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      Knowledge, Attitude, and Practices about Biomedical Waste Management among Healthcare Personnel: A Cross-sectional Study

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          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Background:

          The waste produced in the course of healthcare activities carries a higher potential for infection and injury than any other type of waste. Inadequate and inappropriate knowledge of handling of healthcare waste may have serious health consequences and a significant impact on the environment as well.

          Objective:

          The objective was to assess knowledge, attitude, and practices of doctors, nurses, laboratory technicians, and sanitary staff regarding biomedical waste management.

          Materials and Methods:

          This was a cross-sectional study.

          Setting:

          The study was conducted among hospitals (bed capacity >100) of Allahabad city.

          Participants:

          Medical personnel included were doctors (75), nurses (60), laboratory technicians (78), and sanitary staff (70).

          Results:

          Doctors, nurses, and laboratory technicians have better knowledge than sanitary staff regarding biomedical waste management. Knowledge regarding the color coding and waste segregation at source was found to be better among nurses and laboratory staff as compared to doctors. Regarding practices related to biomedical waste management, sanitary staff were ignorant on all the counts. However, injury reporting was low across all the groups of health professionals.

          Conclusion:

          The importance of training regarding biomedical waste management needs emphasis; lack of proper and complete knowledge about biomedical waste management impacts practices of appropriate waste disposal.

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          Most cited references10

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          A survey of doctors' and nurses' knowledge, attitudes and compliance with infection control guidelines in Birmingham teaching hospitals.

          Daniel T. Stein, M. Ahmad, Tafadzwa P. Makarawo (2003)
          This study investigated knowledge about infection control amongst doctors and nurses through a cross-sectional survey conducted between March and May 2001 in three Birmingham, UK teaching hospitals. Seventy-five doctors and 143 nurses, representing 7% and 4%, respectively, of potential respondents, participated in the study measuring knowledge of, attitudes towards, and compliance with universal precautions. Overall knowledge of risks of blood-borne virus (BBV) transmission from an infected patient after needlestick injury was low [44.0% for hepatitis B virus (HBV), 38.1% for hepatitis C virus (HCV), 54.6% for human immunodeficiency virus (HIV)]. There were significant differences between doctors and nurses concerning the estimations of HBV (e-antigen +) (P=0.006) and HIV (P<0.001) transmission risks. Eighty-six percent of nurses stated that they treat each patient as if they are carrying a BBV compared with 41% of doctors. Doctors and nurses differed significantly in their attitudes about and reported compliance with washing hands before and after patient contact and with wearing gloves when taking blood (P<0.001 for all). Doctors consistently de-emphasized the importance of, and reported poor compliance with, these procedures. Doctors were also more likely to state that they re-sheath used needles manually than were nurses (P<0.001). Thirty-seven percent of respondents reported that they had suffered a needlestick injury with a used needle, with doctors more likely to be injured than nurses (P=0.005). Twenty-eight percent of these doctors and 2% of the nurses did not report their needlestick injuries (P=0.004). Education, monitoring, improved availability of resources, and disciplinary measures for poor compliance are necessary to improve infection control in hospitals, especially amongst doctors.
          Article 0 comments Cited 26 times – based on 0 reviews     Review now
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            Health-care waste management in India.

            Ashok Shekdar, Nitin A. Patil (2001)
            Health-care waste management in India is receiving greater attention due to recent regulations (the Biomedical Wastes (Management & Handling) Rules, 1998). The prevailing situation is analysed covering various issues like quantities and proportion of different constituents of wastes, handling, treatment and disposal methods in various health-care units (HCUs). The waste generation rate ranges between 0.5 and 2.0 kg bed-1 day-1. It is estimated that annually about 0.33 million tonnes of waste are generated in India. The solid waste from the hospitals consists of bandages, linen and other infectious waste (30-35%), plastics (7-10%), disposable syringes (0.3-0.5%), glass (3-5%) and other general wastes including food (40-45%). In general, the wastes are collected in a mixed form, transported and disposed of along with municipal solid wastes. At many places, authorities are failing to install appropriate systems for a variety of reasons, such as non-availability of appropriate technologies, inadequate financial resources and absence of professional training on waste management. Hazards associated with health-care waste management and shortcomings in the existing system are identified. The rules for management and handling of biomedical wastes are summarised, giving the categories of different wastes, suggested storage containers including colour-coding and treatment options. Existing and proposed systems of health-care waste management are described. A waste-management plan for health-care establishments is also proposed, which includes institutional arrangements, appropriate technologies, operational plans, financial management and the drawing up of appropriate staff training programmes.
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              Management of bio-medical waste: awareness and practices in a district of Gujarat.

              N Pandit, H K Mehta, G Kartha … (2015)
              With the objective of assessing the level of awareness about the various aspects of biomedical waste and disposal practices by the medical practitioners this study was conducted. It was a cross sectional study. 30 hospitals with more than 30 beds minimum were randomly selected from Sabarkantha district, Gujarat. The doctors and auxiliary staff of those 30 hospitals were the study population. While all the doctors knew about the existence of the law related to biomedical waste but details were not known. Doctors were aware of risk of HIV and Hepatitis B and C, whereas auxiliary staff (ward boys, ayabens, sweepers) had very poor knowledge about it. There was no effective waste segregation, collection, transportation and disposal system at any hospital in the district. There is an immediate and urgent need to train and educate all doctors and the staff to adopt an effective waste management practices.
              Article 0 comments Cited 14 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Indian J Community Med
                Journal ID (publisher-id): IJCM
                Title: Indian Journal of Community Medicine : Official Publication of Indian Association of Preventive & Social Medicine
                Publisher: Medknow Publications (India )
                ISSN (Print): 0970-0218
                ISSN (Electronic): 1998-3581
                Publication date (Print): Apr-Jun 2011
                Volume: 36
                Issue: 2
                Pages: 143-145
                Affiliations
                [1]Department of Community Medicine, MLN Medical College, Allahabad, India
                [1 ]JHU CSMMU Collaborative Centre, Lucknow, Uttar Pradesh, India
                Author notes
                Address for correspondence: Dr. Vanesh Mathur, G-203, Utsav Halwasiya Enclave, Opp. HAL, Faizabad Road, Indra Nagar, Lucknow – 226 016, Uttar Pradesh, India. E-mail: drvanesh@ 123456gmail.com
                Article
                Publisher ID: IJCM-36-143
                DOI: 10.4103/0970-0218.84135
                PMC ID: 3180941
                PubMed ID: 21976801
                SO-VID: 4eb12e26-8244-487c-bfa7-f4c87a62dcdf
                Copyright © Copyright: © Indian Journal of Community Medicine
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 21 October 2009
                Date accepted : 26 June 2010
                Categories
                Subject: Original Article

                ScienceOpen disciplines: Public health
                Keywords: biomedical waste management,hospital,medical professionals
                Data availability:
                ScienceOpen disciplines: Public health
                Keywords: biomedical waste management, hospital, medical professionals

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