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Infectious risk assessment of unsafe handling practices and management of clinical solid waste.

ABSTRACT: The present study was undertaken to determine the bacterial agents present in various clinical solid wastes, general waste and clinical sharp waste. The waste was collected from different wards/units in a healthcare facility in Penang Island, Malaysia. The presence of bacterial agents in clinical and general waste was determined using the conventional bacteria identification methods. Several pathogenic bacteria including opportunistic bacterial agent such as Pseudomonas aeruginosa, Salmonella spp., Klebsiella pneumoniae, Serratia marcescens, Acinetobacter baumannii, Staphylococcus aureus, Staphylococcus epidermidis, Enterococcus faecalis, Streptococcus pyogenes were detected in clinical solid wastes. The presence of specific pathogenic bacterial strains in clinical sharp waste was determined using 16s rDNA analysis. In this study, several nosocomial pathogenic bacteria strains of Escherichia coli, Klebsiella pneumoniae, Proteus mirabilis, Lysinibacillus sphaericus, Serratia marcescens, and Staphylococcus aureus were detected in clinical sharp waste. The present study suggests that waste generated from healthcare facilities should be sterilized at the point of generation in order to eliminate nosocomial infections from the general waste or either of the clinical wastes.

SUBMITTER: Hossain MS

PROVIDER: S-EPMC3635162 | biostudies-literature | 2013 Feb

REPOSITORIES: biostudies-literature

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Infectious risk assessment of unsafe handling practices and management of clinical solid waste.

Hossain Md Sohrab MS Rahman Nik Norulaini Nik Ab NN Balakrishnan Venugopal V Puvanesuaran Vignesh R VR Sarker Md Zaidul Islam MZ Kadir Mohd Omar Ab MO

International journal of environmental research and public health 20130131 2

The present study was undertaken to determine the bacterial agents present in various clinical solid wastes, general waste and clinical sharp waste. The waste was collected from different wards/units in a healthcare facility in Penang Island, Malaysia. The presence of bacterial agents in clinical and general waste was determined using the conventional bacteria identification methods. Several pathogenic bacteria including opportunistic bacterial agent such as Pseudomonas aeruginosa, Salmonella s ...[more]

PMID: 23435587

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Project description:BackgroundThe rapid growth of urban populations has led to a dramatic increase in urban waste generation with environmental and public health problems associated with water contamination, emission of toxic and noxious fumes, soil contamination and introduction of disease vector populations.ObjectivesThe aim of the present study was to assess solid waste disposal practices and challenges of solid waste management in Woldia town, northeastern Ethiopia.MethodsA descriptive research design was employed, using a survey method and naturalistic observational methods. A total of 236 households were surveyed, including waste collectors and cleaners, waste pickers, and 20 students and ten teachers from Woldia secondary and preparatory schools. A purposive sampling technique (made up of municipal officers, scavengers (waste pickers), waste collectors and cleaners and a simple random sampling technique (of teachers, students and kebeles of the study area) was employed, then proportional allocation was made for each randomly selected kebeles based on population size to determine the sample. Finally, survey questionnaire, interview, focus group discussion and observation were used as data collecting tools. Bivariate and multivariate analyses were also employed.ResultsThe current study revealed that educational status (AOR = 10.92, 95% CI = (3.12-38.27)), occupational status (AOR = 8.08, 95% CI = (2.08-31.31)), monthly income (AOR = 5.72, 95% CI = (1.55-21.13)), and age (AOR = 2.53, 95% CI = (1.04-6.19)) were found to be the major factors associated with solid waste management practices. Additionally, shortage of storage materials, lack of alternative waste disposal options, household attitudes, and lack of awareness were the major challenges for low performance of solid waste management practices of the local government and households. The focus group individuals and interviewed participants indicated that solid waste management practices were poor.ConclusionsThe present study revealed that solid waste management practices in Woldia town remain inadequate. Therefore, efforts by the municipality and other stakeholders are needed to mitigate the problem of waste management and disposal practices.Participant consentObtained.Ethics approvalThe study was approved by the Institutional Research Ethics Review committee (IRERC) of Woldia University.Competing interestsThe authors declare no competing financial interests.

Project description:BackgroundImproper solid waste management (SWM) is a major public health and environmental concern in the urban areas of many developing countries such as Asella Town. The aim of this study was to assess the status of SWM in Asella town.MethodsA community-based cross-sectional study design was used to assess the status of improper SWM and associated factors in Asella town. From the total of eight kebeles (smallest administrative unit in Ethiopia) four kebeles were randomly selected using lottery method. The sample size was 413 households. The households were proportionally allocated to each randomly selected kebeles. The data was collected by pretested questionnaire in the local language. Data was entered using statistical software Epi Info version seven and transferred to SPSS version 21. Descriptive data analysis was done to summarize the socioeconomic status of the respondents. Chi-square was used to show the association between the status of solid waste management and different variables. Binary logistic regression was used to determine the potential factors for improper SWM.Result332 (82.8%), had improper solid waste management practice. Lack of adequate knowledge about solid waste management and not having access to door to door solid waste collection could have contributed to the reported improper solid waste practice. Participants who didn't have access to door to door solid waste collection service were about three times more likely to practice improper solid waste management when compared to those who had access (AOR = 2.873, 95 CI (1.565,5.273) P = 0.001).ConclusionThe study finding showed that, the majority of the residents practiced improper solid waste management. Lack of adequate knowledge about solid waste management and not having access to door to door solid waste collection could have contributed to the reported improper solid waste practice. Therefore, there is a need to enhance the awareness of the community about proper SWM and to improve the door to door solid waste collection service by the town municipality.

Project description:BackgroundPoor waste disposal practices hamper the progress towards an integrated solid waste management in households. Knowledge of current practices and perception of household solid waste management is necessary for accurate decision making in the move towards a more sustainable approach. This study investigates the household waste practices and perceptions about waste management in Panji, one of the sub-districts in Kota Bharu, Kelantan, Malaysia.MethodsA stratified random sampling technique using a cross-sectional survey questionnaire was used to collect data. A total of 338 households were interviewed in the survey and data were analyzed using SPSS. Chi-square goodness of fit test was used to determine the relationships between categorical variables, whereas Chi-square bivariate correlation test was performed to observe the correlation between the perceptions of waste segregation with socio-demographic background of the respondents. The correlation between perception of respondents with the locality, house type and waste type were also conducted. Principal component analysis was used to identify grouping of variables and to establish which factors were interrelated in any given construct.ResultsThe results of the study revealed that 74.3 % of households disposed of food debris as waste and 18.3% disposed of plastic materials as waste. The study also showed that 50.3% of the households segregate their waste while 49.7% did not. About 95.9% of the respondents were aware that improper waste management leads to disease; such as diarrhea and malaria. There were associations between locality, age and house type with waste segregation practices among respondents (Chi-square test, p<0.05). Associations were also found between locality with the perception of improper waste management which lead to disease (Chi-square test, p<0.05). Principal Component Analysis showed that 17.94% of the variance has high positive loading (positive relationship) with age, marital status and, type of house.ConclusionThis study highlights the importance to design waste separation programs that suit the needs of targeted population as a boost towards sustainable solid waste management practices.

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Infectious risk assessment of unsafe handling practices and management of clinical solid waste.

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Infectious risk assessment of unsafe handling practices and management of clinical solid waste.

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