Group A -biological risk; 1.5% Group B -chemical risk; and 0. 05% Group E -sharps.The apparent bulk density was 106.2 kg/m3. The average production rate of this mixture was 2. 68 kg per occupied bed daily. By separating the mixture of the RSS from group D, the average production rate of Group A changed to 1. 15 kg per occupied bed daily, reducing incineration costs by 58%. By segregating Groups B, D, E and subgroup A4, the average production rate changed to 0. 18 kg per occupied bed per day with a reduction of 93% in incineration costs.Keywords: healthcare waste management; health care waste; classification of healthcare waste; waste; gravimetric characterization of healthcare waste. (BRASIL, 2004(BRASIL, , 2005. Segundo essas resoluções, a segregação consiste na separação dos resíduos, por grupo e subgrupos de classificação, no momento e local de sua geração, de acordo com as características físicas, químicas, radiológicas e biológicas; o estado físico e os riscos envolvidos, demonstrando que essa etapa é uma das mais importantes do gerenciamento dos resíduos de serviços de saúde (RSS). A caracterização e classificação dos RSS são o ponto de partida para a realização de uma coleta, transporte, tratamento e disposição final mais seguros para o homem e o meio ambiente. Os estabelecimentos geradores devem averiguar se o gerenciamento dos RSS está ou não atendendo a essas legislações, principalmente quanto à segregação correta na fonte de geração e destinação final conforme sua classificação.
InTrodução
Aims: This study was undertaken to detect, identify and determine antifungal susceptibility of yeast strains isolated from dental solid waste and to evaluate airborne fungi in the Brazilian dental health care environment and in the waste storage room.
Methods and Results: A group of 17 yeast strains were identified by macroscopic and microscopic characteristics, API 20C Aux system and Multiplex PCR. All 104 airborne fungal colonies were identified by macroscopic and microscopic morphology. The CLSI broth microdilution method was utilized as the susceptibility test. Candida parapsilosis was the prevailing yeast species recovered from waste, followed by Rhodotorula glutinis. Three strains of Candida guilliermondii presented minimal inhibitory concentration values considered to be susceptible dose dependent (2 μg ml−1) to voriconazole. Of all airborne fungal species, 69% were recovered from the waste storage room and 31% were recovered from the clinical/surgical environment. Most of them were identified as Cladosporium spp.
Conclusions: These findings reinforce the potential risk of waste handling and point out the need for safe management to minimize the spread of these agents to the environment. Filamentous fungi isolation in almost all sampled environments indicates that a periodic monitoring of airborne microbiota in the dental health care service environment is required.
Significance and Impact of the Study: The survival of yeast strains for 48 h suggests that dental waste should be carefully controlled and monitored.
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