to poor practices among staff. Training healthcare workers has shown promise in enhancing practices and behaviors. The aim of this study was to assessHCW management at Sahloul University Hospital (2019-2021) before and after training sessions.
This study was conducted at Sahloul University in Sousse, Tunisia, spanned two years (2019-2021) and consisted of three distinct stages. Two audits of Healthcare Waste Management (HCWM) were conducted using a predetermined assessment framework derived from ANGED's guidelines, with an educational session separating the two audits.
In terms of sorting practicesthere was a substantial improvement in sorting practices following training. Specifically, the overall compliance rate for sorting sharps increased from 60.3 to 77.6% (p < 10 - 3), and for sorting soft and solid waste, it rose from 32.5 to 72.4% (p < 10 - 3) in 2021. Overall, resource indicators demonstrated improvement between 2019 and 2021, the compliance rate for the intra-service collection step increased from 31.3 to 58.2%. However, we observed persistent inadequacies in container and bag labeling, as well as challenges in tracing the time of healthcare waste collection.
Training led to significant improvements in HCW management practices among healthcare workers, though some areas still need enhancement.
医疗废物（HCW）构成了全球性的危害，在发展中国家的医院尤其如此，由于工作人员的不良操作，这些医院普遍存在管理不善的情况。培训医护人员已被证明可以提高实践和行为。本研究旨在评估 2019 年至 2021 年在突尼斯苏塞的 Sahloul 大学医院进行培训前后的 HCW 管理情况。
本研究在突尼斯苏塞的 Sahloul 大学进行，历时两年（2019-2021 年），分为三个不同阶段。使用源自 ANGED 指南的预定评估框架对医疗废物管理（HCWM）进行了两次审核，两次审核之间进行了一次教育课程。
在分类操作方面，培训后分类操作有了显著改善。具体而言，锐器分类的总体合规率从 60.3%提高到 77.6%（p<10-3），软质和固体废物分类的总体合规率从 32.5%提高到 72.4%（p<10-3）。总体而言，2019 年至 2021 年期间资源指标有所改善，服务内收集步骤的合规率从 31.3%提高到 58.2%。然而，我们观察到容器和袋子标签持续存在不规范的情况，以及在追溯医疗废物收集时间方面存在挑战。
培训显著改善了医护人员的 HCW 管理实践，但仍有一些领域需要改进。
