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2019, vol. 147, br. 5-6, str. 281-285
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Znanje i stavovi beogradskih studenata medicine i stomatologije o upravljanju medicinskim otpadom
Knowledge and attitudes on medical waste management among Belgrade medical and dental students
aUniverzitet u Beogradu, Medicinski fakultet, Institut za higijenu i medicinsku ekologiju bUniverzitet u Beogradu, Stomatološki fakultet, Klinika za oralnu hirurgiju cUniverzitet u Kragujevcu, Fakultet medicinskih nauka, Katedra za neurologiju dUniverzitet u Beogradu, Medicinski fakultet, Institut za patološku anatomiju
e-adresa: jelenil77@gmail.com
Sažetak
Uvod/Cilj Znanje i praktične veštine upravljanja medicinskim otpadom su od posebnog značaja za doktore medicine i stomatologije. Komparativna studija o znanju i veštinama iz oblasti upravljanja medicinskim otpadom sprovedena je među beogradskim studentima prvi put, u cilju ispitivanja da li ovom izuzetno važnom oblašću studenti medicine i stomatologije vladaju podjednako dobro. Metode Ova studija preseka obuhvatila je 558 studenata šeste godine studija na Beogradskom univerzitetu (430 studenata medicine i 128 studenata stomatologije), koji su popunili anonimni upitnik o znanju i stavovima o upravljanju medicinskim otpadom. Rezultati Većina studenata stomatologije i medicine nisu imali nikakvu posebnu obuku iz upravljanja medicinskim otpadom (79,5% i 74,6%). Studenti stomatologije su češće koristili zaštitnu opremu (94,5% prema 42%, p < 0,001). Vakcinalna zaštita od hepatitisa B je kompletnija među studentima medicine u odnosu na studente stomatologije (57,7% prema 39,1%, p < 0,001). Znanje o profilaksi posle izloženosti bolja je među studentima medicine (44,5% prema 13,3%, p < 0,001). Međutim, studenti stomatologije su ažurniji u pogledu prijavljivanja povreda na radnom mestu (63,1% prema 52,4%, p = 0,038). Znanje studenata o primarnoj separaciji infektivnog otpada i korišćenih igala je bolje među budućim stomatolozima (tačni odgovori 93% nasuprot 77,8%; p < 0,001 i 80,3% prema 70,4%; p = 0,007). Zaključak Studenti stomatologije imaju bolje znanje o upravljanju medicinskim otpadom i disciplinovaniji su u pogledu korišćenja zaštitne opreme na radu u odnosu na studente medicine. Studenti podržavaju kontinuiranu edukaciju o upravljanju medicinskim otpadom i dalja istraživanja o ovoj temi.
Abstract
Introduction/Objective Knowledge and practical skills in medical waste (MW) management are of equal importance for medical and dental doctors. The first comparative study on the knowledge and skills in the field of MW management among Belgrade students was conducted with the goal of examining whether students of medicine and dentistry are equally familiar with this extremely important field. Methods a cross-sectional study included 558 students of the sixth year of studies (430 medical and 128 dental students) who completed an anonymous semi-structured questionnaire to determine attitudes and knowledge on MW management. Results the majority of medical and dental students had no training in MW management (79.5% and 74.6%, respectively). Dental students use protective equipment more frequently than medical students (94.5% vs. 42%, p < 0.001). However, full vaccinal protection against hepatitis B is better among medical students compared to dental students (57.7% vs. 39.1%, p < 0.001). Complete knowledge on postexposal prophylaxis is better among medical students compared to dental students (44.5% vs. 13.3%, p < 0.001). However, dental students are more disciplined in reporting injuries (63.1% vs. 52.4%, p = 0.038). The students' knowledge on primary separation of infectious waste (93% vs. 77.8%, p < 0.001) and used needles (80.3% vs. 70.4%, p = 0.007) is better among dental students compared to medical students' correct answers. Conclusion Dental students show better knowledge on MW management and are more disciplined in using personal infection protection compared to medical students. The students support continued training on MW management and investigations on this topic.
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Reference
|
|
|
*** Health care waste. At: http://www.who.int/mediacentre/factsheets/fs253/en/ Accessed: February 22, 2018
|
|
|
*** (2009-2016) The Law on Waste Management of the Republic of Serbia. Official Gazette, No. 36/2009, 88/2010 and 14/2016
|
|
  
|
Ahmad, I.A., Rehan, E.A., Pani, S.C. (2013) Compliance of Saudi dental students with infection control guidelines. International Dental Journal, 63(4): 196-201
|
|
|
Ali, M., Wang, W., Chaudhry, N., Geng, Y. (2017) Hospital waste management in developing countries: A mini review. Waste Management & Research, 35(6): 581-592
|
|
|
Amouei, A., Fallah, S.H., Asgharnia, H.A., Gholami, M., Jafarian, S. (2015) Knowledge and Attitude of Hospital Personnel Regarding Medical Waste Management. Int Arch Health Sci, 2: 75-81
|
|
|
Anozie, O.B., Lawani, L.O., Eze, J.N., Mamah, E.J., Onoh, R.C., Ogah, E.O., et al. (2017) Knowledge, Attitude and Practice of Healthcare Managers to Medical Waste Management and Occupational Safety Practices: Findings from Southeast Nigeria. Journal of clinical and diagnostic research, 11(3): 1-04
|
|
|
Assis, M.C., Gomes, V.A.P., Balista, W.C., de Freitas, R.R. (2017) Use of performance indicators to assess the solid waste management of health services. Anais da Academia Brasileira de Ciências, 89(3 suppl): 2445-2460
|
|
|
Garus-Pakowska, A., Górajski, M., Szatko, F. (2018) Did legal regulations change the reporting frequency of sharp injuries of medical personnel? Study from 36 hospitals in Łódź province, Poland. International Journal of Occupational Medicine and Environmental Health, 31(1): 37-46
|
|
|
Gir, E., Netto, J.C., Malaguti, S.E., da Silva, C.S.R.M., Hayashida, M., Machado, A.A. (2008) Accidents with biological material and immunization against hepatitis B among students from the health area. Revista Latino-Americana de Enfermagem, 16(3): 401-406
|
|
|
Gupta, S., Rani, S., Garg, S. (2017) Infection control knowledge and practice: A cross-sectional survey on dental laboratories in dental institutes of North India. J Indian Prosthodont Soc, 17(4): 348-54
|
|
|
Hakim, S.A., Mohsen, A., Bakr, I. (2014) Knowledge, attitudes and practices of health-care personnel towards waste disposal management at Ain Shams university hospitals, Cairo. Eastern Mediterranean Health Journal, 20(5): 347-354
|
|
2 
|
Jovanović, V.S., Gerrit, T.J.B., Jovanović, D.V., Đonović, N.Ž., Jevtić, M.R., Matić, B.I., Šerović, R.M. (2014) Development of healthcare waste management in Serbia and challenges in the improvement of the quality of healthcare services. Tehnika, vol. 69, br. 2, str. 343-348
|
|
|
Knezevic, S., Matic, B. A report on the follow-up process on infectious medical waste management within the network of state health facilities in the Republic of Serbia in 2013: Regulated waste flows. Republic Institute of Public Health of Serbia-Centre for Hygiene and Human Ecology, http://www.batut.org.rs/ download/izvestaji/higijena/2013MedOtpad.pdf
|
|
|
Kumar, M., Kushwaha, R., Kumari, M., Singh, G., Kumari, R. (2017) Knowledge, awareness, attitude regarding biomedical waste management among medical students in a tertiary care centre: A cross sectional Study. PARIPEX Indian Journal of Research, 6(4): 611-615
|
|
|
Kumar, R., Somrongthong, R., Ahmed, J. (2016) Impact of waste management training intervention on knowledge, attitude and practices of teaching hospital workers in Pakistan. Pakistan Journal of Medical Sciences, 32(3): 705-715
|
|
|
Maina, S.M., Andrew, N.K., Caroline, W.N. (2016) Assessment of Level of Knowledge in Medical Waste Management in Selected Hospitals in Kenya. Appli Micro Open Access, 2: 124-124
|
|
|
Mathur, V., Hassan, M.A., Dwivedi, S.A., Misra, R.P. (2011) Knowledge, attitude, and practices about biomedical waste management among healthcare personnel: A cross-sectional study. Indian Journal of Community Medicine, 36(2): 143-143
|
|
|
Milanović, S., Jovanovic, V., Mršulja, A., Stojčić, M., Ilić-Živojinović, J. (2012) Medical waste management: A handbook for students of high medical schools. Belgrade: Zavod za udžbenike, in Serbian
|
|
|
Mponela, M.J., Oleribe, O.O., Abade, A., Kwesigabo, G. (2015) Post exposure prophylaxis following occupational exposure to HIV: A survey of health care workers in Mbeya, Tanzania, 2009-2010. Pan African Medical Journal, 21: 32-32
|
|
|
Nazli, S.N., Karuppannan, Sa.L., Omar, D. (2014) Knowledge and Awareness of Clinical Waste Management among Medical Practitioners in Hospital Batu Pahat, Johor. International Journal of Innovation, Management and Technology, 5(2): 139-181
|
|
|
Ozder, A., Teker, B., Eker, H.H., Altındis, S., Kocaakman, M., Karabay, O. (2013) Medical waste management training for healthcare managers: A necessity?. Journal of Environmental Health Science and Engineering, 11(1): 20-20
|
|
|
Ranjan, R., Pathak, R., Singh, D.K., Jalaluddin, M.D., Kore, S.A., Kore, A.R. (2016) Awareness about biomedical waste management and knowledge of effective recycling of dental materials among dental students. Journal of International Society of Preventive and Community Dentistry, 6(5): 474-474
|
|
|
Saini, R., Pithon, M.M., Singh, H.K., Popoff, D.V. (2013) Knowledge of Biomedical Waste Management among the Students of Rural Dental College, Maharashtra, India. Int J Experiment Dent Sci, 2: 24-30
|
|
|
Singh, L.D., Elangbam, V., Napolean, T., Christina, S. (2018) Knowledge on Biomedical Waste Management among Medical Students in RIMS, Imphal, Manipur. IOSR-JDMS, 17(01): 40-43
|
|
|
Sood, A.G., Sood, A.G. (2011) Dental perspective on biomedical waste and mercury management: A knowledge, attitude, and practice survey. Indian Journal of Dental Research, 22(3): 371-371
|
|
|
Wilburn, S.Q. (2004) Needlestick and sharps injury prevention. Online J Issues Nurs, 9(3): 5-5
|
|
|
World Health Organization (WHO) (2014) World Health Organization (WHO) Policy Paper: Safe Health Care Waste Management. Geneva, Switzerland, http://www.who.int/mediacentre/factsheets/fs253/en/Accessed
|
|
|
|
|