[ La gestion des déchets d'activités de soins à risque infectieux : collecte, entreposage et traitement, dans la région de Gharb au Maroc ]
Volume 10, Issue 2, October 2014, Pages 377–386
Younes Azzouzi1, Mohamed EL Bakkali2, Abderrazzak Khadmaoui3, Ahmed Omar Thami Ahami4, and Samir Hamama5
1 Doctorat sciences et techniques CED, Département de Biologie, Université Ibn Tofail, Kénitra, Morocco
2 Doctorat sciences et techniques CED, Département de Biologie, Université Ibn Tofail, Kénitra, Morocco
3 Laboratoire de Génétique et Biométrie, Faculté des Sciences, Université Ibn Tofail, Kenitra, Morocco
4 Directeur du Laboratoire de Neurosciences, Comportementales et Cognitives. Université Ibn Tofail, Kénitra, Morocco
5 Service Hygiène Hospitalière / Président du CLIN, Hôpital El Idrissi, Kénitra, Morocco
Original language: French
Copyright © 2014 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Objective. – This study aims to participate to the improvement of the management of waste arising from care activities involving infectious risks, which is currently a real health and environmental concern, especially in the collection, storage, transportation and disposal of this type of waste.
Workers and methods. – This is a descriptive, exploratory and cross-sectional study was carried during 2011 in the regional hospital EL IDRISSI of the Gharb region in Morocco on 170 health-care workers form 275, with anonymous questionnaire. Other methods have been used such as grids observations and interviews with the managers of waste arising from care activities involving infectious risks.
Results. – The frequency of the internal collection is an essential role in the proper movement of procedures for the management of infectious and highly infectious waste especially for storage time, this frequency is well respected in the hospital studied, 78.8% of nursing staff report that infectious waste is collected once a day. Approximately 11% of these buildings are identified and separated, the rest were inside the services. No local intermediate storage satisfied the standards of hygiene and safety; the Storage rooms are 49.64% treatment rooms, toilets 32.12%. The establishment has a local central storage. However local compliance with regulatory standards is not respected in its entirety. Only 41.9% of nursing personnel know how to handle potentially infectious waste to his hospital, among them 23.9% et 19.4%, respectively, know the exact mode of treatment used in the hospital of the waste care activities infectious risks soft and of the sharp objects.
Conclusion. – The management system of solid and liquid infectious and highly infectious waste is a major concern for health staff and people. The lack of organization and human and financial resources make the challenge of the application of the national policy on the management of infectious waste particularly difficult for the hospital studied. This study supported the implementation of an adequate organizational plan based on regular assessment and coordination between those responsible.
Author Keywords: infectious waste, collection, storage, disposal, Morocco.
Volume 10, Issue 2, October 2014, Pages 377–386
Younes Azzouzi1, Mohamed EL Bakkali2, Abderrazzak Khadmaoui3, Ahmed Omar Thami Ahami4, and Samir Hamama5
1 Doctorat sciences et techniques CED, Département de Biologie, Université Ibn Tofail, Kénitra, Morocco
2 Doctorat sciences et techniques CED, Département de Biologie, Université Ibn Tofail, Kénitra, Morocco
3 Laboratoire de Génétique et Biométrie, Faculté des Sciences, Université Ibn Tofail, Kenitra, Morocco
4 Directeur du Laboratoire de Neurosciences, Comportementales et Cognitives. Université Ibn Tofail, Kénitra, Morocco
5 Service Hygiène Hospitalière / Président du CLIN, Hôpital El Idrissi, Kénitra, Morocco
Original language: French
Copyright © 2014 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Objective. – This study aims to participate to the improvement of the management of waste arising from care activities involving infectious risks, which is currently a real health and environmental concern, especially in the collection, storage, transportation and disposal of this type of waste.
Workers and methods. – This is a descriptive, exploratory and cross-sectional study was carried during 2011 in the regional hospital EL IDRISSI of the Gharb region in Morocco on 170 health-care workers form 275, with anonymous questionnaire. Other methods have been used such as grids observations and interviews with the managers of waste arising from care activities involving infectious risks.
Results. – The frequency of the internal collection is an essential role in the proper movement of procedures for the management of infectious and highly infectious waste especially for storage time, this frequency is well respected in the hospital studied, 78.8% of nursing staff report that infectious waste is collected once a day. Approximately 11% of these buildings are identified and separated, the rest were inside the services. No local intermediate storage satisfied the standards of hygiene and safety; the Storage rooms are 49.64% treatment rooms, toilets 32.12%. The establishment has a local central storage. However local compliance with regulatory standards is not respected in its entirety. Only 41.9% of nursing personnel know how to handle potentially infectious waste to his hospital, among them 23.9% et 19.4%, respectively, know the exact mode of treatment used in the hospital of the waste care activities infectious risks soft and of the sharp objects.
Conclusion. – The management system of solid and liquid infectious and highly infectious waste is a major concern for health staff and people. The lack of organization and human and financial resources make the challenge of the application of the national policy on the management of infectious waste particularly difficult for the hospital studied. This study supported the implementation of an adequate organizational plan based on regular assessment and coordination between those responsible.
Author Keywords: infectious waste, collection, storage, disposal, Morocco.
Abstract: (french)
Objectifs. – Cette étude a pour objectifs de participer à l'amélioration de la gestion des déchets d'activités de soins à risques infectieux, qui constituent un problème sanitaire et environnemental, notamment au niveau du collecte, entreposage, transports et élimination de ce type des déchets.
Personnels et méthodes. – il s'agit d'une étude descriptive, exploratoire et transversale qui s'est déroulée durant l'année 2011 dans l'hôpital régional EL IDRISSI de la région de Gharb au Maroc. Auprès d'un échantillon représentatif de 170 soignants parmi 275 à l'aide d'un questionnaire anonymisé. D'autre méthodes ont été utilisées tel que les grilles d'observations et les entretiens avec les responsables de la gestion des déchets d'activités de soins à risques infectieux.
Résultats. – La fréquence de la collecte interne est un rôle primordial dans la bonne circulation des procédures de la gestion des déchets infectieux et hautement infectieux surtout pour la durée d'entreposage, cette fréquence est bien respectée dans l'hôpital étudié, 78,8% des infirmiers déclarent que les déchets infectieux sont collectées une fois par jour. Environ les 11% de ces locaux, sont identifiés et séparés le reste se trouvaient à l'intérieur des services. Aucun local d'entreposage intermédiaire ne répondait aux normes d'hygiène et de sécurité, Les locaux d'entreposage les plus utilisés sont les salles de soins 49,64%, les toilettes 32,12%. L'établissement dispose d'un local d'entreposage central. Toutefois la conformité du local aux normes réglementaires, n'est pas respectée dans sa globalité. Seulement 41,9% des personnels infirmiers connaissent le mode de traitement des déchets à risques infectieux au sien de l'hôpital parmi eux 23,9%, 19,4%, respectivement, savent le mode de traitement exact utilisé dans l'hôpital pour les déchets d'activités de soins à risques infectieux mous et les objets piquants, coupants et tranchants.
Conclusion. – Le système de gestion des déchets infectieux et hautement infectieux solide et liquide constitue une préoccupation majeure pour le personnel de santé et les populations. Le manque d'organisation et des moyens humains et financiers rendent le défi de l'application de la politique nationale de la gestion des déchets infectieux particulièrement ardu pour l'hôpital étudié. Cette étude a appuyé la mise en œuvre d'un plan organisationnel adéquat basé sur l'évaluation régulière et la coordination entre les différents responsables.
Author Keywords: Déchet infectieux, collecte, entreposage, traitement, Maroc.
How to Cite this Article
Younes Azzouzi, Mohamed EL Bakkali, Abderrazzak Khadmaoui, Ahmed Omar Thami Ahami, and Samir Hamama, “The management of waste arising from care activities involving infectious risks: collection, storage and treatment of the Gharb region in Morocco,” International Journal of Innovation and Scientific Research, vol. 10, no. 2, pp. 377–386, October 2014.
