RESUMEN
Objectif: This study describes the management of medical waste at the University Hospital of Cocody, and appreciates the biological risk for care and cleaning staff. METHODS: From August 1st to 21st, 2015, a cross-sectional survey was conducted in intensive care units, gynecology-obstetrics, pediatrics-neonatology and anatomy-pathology. Care and cleaning staff filled in a standardized questionnaire. Empirical data was obtained on professional characteristics and management policy; treatment of biomedical waste and biological risk. RESULTS: The management of biomedical waste was irrational because of: inadequate management policy, lack of material resources and staff training. Biological exposure of the staff was so obvious. We noted: lack of microplans (92.23%) and tools for managing biomedical waste (83.50%). Any medical waste manager was identified in the services (78.64%). Selective sorting was practiced for needLe and blades with conventional safety boxes (59.22%), filled to over flow (44.6%). Color-coding wasn't respected for others infectious waste (95.15%) and the garbage used for their collection lacked closures (84.4%).Participants were not immunized against hepatitis B virus (40%) and 16% reported cases of blood exposure accident. About 30% of them were neither sensitized nor trained to treat BMW. CONCLUSION: A participatory management policy, training and staff awareness are essential to improve the quality of biomedical waste management in this hospital.
Asunto(s)
Eliminación de Residuos Sanitarios , Gestión de Riesgos , Administración de Residuos , Côte d'Ivoire , Estudios Transversales , Hospitales de Enseñanza , HumanosRESUMEN
BACKGROUND: The prevention of tuberculosis (TB) transmission in healthcare settings is a major issue, particularly because of the interaction between human immunodeficiency virus and TB and the emergence of multidrug-resistant TB. SETTING: Healthcare facilities involved in TB management in 4 African countries (Benin, Cameroon, Cote d'Ivoire, and Togo). METHODS: A questionnaire was developed by representatives of the 4 countries to evaluate the organizational measures implemented in facilities involved in TB management. On-site visits were performed between July 2010 and July 2011. RESULTS: A total of 115 facilities, including 10 university hospitals and 92 basic management units, were visited. None had a TB infection control plan, and only 5.2% provided education for staff about nosocomial TB. Overall, 48.3% of the facilities performed triage of suspected TB cases on hospital arrival or admission, 89.6% provided education for TB cases on cough etiquette, 20.0% segregated smear-positive TB cases, and 15.7% segregated previously treated cases. A total of 15.5% of the facilities registered TB among staff, for a global prevalence rate of 348 cases per 100,000 staff members. CONCLUSION: This survey identified simple and mostly costless administrative measures to be urgently implemented at the local level to prevent nosocomial TB, such as staff education, triage on admission, and segregation of previously treated patients.