Waste management in an Italian Hospital's operating theatres: An observational study

Amariglio, Alex; Depaoli, Daniela

doi:10.1016/j.ajic.2020.07.013

Cited by 18 publications

(3 citation statements)

References 15 publications

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“…This can be related to the presence of inpatient units, in general and high-complexity hospitals, as these places are sources of a large HCW generation, due to the possibly complex and prolonged care provided to patients. Furthermore, there is usually an incorrect segregation of waste, as reported by Thakur and Katoch ( 2015 ), Amariglio and Depaoli ( 2021 ), and Thiel et al ( 2019 ).…”

Section: Resultsmentioning

confidence: 96%

Analysis of healthcare waste management in hospitals of Belo Horizonte, Brazil

Neves

Maia²,

Silva³

et al. 2022

Environ Sci Pollut Res

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Healthcare waste (HCW) management is a challenge for establishments that generate this type of waste, especially hospitals, as they are one of the largest generators. A determining factor in waste management is the amount of waste generation, which must be used for management planning. This study aims to compile and evaluate information on the management of HCW generated in Belo Horizonte’s (located in Brazil) hospitals declared in their respective Healthcare Waste Management Plans (HCWMP) sent for approval by the municipality’s Superintendency of Urban Cleaning. Therefore, a comparative analysis of the hospitals’ generations in relation to their characteristics (nature, specialty, and size) was carried out, using the Kruskal–Wallis statistical test with post hoc in Nemenyi. For the study hospitals, a generation rate of 7.18 (6.17–8.23) kg·bed −1 ·day −1 was estimated, a generation rate close to that of developed countries. When comparing the generation according to the specialty of the hospitals, it was identified that the maternity hospitals (9.00 (7.05–10.90)) kg·bed −1 ·day −1 had a significantly higher generation rate than the low-complexity hospitals (4.75 (3.28–6.18)) kg·bed −1 ·day −1 . It was also possible to demonstrate that the specialty and size of hospitals influence the structure available for waste storage. Finally, it can be observed that there are few treatment alternatives, with incineration and autoclaving being the technologies most commonly used by hospitals. It is expected that the results presented can serve as a reference for waste managers, in a context where there is little shared information on the subject.

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Section: Resultsmentioning

confidence: 96%

Analysis of healthcare waste management in hospitals of Belo Horizonte, Brazil

Neves

Maia²,

Silva³

et al. 2022

Environ Sci Pollut Res

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“…Gujarat, for instance, produces around 7 tonnes of BMW per day but utilises up to 20 CBWTfs. The same is true for Uttar Pradesh and Haryana (Agrawal et al, 2021;Amariglio and Depaoli, 2021;Rajan et al, 2019). The infrastructure and human resources to handle the incremental quantity of BMW are inadequate.…”

Section: Biomedical Waste Scenario In Indiamentioning

confidence: 99%

Pathways to Scientometric Biomedical Waste Management in Covid-19 Era

KODALI¹,

KODURU²,

KAINTHOLA³

et al. 2022

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Biomedical waste management (BMW) is in the spotlight due to the enormous impact of theCOVID-19 pandemic on public health and hospitals. Further, countries with large populationsgenerate significantly higher amounts and variety of both hazardous and non-hazardous BMW,leading to a need for a comprehensive strategy for effective BMW management. The improper,unscientific disposal of BMW causes environmental pollution and presents a continuing,significant health hazard to the individual and the community. The present study provides acomprehensive assessment of the various types of BMW generated and critiques their currentdisposal strategies. A detailed appraisal of current, in-place BMW management guidelines fromvarious world organisations is presented, and emerging protocols for BMW disposal during theongoing COVID-19 pandemic are assessed. Finally, new state-of-the-art technologies, which canlead to breakthrough improvements in various stages of BMW generation, collection, treatmentand disposal process, are examined. The secondary applications of BMW are highlighted, andrecommendations for enhancing the BMW lifecycle practices are presented.

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“…Voudrias [ 71 ] stated that the US healthcare sector produces 5.9 million tons of waste each year, and Li et al [ 72 ] stated that China will have approximately 2.496 million tons of HCW in 2023 [ 51 ]. It is crucial for the healthcare facilities to identify and report the type and quantity of HCWs they produce and manage because the disposal cost of hazardous wastes is almost ten times higher than that of the non-hazardous wastes [ 61 , 73 ].…”

Section: Healthcare/medical Wastes Quantities and Generation Ratesmentioning

confidence: 99%

Identifying and Predicting Healthcare Waste Management Costs for an Optimal Sustainable Management System: Evidence from the Greek Public Sector

Sepetis

Zaza

Rizos

et al. 2022

IJERPH

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The healthcare sector is an ever-growing industry which produces a vast amount of waste each year, and it is crucial for healthcare systems to have an effective and sustainable medical waste management system in order to protect public health. Greek public hospitals in 2018 produced 9500 tons of hazardous healthcare wastes, and it is expected to reach 18,200 tons in 2025 and exceed 18,800 tons in 2030. In this paper, we investigated the factors that affect healthcare wastes. We obtained data from all Greek public hospitals and conducted a regression analysis, with the management cost of waste and the kilos of waste as the dependent variables, and a number of variables reflecting the characteristics of each hospital and its output as the independent variables. We applied and compared several models. Our study shows that healthcare wastes are affected by several individual-hospital characteristics, such as the number of beds, the type of the hospital, the services the hospital provides, the number of annual inpatients, the days of stay, the total number of surgeries, the existence of special units, and the total number of employees. Finally, our study presents two prediction models concerning the management costs and quantities of infectious waste for Greece’s public hospitals and proposes specific actions to reduce healthcare wastes and the respective costs, as well as to implement and adopt certain tools, in terms of sustainability.

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Waste management in an Italian Hospital's operating theatres: An observational study

Cited by 18 publications

References 15 publications

Analysis of healthcare waste management in hospitals of Belo Horizonte, Brazil

Analysis of healthcare waste management in hospitals of Belo Horizonte, Brazil

Pathways to Scientometric Biomedical Waste Management in Covid-19 Era

Identifying and Predicting Healthcare Waste Management Costs for an Optimal Sustainable Management System: Evidence from the Greek Public Sector

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