بررسی وضعیت مدیریت پسماندهای پزشکی در بیمارستان های دولتی شهر اراک(1388)

Background and Objectives: Not paying attention to management and control of medical wastes in different stages of production, keeping, gathering, transporting and finally eliminating them all have been creating various setbacks such that the environment and human's health are in danger with the relevant consequences. This descriptive cross-sectional study was performed in Vali-e Asr, Amir Kabir, Taleghani, Amir Al-Momenin and Imam Khomeini hospitals of Arak city in 2009. In this research the current condition of gathering, maintaining, transportation and final elimination of hospital wastes of Arak city was investigated .Eventually an appropriate model was introduced.Material and Methods: Solid wastes were separated, weighed and registered in two sequential intervals. In order to get acquaintance with the management procedure of medical solid wastes in the hospitals studied, a questionnaire approved byW.H.O was used. The questions were then replied by the Managers and Hygiene Experts worked at hospitals and their responses were recorded.Results: The investigations conducted in 5 hospitals reveal that the average per annual was2.9 Kg in 24 hours per active bed and 4.6 Kg for each patient. This volume consists of 60% for semi-home solid wastes, 39% for infectious solid wastes, 0.34% for sharp wastes, 0.28% for the pathologic and 0.38% for medicinal and chemical solid wastes.Conclusion: According to the results obtained in this study, in order to reduce pollution create in the hospitals, action should be taken to deal with pollutants at their source of generation. The staff members involved in waste collection and transportation should practice all the personal protection measures.finaly it also should be considered that,success in medical waste management wouldn't be achievable unless all groups of medical staff involved cooperate and participle.