[ La gestion des déchets d'activités de soins à risque infectieux en milieu diffus: laboratoires d'analyses médicales, dans la région de Gharb au Maroc ]
Volume 13, Issue 1, January 2015, Pages 163–172
Younes Azzouzi1, Mohamed EL Bakkali2, Mohamed Hajjaji3, Abderrazzak Khadmaoui4, Ahmed Omar Thami Ahami5, and Samir Hamama6
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 Doctorat sciences et techniques CED, Département de Biologie, Université Ibn Tofail, Kénitra, Morocco
4 Laboratoire de Génétique et Biométrie, Faculté des Sciences, Université Ibn Tofail, Kenitra, Morocco
5 Directeur du Laboratoire de Neurosciences, Comportementales et Cognitives. Université Ibn Tofail, Kénitra, Morocco
6 Service Hygiène Hospitalière / Président du CLIN, Hôpital El Idrissi, Kénitra, Morocco
Original language: French
Copyright © 2015 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 work aims to contribute 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 diffuse medium.
Workers and methods. – This is a descriptive, exploratory and cross-sectional study was carried during 2011 in the Gharb region in Morocco. A census of medical analysis laboratories in the city of Kenitra with an anonymised questionnaire. Other methods have been used such as interviews with those responsible for the medical laboratories.
Results. – The participation rate in the survey was 83.33%. Almost 80% of the laboratories sorting the sharp waste and soft infectious waste, while only 50% use special containers for this waste. Only 25% meet the standard for disposal and collection time. Approximately 70% of the sharp waste discharged separately, while the soft infectious waste is mixed with household waste to 70% of laboratories. Almost 62.5% of medical laboratories eliminate the infectious waste by a single contribution to the recycling center which generates mismanagement disposal of infectious waste. While 37.5% eliminates this waste through a collection company and 66.7% of them have an agreement with a company to collect and only 33.3% were satisfied with the management of these companies.
Conclusion. – The management system of solid and liquid infectious and highly infectious waste is a major concern for health staff and people. This study supported the need reminders of information for health professionals on the management rules through continuing education, personal sensitization and the implementation of an adequate organizational plan based on the use of well-adapted approaches, regular assessment and coordination between those responsible.
Author Keywords: sorting, containers, medical laboratories, Morocco, infectious waste.
Volume 13, Issue 1, January 2015, Pages 163–172
Younes Azzouzi1, Mohamed EL Bakkali2, Mohamed Hajjaji3, Abderrazzak Khadmaoui4, Ahmed Omar Thami Ahami5, and Samir Hamama6
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 Doctorat sciences et techniques CED, Département de Biologie, Université Ibn Tofail, Kénitra, Morocco
4 Laboratoire de Génétique et Biométrie, Faculté des Sciences, Université Ibn Tofail, Kenitra, Morocco
5 Directeur du Laboratoire de Neurosciences, Comportementales et Cognitives. Université Ibn Tofail, Kénitra, Morocco
6 Service Hygiène Hospitalière / Président du CLIN, Hôpital El Idrissi, Kénitra, Morocco
Original language: French
Copyright © 2015 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 work aims to contribute 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 diffuse medium.
Workers and methods. – This is a descriptive, exploratory and cross-sectional study was carried during 2011 in the Gharb region in Morocco. A census of medical analysis laboratories in the city of Kenitra with an anonymised questionnaire. Other methods have been used such as interviews with those responsible for the medical laboratories.
Results. – The participation rate in the survey was 83.33%. Almost 80% of the laboratories sorting the sharp waste and soft infectious waste, while only 50% use special containers for this waste. Only 25% meet the standard for disposal and collection time. Approximately 70% of the sharp waste discharged separately, while the soft infectious waste is mixed with household waste to 70% of laboratories. Almost 62.5% of medical laboratories eliminate the infectious waste by a single contribution to the recycling center which generates mismanagement disposal of infectious waste. While 37.5% eliminates this waste through a collection company and 66.7% of them have an agreement with a company to collect and only 33.3% were satisfied with the management of these companies.
Conclusion. – The management system of solid and liquid infectious and highly infectious waste is a major concern for health staff and people. This study supported the need reminders of information for health professionals on the management rules through continuing education, personal sensitization and the implementation of an adequate organizational plan based on the use of well-adapted approaches, regular assessment and coordination between those responsible.
Author Keywords: sorting, containers, medical laboratories, Morocco, infectious waste.
Abstract: (french)
Objectifs. – Ce travail a pour objectifs de contribuer à l'amélioration de la gestion des déchets d'activités de soins à risques infectieux, qui constituent un problème sanitaire et environnemental, surtout en milieu diffus.
Personnels et méthodes. – il s'agit d'une étude descriptive, exploratoire et transversale qui s'est déroulée durant l'année 2011 dans la région de Gharb au Maroc. Un recensement auprès des laboratoires d'analyses médicales dans la ville de Kénitra à l'aide d'un questionnaire anonymisé. D'autre méthodes ont été utilisées tel que les entretiens avec les responsables de ces laboratoires médicaux.
Résultats. – Le taux de participation à cette enquête a été de 83,33%. Presque 80% des laboratoires tri leur déchets piquants et déchets infectieux mous, tandis que 50% seulement utilisent des conteneurs spécifiques à ce type de déchets. Seulement 25% respectent la norme d'élimination et la durée de collecte. Environ 70% des laboratoires évacués séparément ces déchets piquants, alors que les déchets infectieux mous sont mélangés avec les déchets ménagère pour 70% des laboratoires. Presque 62,5% des laboratoires médicaux éliminent ces déchets infectieux par un apport individuelle à la déchèterie ce qui engendre une mauvaise gestion d'élimination des déchets infectieux. Alors que 37,5% élimine ces déchets par la voie d'une société de collecte et 66,7% parmi eux ont une convention avec une société de collecte et seulement 33,3% sont satisfaites de la gestion de ces sociétés
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, cette étude a appuyé le besoin de rappels d'information des professionnels de santé sur les règles de la gestion à travers de la formation continue, la sensibilisation des personnels et la mise en œuvre d'un plan organisationnel adéquat basé sur l'utilisation des approches bien adaptées, l'évaluation régulière et la coordination entre les différents responsables.
Author Keywords: tri, conteneurs, laboratoires médicaux, Maroc, Déchet infectieux.
How to Cite this Article
Younes Azzouzi, Mohamed EL Bakkali, Mohamed Hajjaji, Abderrazzak Khadmaoui, Ahmed Omar Thami Ahami, and Samir Hamama, “The management of waste arising from care activities involving infectious risks in diffuse medium: medical analysis laboratories, of the Gharb region in Morocco,” International Journal of Innovation and Scientific Research, vol. 13, no. 1, pp. 163–172, January 2015.
