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

Hassan, Nadira Mansour; Shalaby, Safynaz El Saied; Atalla, Asmaa; Younis, Eman

doi:10.1007/s11356-021-12393-z

Cited by 7 publications

(10 citation statements)

References 17 publications

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“…To the best of our knowledge, there was no data available about home disposal practices of medical sharps in the Portuguese diabetic population, as in many other countries 20. We found clear evidence of inadequate disposal of medical sharps among these patients, findings that are corroborated by studies in the same scope conducted in other countries, which reported household bin disposal of medical sharps ranging from 33% to 92%,3 7 8 10 13 15 17 18 21–28 a common problem worldwide 9. Our results show that over two-thirds of diabetic patients discard sharps directly into common household bins.…”

Section: Discussionsupporting

confidence: 76%

“…The lack of safe disposal options in the community may also contribute to the high rate of erroneous advice by health professionals to dispose of it in the household waste (22.3%). Other studies have revealed rates of non-education of diabetic patients about correct medical sharps deposition practices ranging from 34% to 96.2% 7 8 10 13 18 22–24 26 27. However, from the beginning of the therapeutic plan, it is necessary to provide education to patients and their families about the importance of proper disposal of sharps, not neglecting the education of healthcare professionals 20.…”

Section: Discussionmentioning

confidence: 99%

“…This situation may become a serious public health problem as these diseases are chronic infections and often remain undetected for a long period of time. 13 According to the Portuguese Diabetes Association, 650 000 sharps are used daily by Portuguese diabetic patients at their homes. 14 Although its importance, proper disposal of medical sharps is often neglected as a part of patient education on self-injection techniques, leading to potentially unsafe disposal methods.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

“…This situation may become a serious public health problem as these diseases are chronic infections and often remain undetected for a long period of time. 13 …”

Section: Introductionmentioning

confidence: 99%

“…Improper disposal of sharps carries potential risk of propagation of some diseases, such as hepatitis B, C and HIV, to anyone who comes in contact with these sharps. This situation may become a serious public health problem as these diseases are chronic infections and often remain undetected for a long period of time 13…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Medical sharps in Portugal: a cross-sectional survey of disposal practices among the diabetic population

Corte-Real¹,

Duarte²,

Teixeira³

et al. 2022

BMJ Open

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ObjectiveWe aim to determine the disposal site for biohazardous materials resulting from diabetes surveillance and therapy.DesignCross-sectional study.SettingFive Portuguese primary care facilities.ParticipantsWe randomly sampled diabetic patients representative of five primary care facilities. Inclusion criteria consisted in patients≥18 years old with an active diagnosis of diabetes mellitus (DM). Patients unable to provide written informed consent were excluded.Outcome measureSociodemographic variables, diabetes duration, type of treatment, medical sharps disposal practices and whether adequate disposal information were provided.ResultsA total of 1436 diabetics were included. Overall, 53.8% of diabetics conducted regular capillary glicemia measurements, although 45.3% of them had no medical indication. Statistically significant predictors of adequate disposal were not having an active professional status (p=0.011) and having a DM duration between 5 and 10 years (p=0.014). Only being professionally inactive remained an independent predictor after multivariate logistic regression. Less than a fifth of patients on injectable therapy report having been advised by healthcare staff regarding sharps disposal. Over a fifth of the latter report having received wrong advice. The majority of diabetics dispose of biohazardous materials in unsorted household waste (68.1% of needles/devices with needles and 71.6% of lancets). Other incorrect disposal sites identified were recycling bins, toilet and home accumulation. Only 19.1% of the needles/devices with needles and 13.1% of the lancets were disposed of at healthcare facilities.ConclusionsMost diabetics have unsafe disposal practices for their biohazardous materials, mostly in unsorted household waste. We identified that being unemployed independently predicts adequate disposal of medical sharps and found evidence of low patient literacy on the topic, as well as poor patient education. Therefore, educating and raising awareness among healthcare professionals is crucial to address this public health issue.

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Section: Discussionsupporting

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

“…This situation may become a serious public health problem as these diseases are chronic infections and often remain undetected for a long period of time. 13 …”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Medical sharps in Portugal: a cross-sectional survey of disposal practices among the diabetic population

Corte-Real¹,

Duarte²,

Teixeira³

et al. 2022

BMJ Open

View full text Add to dashboard Cite

show abstract

A black-box model for predicting difficulty of word puzzle games: a case study of Wordle

Shi,

Chen,

Lin

et al. 2023

Knowl Inf Syst

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The Need for Sharps Waste Disposal Guidelines for Commercial Airports

Zhang

Shang

Krisiunas³

et al. 2021

J Diabetes Sci Technol

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Travelers frequently eat at an airport before their flight. Travelers with diabetes also frequently need to lance their fingertips to check a blood glucose concentration and/or inject themselves with insulin. These actions generate medical sharps waste. Bloody sharps can be a source of needlestick injuries for other travelers or waste handlers if the waste is not safely disposed of. There are currently no guidelines or standards for medical sharps waste disposal in commercial airports or similar public places. We advocate for the establishment of guidelines for medical sharps waste disposal in commercial airports. These guidelines should include four elements: (1) design of sharps disposal bins, (2) placement of sharp disposal bins, (3) publication of locations with sharps disposal bins, and (4) safety protocols for both sharps disposal and handling sharps waste. In this article, we present the background and reasons behind our recommendation for establishing guidelines for medical waste disposal in commercial airports.

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

Cited by 7 publications

References 17 publications

Medical sharps in Portugal: a cross-sectional survey of disposal practices among the diabetic population

Medical sharps in Portugal: a cross-sectional survey of disposal practices among the diabetic population

A black-box model for predicting difficulty of word puzzle games: a case study of Wordle

The Need for Sharps Waste Disposal Guidelines for Commercial Airports

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