Disposal of syringes, needles, and lancets used by diabetic patients in Pakistan

Ishtiaq, Osama; Qadri, Asif; Mehar, Saeed; Gondal, Ghulam Murtaza; Iqbal, Tahir; Ali, Sobia; Mati-ur-Rahman,; Janjua, Naveed Z.

doi:10.1016/j.jiph.2012.02.002

Cited by 32 publications

(46 citation statements)

References 13 publications

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“…Among the waste generated by patients with DM in their homes, the occurrence of pens and insulin vials, needles, syringes, lancets, cotton and reagent tapes was noted. It is estimated that more than 7,500,000 syringes are used in households per year, with diabetic patients being the majority of users, and this number does not include the number of lancets used by the 25 million people with DM (18)(19) . Given this, it has been suggested that syringes and disposable needles may be reused by the user of insulin, up to eight times, as long as the needle hasn't been contaminated, or caused discomfort during administration.It has also been suggested that syringes and needles may be kept at room temperature, and, after use, that the syringe should be covered, cleaning the needle with alcohol not being recommended (1) .…”

Section: Discussionmentioning

confidence: 99%

“…Even when they put the waste in PET bottles, it ends up being thrown in common trash cans at the moment of disposal. They should be instructed that it is not enough to just separate the sharp materials; it is necessary to analyze the possible treatment and final destination, to minimize the impact on the environment (17)(18)(19)(20) . Few patients carried out the proper disposal of sharp materials, because many did not use appropriate containers and did not deliver the material in the health unit.…”

Section: Discussionmentioning

confidence: 99%

“…Those who made use of pens also threw them in common trash cans. Another research also shows that diabetic patients generally dispose of insulin therapy devices in the household waste; in contrast, those who have higher education dispose of them more properly (19) . The likelihood of accidents involving this material should be considered, as one of the types of waste generated in insulin therapy are sharp objects.…”

Section: Discussionmentioning

confidence: 99%

“…The disposal of sharp objects in household waste has implications for the transmission of diseases (19) . Health education contributes so that individuals with chronic conditions live a better life, strengthen their perception on health risks and develop skills for self-care (1) .…”

Section: Discussionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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

et al. 2017

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“…An interviewer-administered questionnaire was used to collect information. The structured questionnaire was developed using pre-identified questions from similar international journal articles [7, 8]. The issues explored insulin administration practices, equipment used, the frequency of needle use, disposal of insulin syringes and pens, lancet disposal, sharing of needles and knowledge about disease spread by sharing needles.…”

Section: Methodsmentioning

confidence: 99%

Practices related to sharps disposal among diabetic patients in Sri Lanka

2018

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BackgroundPatients with diabetes on insulin therapy use sharps (e.g., needles) on a regular basis and a considerable proportion of them, within their home environments. These sharps and other bloodstained materials, if not disposed of appropriately has the potential to be a public health hazard.ObjectiveOur objective was to explore the practices related to sharps disposal among patients with diabetes from North Colombo Teaching Hospital (CNTH), Ragama, Sri Lanka.MethodsWe conducted a cross-sectional study on 158 patients with diabetes from the CNTH. Patients had to use sharps for the daily management of their disease for inclusion into the study group. Data were collected on sharps disposal practices using an interviewer-administered questionnaire. Clinic records were also used as a secondary data source.ResultsMost patients, 153/158 (96.8%) used syringes to inject insulin. Forty-three patients (27%) involved others (e.g., family) when disposing of sharps. Used sharps were commonly disposed to the household garbage bin by 66 participants (41.7%). Other methods used for sharps disposal were: sharps container, toilet pit, household garbage dump and indiscriminate measures. Importantly most patients, 147 (93%) had received no information on how to dispose of sharps after usage.ConclusionPatients commonly used unsafe practices in home-based sharps disposal. These included disposing of in the household garbage bin, burning sharps in the household garbage dump and disposing of into the common garbage dump of the community. Being male and being > 60 years of age was associated with a higher dependence on family members for sharps disposal. Patient education and public resources for sharps handling can help improve this situation.

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Toward safe environment: injection device disposal among diabetic patients attending tertiary care academic clinic in Middle Delta, Egypt

Hassan

Shalaby

Atalla

et al. 2021

Environ Sci Pollut Res

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Disposal of syringes, needles, and lancets used by diabetic patients in Pakistan

Abstract: The common disposal of sharps in the household garbage has implications for disease transmission. Education on the safe disposal of sharps may improve the disposal practices.

Cited by 32 publications

References 13 publications

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

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

Practices related to sharps disposal among diabetic patients in Sri Lanka

Toward safe environment: injection device disposal among diabetic patients attending tertiary care academic clinic in Middle Delta, Egypt

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