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首页> 外文期刊>Journal of community health >Situation analysis and issues in management of biomedical waste in select small health care facilities in a ward under Bruhat Bengaluru Mahanagara Palike, Bangalore, India
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Situation analysis and issues in management of biomedical waste in select small health care facilities in a ward under Bruhat Bengaluru Mahanagara Palike, Bangalore, India

机译：印度班加罗尔Bruhat Bengaluru Mahanagara Palike所辖病房中某些小型医疗机构中的生物医学废物管理状况分析和问题

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Smaller health care facilities especially clinics though believed to generate lesser quantum/categories of medical waste, the number of clinics/small health care settings are considerable. The movement to manage biomedical waste in a safe and scientific manner has gathered momentum among the medium and large hospitals in Bangalore, but there has been a little understanding and focus on the smaller health care facilities/clinics in this aspect. It is important to gather evidence regarding the current situation of bio-medical waste (BMW) management and issues in smaller health care settings, so as to expand the safe management to all points of generation in Bangalore and will also help to plan relevant interventional strategies for the same. Hence an exploratory study was conducted to assess the current situation and issues in management of BMW among small health care facilities (sHCF). This cross sectional study was conducted in T. Dasarahalli (ward number 15) under Bruhat Bengaluru Mahanagar Palike (BBMP) of Bangalore. Data was collected from a convenient sample of 35 nursing homes (<50 beds) and clinics in December 2011. The results of this study indicate that 3 (20 %) of nursing homes had a Policy for Health Care Waste Management, though committees for Infection control and Hospital waste management were absent. Recording system like injury and waste management registers were non-existent. In our study the Common Bio-medical Waste Treatment Facility operator collected waste from 28 (80 %) of the sHCF. Segregation at the point of generation was present in 22 (62.9 %) of the sHCF. Segregation process was compliant as per BMW rules 1998 among 5 (16.1 %) of the sHCF. 18 sHCF workers were vaccinated with hepatitis B and tetanus. Deficiencies were observed in areas of containment, sharps management and disinfection. It was observed that though the quantum and category of waste generated was limited there exist deficiencies which warrant initiation of system development measures including capacity building.
机译：较小的医疗机构，尤其是诊所，尽管据信产生的医疗废物数量/类别较少，但诊所/小型医疗机构的数量却相当可观。以安全和科学的方式管理生物医学废物的运动在班加罗尔的中型和大型医院中聚集了动力，但是在这方面，人们对小型医疗设施/诊所知之甚少。重要的是收集有关生物医学废物（BMW）管理现状和较小医疗机构中问题的证据，以便将安全管理扩展到班加罗尔的所有世代，并有助于规划相关的干预策略对于相同的。因此，进行了一项探索性研究，以评估小型医疗机构（sHCF）中宝马管理的现状和问题。这项横断面研究是在班加罗尔的Bruhat Bengaluru Mahanagar Palike（BBMP）的T. Dasarahalli（15号病房）进行的。 2011年12月，从35个疗养院（床位少于50张）和诊所的便利样本中收集了数据。这项研究的结果表明，尽管有感染委员会，但仍有3个（20％）的疗养院制定了《医疗废物管理政策》。缺乏控制和医院废物管理。不存在诸如伤害和废物管理登记册之类的记录系统。在我们的研究中，通用生物医学废物处理设施运营商从sHCF的28个（80％）中收集了废物。在sHCF中有22个（62.9％）存在产生时的分离。在sHCF中有5个（16.1％）的宝马（BMW）1998年规则进行了隔离。为18名sHCF工人接种了乙型肝炎和破伤风疫苗。在收容，锐器管理和消毒方面发现不足。观察到，尽管产生的废物的数量和种类受到限制，但仍存在不足之处，需要启动包括能力建设在内的系统开发措施。

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