PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “Medical Waste Disposal”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 487 records · Page 27Linked to original sources
PubMed2003

Comparison of enterococcal populations in animals, humans, and the environment--a European study.

The objectives of the present study were to generate knowledge of enterococcal populations in the food chain, by studying the population structure (in measures of abundance and diversity) among enterococci in different geographical regions and in different parts of the food chain, as well as the similarities between different enterococcal populations. Altogether, 2868 samples were collected from humans (healthy and hospitalised individuals and clinical isolates), animals (slaughterhouse carcasses and farm animals), and the environment (pig farms, sewage, and surface water) in four European countries-Sweden, Denmark, UK, and Spain. The samples were characterised with regard to presence and numbers of enterococci, and eight (for faecal samples) or 24 (for environmental samples) isolates per sample were phenotyped and preliminarily identified with the PhP-RF system. In total, more than 20,000 isolates were typed. A majority of the samples (77%) showed the presence of presumed enterococci. The diversities of enterococci in environmental samples were generally high, and also faecal samples normally showed presence of more than one enterococcal strain. The most common species found were Enterococcus faecium (33%), E. faecalis (29%), and E. hirae (24%), but different enterococcal populations differed in their species distribution. Clinical isolates, hospitalised patients, and hospital sewage in Sweden showed a clear dominance of E. faecalis (80%, 57%, and 54%, respectively) whereas healthy individuals and urban sewage contained less E. faecalis (39% and 40%, respectively). The species distribution among isolates from slaughterhouses varied between animal species and also between countries, but E. faecalis seemed to be mainly associated with broiler, and E. hirae with cattle and pigs. The results from the study have indicated a simplified method to study the diversity of bacterial populations. Instead of collecting many samples and analysing one or a few isolates per sample, it is possible to collect fewer samples and analyse several isolates per sample. Both approaches yielded similar information on the diversity of the populations. Another useful information was that since samples from hospital sewage, urban sewage, and manure contained enterococcal populations that reflected those in faecal samples of hospitalised patients, healthy humans, and animals, respectively, such samples may be used as pooled faecal samples and may replace cumbersome samplings from many individuals.

Animals↗
PubMed2001

Degradation of household biowaste in reactors.

Household derived biowaste was degraded by biological methods. The system involves the combined method of low-solids (up to 10% w/v of total solids (TS)) anaerobic digestion and aerobic degradation for the recovery of energy (biogas) and the production of fine humus-like material which can be used as a soil amender or a substrate for further thermal treatment (pyrolysis, gasification). The performance of batch and continuous processes carried out in bioreactors (stirred tank reactor, air-lift) of working volume 6 and 18 dm(3), at different temperatures (25-42 degrees C) was monitored by reduction of TS, volatile solids, chemical oxygen demand, total organic carbon, C/N in time. The application of continuous process with recirculation (33%) caused that for residence time of 8-16 h the obtained degree of organic load reduction was similar to that obtained after 72-96 h of the batch process. The experimental data of batch aerobic degradation was also subjected to kinetic analysis. The sequence of the two processes: aerobic and anaerobic or anaerobic and aerobic showed that the degree of organic load reduction was similar in both cases, while the amount of produced biogas was four times higher when the first stage was anaerobic. The final product after dewatering was subjected to pyrolysis and gasification. The gases obtained were characterised by a high heat of combustion of about 11-15 MJ Nm(-3).

Aerobiosis↗
PubMed2003

Sharps injury reduction using Sharpsmart--a reusable sharps management system.

Sharps containers are associated with 11-13% of total sharps injuries (SI) yet have received little attention as a means of SI reduction. A newly developed reusable sharps containment system (Sharpsmart) was trialed in eight hospitals in three countries. The system was associated with an 86.8% reduction of container-related SI (CRSI) (P=0.012), a 25.7% reduction in non-CRSI (P=0.003), and a 32.6% reduction in total SI (P=0.002) compared with historical data. The study concludes that the Sharpsmart system is an effective engineered control in reducing SI.

Accidents, Occupational↗
PubMed1997

Environmental auditing in hospitals: approach and implementation in an university hospital.

Medical audit in infection control today is accepted as an important element in the quality assurance of health care. In contrast, environmental auditing, which was approved in 1993 by the Council of the European Communities for industry ("Eco-Management and Audit Scheme-EMAS), has not so far been used as a tool to control and reduce environmental pollution caused by medical care in hospitals. The aim of this study was to investigate, whether environmental auditing in hospitals is useful. This process should also be cost effective. In this paper, methodological and organizational issues are described. Initially an environmental review of activities at the University Hospital, Freiburg and an eco-analysis of the input and output were performed. The first results of the study and a critical discussion will be presented in another paper.

Conservation of Energy Resources↗
PubMed2001

Systematic review of adherence to infection control guidelines in dentistry.

OBJECTIVES: The purpose of this study was to determine the knowledge and attitudes of dental health care workers (DHCWs) towards infection control procedures, to examine DHCWs' practising behaviour in respect of infection control, and to determine whether a relationship exists between knowledge, attitudes and behaviour. METHODS: Within this systematic review, study quality was assessed in line with selection criteria relating to study design, participants, interventions and outcome measures. Following data extraction, the heterogeneity of study design, targeted participants, sample size and outcome measures precluded a quantitative analysis. Qualitative data synthesis followed. RESULTS: Overall, the quality of the studies reviewed was poor. Only 71 studies meeting the selection criteria were identified. Data indicated that over the period of the review there have been substantial improvements with compliance in some areas of infection control in dentistry, for example glove wearing. However, other aspects, such as the effective management of needlestick injuries, remain problematic. CONCLUSIONS: More rigorously designed studies are required to assess accurately dental team members' adherence to infection control guidelines.

Attitude of Health Personnel↗
PubMed2003

Particle versus mercury removal efficiency of amalgam separators.

OBJECTIVE: The intent of this project was to evaluate the efficiency of three commercial amalgam separators based on mercury and particle removal. METHODS: Dental wastewater samples were collected from a 54-chair dental clinic and a one chair private dental office. Atomic absorption spectrometry was used to measure mercury, and a laser diffractometer method to determine the particle size distributions. RESULTS: The mercury removal efficiency of the three units ranged from 26.5 to 61.8% for the 54-chair clinic and from 80.8 to 94.7% for the one chair office. Following treatment, the particle size range of the effluent was 8.3-19.2 microm for the 54-chair office and 27.5-41.4 microm for the one-chair clinic. For particle samples based on the silver-copper and copper standards, the three amalgam separators had a particle removal efficiency ranging from 92.3 to 99.9%. The initial particle size distributions for these samples were all under 100 microm. CONCLUSIONS: The efficiency of the amalgam separators is influenced by the initial concentration of the dental wastewater, the physical setup of the discharge system before the dental wastewater reaches the separators, and the addition of chemicals to the dental wastewater. In addition, it is likely that assessment of efficiency based on particle removal by weight may not be as effective as removal based on concentration.

Copper↗
PubMed2003

Mercury generation potential from dental waste amalgam.

OBJECTIVE: The main objective of this study was to quantify the total amount of amalgam used in dental offices in the state of Illinois and to estimate the fractions of amalgam waste material generated during dental procedures. A second objective was to estimate the fractions of non-contact, contact, and tooth retained amalgam through an in vitro study. METHODS: The collection system consisted of containers placed in six dental offices and clinics to collect the material from the in-line trap (contact amalgam) and the excess dental amalgam not placed into the oral cavity (non-contact amalgam). In order to have comparable results, the data was adjusted by the number of dental chairs being used and the number of working days. RESULTS: The range for the non-contact amalgam was from 0 to 102 g, and for the contact amalgam, from 2 to 16 g. The median estimate of non-contact amalgam generated from the 6 dental offices was 421 mg/day/chair, whereas the median estimate of contact amalgam was 64 mg/day/chair. For the in vitro study, 40 one and two surface amalgams (bicuspids and molars), was distributed as follows, 46+/-20% in the tooth, 43+/-19% as non-contact amalgam, and 11+/-4% as contact amalgam. CONCLUSIONS: Based on survey data from the ADA concerning the number of working days per year, the number of practicing dentists, a 50%, by weight, mercury content in amalgam, and the generation estimates from this project, it was estimated that the practicing dentists in the State of Illinois (6455) have the potential to generate 947 kg of non-contact mercury per year, which is recyclable, and 144 kg of contact mercury which has the potential to be discarded in the environment, or be partially recycled. If this approach is applied to the total population of practicing dentist in the United States (123,641), then 18,159 kg of recyclable, non-contact mercury may be generated per year, whereas 2763 kg of contact mercury may be discarded in the environment, or be partially recycled.

Dental Amalgam↗
PubMed2003

Use of acetate for enrichment of electrochemically active microorganisms and their 16S rDNA analyses.

A fuel cell-type electrochemical device has been used to enrich microbes oxidizing acetate with concomitant electricity generation without using an electron mediator from activated sludge. The device generated a stable current of around 5 mA with complete oxidation of 5 mM acetate at the hydraulic retention time of 2.5 h after 4 weeks of enrichment. Over 70% of electrons available from acetate oxidation was recovered as current. Carbon monoxide or hydrogen did not influence acetate oxidation or current generation from the microbial fuel cell (MFC). Denaturing gradient gel electrophoresis showed that DNA extracted from the acetate-enriched MFC had different 16S rDNA patterns from those of sludge or glucose+glutamate-enriched MFCs. Nearly complete 16S rDNA sequence analyses showed that diverse bacteria were enriched in the MFC fed with acetate. Electron microscopic observations showed biofilm developed on the electrode, but not microbial clumps observed in MFCs fed with complex fuel such as glucose and wastewater from a corn-processing factory.

Acetates↗
PubMed2003

Biodegradation of polyphenols with immobilized Candida tropicalis under metabolic induction.

During olive oil production, large quantities of olive mill wastewater (OMW) are produced. This wastewater material, containing a high level of phenolic compounds, poses a serious environmental problem in almost all Mediterranean countries. Candida tropicalis YMEC14 was used as an extremophile strain to design an aerobic biotreatment process to detoxify OMW and reduce its polluting organic load. The process was enhanced by directing yeast metabolism towards biodegradation pathways using hexadecane as co-metabolite and by immobilizing yeast cells in calcium alginate beads. Under immobilization conditions, C. tropicalis YMEC14 grown at 40 degrees C in OMW supplemented with hexadecane resulted in 69.7%, 69.2% and 55.3% reduction of chemical oxygen demand, monophenols and polyphenols, respectively, after a 24-h fermentation cycle.

Aerobiosis↗
PubMed2002

Occurrence, fate, and removal of pharmaceutical residues in the aquatic environment: a review of recent research data.

The occurrence and fate of pharmaceutically active compounds (PhACs) in the aquatic environment has been recognized as one of the emerging issues in environmental chemistry. In some investigations carried out in Austria, Brazil, Canada, Croatia, England, Germany, Greece, Italy, Spain, Switzerland, The Netherlands, and the U.S., more than 80 compounds, pharmaceuticals and several drug metabolites, have been detected in the aquatic environment. Several PhACs from various prescription classes have been found at concentrations up to the microg/l-level in sewage influent and effluent samples and also in several surface waters located downstream from municipal sewage treatment plants (STPs). The studies show that some PhACs originating from human therapy are not eliminated completely in the municipal STPs and are, thus, discharged as contaminants into the receiving waters. Under recharge conditions, polar PhACs such as clofibric acid, carbamazepine, primidone or iodinated contrast agents can leach through the subsoil and have also been detected in several groundwater samples in Germany. Positive findings of PhACs have, however, also been reported in groundwater contaminated by landfill leachates or manufacturing residues. To date, only in a few cases PhACs have also been detected at trace-levels in drinking water samples.

Animals↗