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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Bio-Medical Waste Managment in a Tertiary Care Hospital: An Overview
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Bio-Medical Waste Managment in a Tertiary Care Hospital: An Overview

机译：三级医院的生物医学废物管理：概述

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Introduction: 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.Aim: 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.Materials and Methods: 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 number of occupied beds.Results: Segregation of BMW was being done at the site of generation in almost all the areas of the hospital in colour coded polythene bags as per the hospital protocol. The different type 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.Conclusion: 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.
机译：简介：生物医学废物（BMW）管理极为重要，因为其管理不善会对医护人员，废物处理人员，患者，护理人员，社区乃至环境造成严重威胁。同时，医疗保健提供者应了解其设施中产生的废物数量，并尝试减少日常工作中的废物产生，因为更少的BMW数量意味着减轻了废物处理工作和成本节省的负担。概述了三级教学医院对宝马的管理，以便可以进行有效的干预和实施以取得更好的效果。材料和方法：观察性研究从2016年1月至2016年5月进行了五个月。感染控制小组（ICT）的Meerut贾特拉帕蒂·希瓦吉·苏巴蒂医院。知识评估是通过单独询问一系列问题来进行的，而医疗保健人员（HCP）中有关宝马管理意识的实践则是通过在工作场所进行直接观察进行的。此外，通过将每天产生的平均废物除以占用的床位数，可以计算出当前设置下以每天每床千克计算的BMW总排放量。结果：几乎在所有地区都在发生地点对BMW进行了隔离按照医院规程使用彩色聚乙烯袋包装。收集的废物类型不同，分别是红色袋子中的传染性固体废物，黄色袋子中的被污染的传染性废物以及防穿刺容器和蓝色袋子中的尖锐废物。尽管在90％的HCP中看到了关于宝马隔离的意识（知识），但30％-35％的人没有实践。在产生的总废物中（57912千克），8686.8千克（15％）是传染性废物。平均产生的传染性废物为每天每床0.341千克。每个收集的废物的运输​​，处理和处置均由“ Synergy”外包并进行。废物管理列兵公司结论：宝马管理部门缺乏30-35％的HCP，这可能导致15％的传染性废物与其余非传染性疾病混合。因此，每月将针对较小的群体举办有关宝马管理的培训课程和意识计划。

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