Manejo de resíduos gerados na assistência domiciliar pela Estratégia de Saúde da Familia

Alves, Sandra; Souza, Adenícia Custódia Silva e; Tipple, Anaclara Ferreira Veiga; Rezende, Keyti Cristina Damas; Rezende, Fabiana Ribeiro; Rodrigues, Érika Goulart

doi:10.1590/s0034-71672012000100019

Cited by 33 publications

(58 citation statements)

References 9 publications

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“…However, this portion was stored together with infectious waste, thus rendering it non-recyclable and increasing the quantity of infectious waste, with consequent financial and environmental burdens. There is significant production of common waste in public health services (Tramontini et al, 2009), but also issues relating to the time of its disposal, with the latter coinciding with the disposal time of infectious waste (Alves et al, 2012;Pereira et al, 2013). Table 3.…”

Section: Discussionmentioning

confidence: 99%

The reality of waste management in primary health care units in Brazil

et al. 2014

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A large number of users are serviced in primary health care units in Brazil, both in health facilities and in households. These services generate waste that must be managed safely, but there is no legislation that regulates this type of waste management in Brazil. The objective of this study was to analyse the production and management of waste in primary health care. A direct observation was performed of the stages in the handling and weighing of waste generated in primary health care units in the municipality of Goiânia (Brazil). The units generated infectious, chemical, and common waste, as well as sharp objects. The generation of waste ranged between 0.027 and 0.075 kg user-day. The generated waste was classified mostly as common and recyclable. Flaws were observed in the management of all types of waste. The critical point is segregation. Only 34.1% of the waste disposed of as infectious actually belonged to this group, the rest was ordinary waste. Flaws at this stage increase the volume of infectious waste, the occupational and environmental risks, and associated costs. Intervention to change this reality is needed and it requires the careful preparation of a waste management plan, corroborating structural changes to the implementation of this plan, and professional training and public policies to guide waste management in primary care, especially those generated in households.

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Section: Discussionmentioning

confidence: 99%

The reality of waste management in primary health care units in Brazil

et al. 2014

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“…Despite this fact, if the waste separation is not adequately done during its production, all of the waste that is mixed with that of group A should be treated as potentially infectious and requires special procedures for its storage, collection, transportation and final disposal, thus increasing the treatment costs (14)(15) .…”

Section: Discussionmentioning

confidence: 99%

“…The results found, especially regarding the presence of piercing and cutting objects in plastic bags without any protection, revealed that the professionals working at the units under analysis did not incorporate The main causes of accidents with piercing and cutting objects containing biological material are associated to their disposal in inappropriate places (6,(16)(17) , being the proper management of HCSW a biosafety issue (14,18) . Primary health care professionals, however, consider that the risk of HIV infection in their daily practice is low (19) .…”

Section: Discussionmentioning

confidence: 99%

Waste management in non-hospital emergency units

Pereira

Alves²,

Souza

et al. 2013

Rev. Latino-Am. Enfermagem

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Objective: to analyze waste management in urgency and emergency non-hospital health care service units. Method: Epidemiological cross-sectional study undertaken at three NonHospital Emergency Units. The data were collected using systematic observation, registered daily in a spreadsheet and checklist, and analyzed through descriptive statistics. Results: the generation of waste varied from 0.087 to 0.138 kg per patient per day. Waste management showed inadequacies in all stages, especially in the separation stage. Infectious waste was found together with common waste, preventing recycling, and piercing and cutting objects were mixed with waste from different groups, increasing the risk of occupational accidents. Conclusion: the study reveals the lack of an institutional waste management policy, as demonstrated by the failure of operational stages, involving problems related to management, physical structure, material and human resources at the units. This is relevant for health care units, considering the quality of patient care and its interface with sustainability. Manejo de residuos en las unidades no hospitalarias de urgencia y emergenciaObjetivo: analizar la gestión de los residuos en unidades hospitalarias de emergencias y urgencias. Método: estudio epidemiológico. Los datos fueron recolectados por observación sistemática, registrados diariamente en una hoja de cálculo y check list y analizados mediante estadística descriptiva. Resultados: la generación de residuos varió desde 0,087 hasta 0,138 kg / usuario / día. La gestión de los residuos mostró deficiencias en todas las etapas, especialmente en la segregación. Fueron encontrados residuos infecciosos añadidos a los comunes, invalidando el reciclaje, así como materiales punzantes y cortantes mezclados con los diferentes grupos, amentando el riesgo de accidentes de trabajo. Conclusión: el estudio revela la ausencia de una política institucional para la gestión de los residuos, como lo demuestran las fallas en las medidas operacionales, que implican problemas de gestión, estructura física, recursos materiales y humanos de las unidades. Muestra relevancia para los servicios de salud en lo que se refiere a la calidad del servicio para el usuario y su interfaz con la sostenibilidad.

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“…Since people with diabetes can make several applications of insulin a day and verify capillary blood glucose, they must be instructed on the handling and disposal of waste. As it is an invasive procedure, independently of the location, there will be risks associated with health care (7) . Waste from services related to the care of human and animal health, including household waste, are characterized as Health Services Residues (RSSs) (8) .…”

Section: Introductionmentioning

confidence: 99%

Insulin therapy waste produced in the households of people with diabetes monitored in Primary Care

et al. 2017

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Objective: To analyze the insulin therapy waste disposal produced in the households of people with diabetes mellitus (DM). Method: Cross-sectional study with 105 Primary Care patients. Socio-demographic and clinical variables and insulin therapy practice were analyzed through the absolute and relative frequencies, Fisher's exact test and prevalence ratio (PR). Results: The association between types of insulin (60.0%), administered with a disposable syringe attached to a needle (80.9%), and a high percentage of reuse and disposal in normal household waste (57.1%) stood out. The professionals who most frequently provided guidance to people with diabetes were the nurses. Patients who had received instructions about disposal were 21 times more likely to dispose of waste properly than those who had not (PR 21.5; P < 0.0001). Age, gender, skin color, education, marital status, occupational status and type of DM did not interfere in the disposal (P > 0.05). Conclusion: People with diabetes served in Primary Health Care require guidance and material resources to carry out the appropriate disposal of insulin therapy waste. Descriptors: Diabetes Mellitus; Insulin; Disposal of Health Services Residues; Nursing; Health Promotion. RESUMO Objetivo: Analisar o descarte de resíduos da insulinoterapia produzidos no domicílio de pessoas com diabetes mellitus (DM). Método: Estudo transversal com amostra de 105 pacientes da Atenção Primária. Variáveis sociodemográfi cas, clínicas e prática de insulinoterapia foram analisadas por meio das frequências absoluta e relativa, teste exato de Fisher e razão de prevalência (RP). Resultados: Destacou-se associação entre insulinas (60,0%), administradas com seringa descartável acoplada à agulha (80,9%), alto percentual de reutilização e descarte no lixo doméstico comum (57,1%). Os profi ssionais que mais orientaram os diabéticos foram os enfermeiros. Pacientes orientados sobre descarte tiveram 21 vezes mais chances de descartarem resíduos adequadamente que os não orientados (RP 21,5; P < 0,0001). Idade, sexo, cor da pele, escolaridade, estado civil, situação ocupacional e tipo de DM não interferiram no descarte (P > 0,05). Conclusão: Diabéticos atendidos na Atenção Primária necessitam de orientações e recursos materiais para realizarem descarte adequado dos resíduos da insulinoterapia. Descritores: Diabetes Mellitus; Insulina; Eliminação de Resíduos de Serviços de Saúde; Enfermagem; Promoção da Saúde. RESUMEN Objetivo: Analizar la eliminación de los residuos de la terapia con insulina en las viviendas de personas con diabetes mellitus (DM). Método: Estudio transversal, del cual participaron 105 pacientes asistidos en atención primaria. Se analizaron las variables sociodemográfi cas, clínicas y la administración de la terapia con insulina a través de las frecuencias absoluta y relativa, la prueba exacta de Fisher y la razón de prevalencias (RP). Resultados: Se destacaron la asociación entre insulinas (60,0%) aplicadas con jeringuillas desechables pegadas a la aguja (80,9%), su elevado...

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Manejo de resíduos gerados na assistência domiciliar pela Estratégia de Saúde da Familia

Cited by 33 publications

References 9 publications

The reality of waste management in primary health care units in Brazil

The reality of waste management in primary health care units in Brazil

Waste management in non-hospital emergency units

Insulin therapy waste produced in the households of people with diabetes monitored in Primary Care

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