Evaluating pharmaceutical waste disposal in pediatric units

Almeida, Maria Angélica Randoli de; Wilson, Ana Maria Miranda Martins; Peterlini, Maria Angélica Sorgini

doi:10.1590/s0080-623420160000700007

Cited by 8 publications

(7 citation statements)

References 13 publications

(14 reference statements)

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“…After removing duplicates, 2313 studies were screened by title and abstract, yielding 699 articles for full-text review. From that set, ultimately 156 studies were eligible for inclusion in the qualitative synthesis (Supplemental Table S1) (Abd El-Salam, 2010; Abu Qdais et al, 2007; Alam et al, 2008; Al-Dhawailie, 2011; Alhumoud and Alhumoud, 2007; Ali, 2019; Ali and Geng, 2018; Ali et al, 2016a, 2016b; Al-Khatib et al, 2019; Almeida et al, 2016; Almuneef and Memish, 2003; Altin et al, 2003; Alves et al, 2014; Al-Zahrani et al, 2000; Andrade et al, 2014; Asante et al, 2014; Askarian et al, 2010; Awad et al, 2004; Azage and Kumie, 2010; Babu et al, 2019; Barbario et al, 2021; Bassey et al, 2006; Bazrafshan and Mostafapoor, 2011; Bdour et al, 2007; Caniato et al, 2016; Carr et al, 2019; Chiang et al, 2006; Chitnis et al, 2005; Chua et al, 2021; Conrardy et al, 2010; Debere et al, 2013; Debita et al, 2017; Dehghani et al, 2008, 2019; Denny et al, 2019; de Sa et al, 2016; De Sousa et al, 2014; Dewi et al, 2019; Dias et al, 2017; Diehl et al,1992; Dietrich et al, 2004; Doiphode et al, 2016; Dumitrescu et al, 1998; Farmer et al, 1997; Farzadkiaet al, 2009; Fasola et al, 2008; Ferdowsi et al, 2012; …”

Section: Resultsmentioning

confidence: 99%

Waste audits in healthcare: A systematic review and description of best practices

et al. 2022

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Healthcare generates large amounts of waste, harming both environmental and human health. Waste audits are the standard method for measuring and characterizing waste. This is a systematic review of healthcare waste audits, describing their methods and informing more standardized auditing and reporting. Using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we searched MEDLINE, Embase, Inspec, Scopus and Web of Science Core Collection databases for published studies involving direct measurement of waste in medical facilities. We screened 2398 studies, identifying 156 studies for inclusion from 37 countries. Most were conducted to improve local waste sorting policies or practices, with fewer to inform policy development, increase waste diversion or reduce costs. Measurement was quantified mostly by weighing waste, with many also counting items or using interviews or surveys to compile data. Studies spanned single procedures, departments and hospitals, and multiple hospitals or health systems. Waste categories varied, with most including municipal solid waste or biohazardous waste, and others including sharps, recycling and other wastes. There were significant differences in methods and results between high- and low-income countries. The number of healthcare waste audits published has been increasing, with variable quality and general methodologic inconsistency. A greater emphasis on consistent performance and reporting standards would improve the quality, comparability and usefulness of healthcare waste audits.

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Section: Resultsmentioning

confidence: 99%

Waste audits in healthcare: A systematic review and description of best practices

et al. 2022

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“…The disposal of medicines from the antiulcer class in household waste represented 4.65% (Figure 2A). Almeida et al (2016) found that the most discarded pharmaceuticals in pediatric units were from the antimicrobial (22.7%), electrolyte (14.8%), analgesic (14.6%), diuretic (9.5%), and antiulcer (6.7%) classes.…”

Section: Resultsmentioning

confidence: 99%

Evaluation of pharmaceuticals in household waste in Senador Canedo, State of Gois, Brazil

Costa¹,

Moraes²

2020

Afr. J. Pharm. Pharmacol.

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The disposal of pharmaceuticals has become a problem for society and public health and causes risks to the environment. Therefore, the objective of this work was to evaluate the number of pharmaceuticals and the classes of the most discarded pharmaceuticals in household waste in Senador Canedo, Goiás, Brazil. The study was conducted in Senador Canedo, GO, Brazil (16° 42' 28'' S, 49° 5' 34'' W, and altitude of 801 m), which presents maximum air temperature of 35 to 37°C and a minimum of 11 to 13°C, along with mean annual rainfall depth of approximately 1,350 mm. Exploratory and descriptive research was conducted to characterize and quantify the disposal of pharmaceuticals in household wastes in the municipality of Senador Canedo, GO. The sample size required to estimate the production of household pharmaceuticals waste in a population (considered infinite) was defined through the following statistical criteria: 95% confidence level and 5% sampling error. The research consisted of a collection of 10 random samples (garbage bags) in each neighbourhood of Senador Canedo, GO. The most disposed pharmaceuticals in household wastes are from the analgesic, anti-inflammatory, antihypertensive, and antibiotic pharmaceutical classes, with percentages above 10%. Antiulcer, diuretics, and antidepressants are the other pharmaceutical classes that present the highest quantity in household wastes.

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“…Anti-infective medicines and cardiovascular medicines wastage was 18.9% and 8.9% in tertiary Hospitals in Dar Es Salaam [ 10 ] and Sweileh et al study in Palestinian hospital showed that alimentary, musculoskeletal, and anti-infective agents were the most common categories [ 9 ]. The University hospital pediatric units of Brazil showed that 22.7% antimicrobials, 14.8% electrolytes, 14.6% analgesics/pain killers, 9.5% diuretics, and 6.7% antiulcer agents were wasted [ 43 ]. This might be attributed to health facilities in developing countries like Ethiopia were more prone to infectious disease as they demand more anti-infective.…”

Section: Discussionmentioning

confidence: 99%

“…Similarly, normal waste bins used for over 75% disposed of pharmaceuticals in selected hospitals of Ghana [ 50 ]. In the University hospital of Brazil, sharps’ disposable box with a yellow bag, sink drain, sharps box with orange bag, and infectious waste/bin with a white bag was used [ 43 ]. When planning storage of waste, the characteristics of the specific chemicals to be stored and disposed of must be considered [ 17 ] and all waste-bag seals should be in place and intact until they are transported to disposal sites [ 51 ].…”

Section: Discussionmentioning

confidence: 99%

Pharmaceuticals wastage and pharmaceuticals waste management in public health facilities of Dessie town, North East Ethiopia

Mohammed

Kahissay

Hailu³

2021

PLoS ONE

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Background Pharmaceuticals wastes are drugs and medicines that can no longer be used. The improper disposal of unused medicines is a growing problem throughout the world. This study assessed the pharmaceutical wastage rate and pharmaceutical waste management for the year 2015 to 2017 in the public health facility of Dessie, Ethiopia. Methodology A cross-section study design was used to review logistic data retrospectively from health commodity management information systems and manual records in 8 health facilities. Health professionals’ (135) pharmaceutical waste management practices were assessed using the world health organization waste management checklist. Descriptive and inferential statistics were made using a statistical package for social sciences version 20. Result Supplies were the leading class of pharmaceuticals with an overall wastage rate of 37.1%. Tablet and injectable constituted the highest class of pharmaceuticals dosage form with the overall wastage rate of 20.78% and 16.49%. The overall pharmaceutical wastage rate was 3.68% amounting to USD 159,762.66 and expiry (92.05%) was the major reason for wastage. The pharmaceutical wastage rate of health centers was nearly twofold higher than hospitals. Pharmaceutical waste management was practiced by 105 (77%; 95% CI; 69.9%, 84.9%) health professionals. Determinants of pharmaceutical waste management were being male (P value = 0.08, AOR = 3.72), receiving training (P value = 0.01, AOR = 4.34), writing label (P value = 0.02, AOR = 5.04), storage of segregated waste in dispensing unit (P value = 0.01, AOR = 0.72) and the presence of disposal plan (P value = 0.002, AOR = 16.93). Conclusions Supplies and tablets constituted the highest wastage class of pharmaceuticals and dosage form. The pharmaceutical wastage rate was higher than the standard and increasing in successive years. Pharmaceutical waste management was not fully practiced. Appropriate inventory control and waste management are recommended.

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Evaluating pharmaceutical waste disposal in pediatric units

Cited by 8 publications

References 13 publications

Waste audits in healthcare: A systematic review and description of best practices

Waste audits in healthcare: A systematic review and description of best practices

Evaluation of pharmaceuticals in household waste in Senador Canedo, State of Gois, Brazil

Pharmaceuticals wastage and pharmaceuticals waste management in public health facilities of Dessie town, North East Ethiopia

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