Medical waste: profile and cost analysis in a surgical site

Authors

  • Danielly Negrão Guassú Nogueira Universidade Estadual de Londrina.
  • Giovana Alves Santos Universidade Estadual de Londrina https://orcid.org/0000-0002-5586-4688
  • Alexandrina Aparecida Maciel Cardelli Universidade Estadual de Londrina.
  • Valeria Castilho Universidade de São Paulo.

DOI:

https://doi.org/10.5327/Z1414-4425202000030005

Keywords:

Medical waste. Surgicenters. Costs and cost analysis.

Abstract

Objective: To determine the waste generation profile and measure the costs of materials used in medical waste management in a surgical site.
Method: This is an exploratory-descriptive survey, with a quantitative approach, in the case study modality. The site was the surgical site of the University
Hospital of Universidade de São Paulo. The stratified sample was of 1,120 surgeries, and the waste was weighed for 82 days. Results: The surgical site waste
accounted for 6.38% of the total hospital waste. The most representative group was A-infectious (50.62%). The mean generation was 3.72 kg per surgery.
Most of the waste was generated in the operating room (55.93%), and oral maxillary surgeries generated most of the waste in terms of mass. The cost per
kilo was: Group A (R$ 1.10), Group B (R$ 5.70), Group D Recycled (R$ 0.96), Group D Nonrecycled (R$ 1.01) and Group E (R$ 3.23). Conclusion: The mean
total cost per surgery was R$ 8.641, and its reduction depends on strategies of purchasing consumable supplies that had greater impact on costs.

Author Biographies

Danielly Negrão Guassú Nogueira, Universidade Estadual de Londrina.

Professora  do Departamento de Enfermagem da Universidade Estadual de Londrina.

Giovana Alves Santos, Universidade Estadual de Londrina

Enfermeira residente em Enfermagem Perioperatória pela Universidade Estadual de Londrina.

Alexandrina Aparecida Maciel Cardelli, Universidade Estadual de Londrina.

Enfermeira.Professora  Associada Universidade Estadual de Londrina

Valeria Castilho, Universidade de São Paulo.

Professora Livre-Docente da Escola de Enfermagem da Universidade de São Paulo-USP. São Paulo

References

Karayurt Ö, Çömes S, Ceylan H. Cerrahi kliniklerde çevre dostu uygulamalar. (Eco-friendly practices in surgery clinic). Deuhyo Ed [Internet]. 2014 [cited 2019 Jan 10];7(4):337-44.Available from: http://www.deuhyoedergi.org/index.php/DEUHYOED/article/view/130/372.

World Health Organization. Safe management of wastes from health-care activities. 2nd ed. Geneva: WHO; 2013.

Weiss A, Hollandsworth HM, Alseidi A, Scovel L, French C, Derrick EL, et al. Environmentalism in surgical practice. Curr Probl Surg. 2016;53(4):165-205. DOI: https://doi.org/10.1067/j.cpsurg.2016.02.001

Brasil. Ministério da Saúde. RDC n. 322, de 29 de Março de 2018. Dispõe sobre as boas práticas de gerenciamento dos resíduos de serviços de saúde e dá outras providências [Internet]. Brasília; 2018. [citado 2019 jun. 19]. Disponível em: http://portal.anvisa.gov.br/documents/10181/3427425/RDC_222_2018_.pdf

Brasil. Ministério do Meio Ambiente. Conselho Nacional do Meio Ambiente. Resolução n. 358, de 29 de abril de 2005. Dispõe sobre o tratamento e a disposição final dos resíduos dos Serviços de Saúde [Internet]. Brasília; 2005 [citado 2019 abr. 10]. Disponível em: http://www.mma.gov.br/port/conama/res/ res05/res35805.pdf

Associação Brasileira de Empresas de Limpeza Pública e Resíduos Especiais (ABRELPE). Panorama de resíduos sólidos no Brasil [Internet]. São Paulo; 2016 [citado 2019 mar. 22]. Disponível em: http://www.abrelpe.org.br

Brasil. Presidência da Republica. Lei n. 12.305, de 2 de agosto de 2010. Institui a Política Nacional de Resíduos Sólidos; altera a Lei n. 9.605, de 12 de fevereiro de 1998 e dá outras providências [Internet]. Brasília; 2010 [citado 2019 fev. 22]. Disponível em: http://www.planalto.gov.br/ccivil_03/_ato20072010/2010/lei/l12305.htm

Candan Donmez Y, Aslan A, Yavuz Vam Giersbergen M. Environment-friendly Practices in operating rooms in Turkey. J Nurs Res. 2019;27(2):e18. DOI: 10.1097/jnr.0000000000000296

Nogueira DNG, Castilho V. Resíduos de serviços de saúde: mapeamento de processo e gestão de custos como estratégias para sustentabilidade em um centro cirúrgico. REGE. 2016;23(4):362-74. DOI: https://doi.org/10.1016/j.rege.2016.09.007

Maders GR, Cunha HFA. Análise da gestão e gerenciamento dos resíduos de serviços de saúde (RSS) do Hospital de Emergência de Macapá, Amapá, Brasil. Eng Sanit Ambient. 2015;20(3):379-88. DOI: http://dx.doi.org/10.1590/S1413-41522015020000137607.

World Health Organization. Safe management of wastes from health-care activitie. 2nd ed. [Internet]. Geneva: WHO; 2014 [cited 2019 mar. 20]. Available from: http://www.searo.who.int/srilanka/documents/safe_management_of_wastes_from_healthcare_activities.pdf

Terekli G, Özkan O, Bayin G. Çevre dostu hastaneler: hastaneden yeşil hastaneye. (Environmental friendly hospitals: from the hospital to green hospital). ASHD [Internet]. 2013 [cited 2019 Jan 10];12(1):37-54. Available fro://dergiler.ankara.edu.tr/dergiler/28/1829/19255.pdf

Potera C. Strategies for greener hospital operating Rooms. Environ Health Perspect. 2012; 120(8):a306-a307. DOI: https://doi.org/10.1289/ehp.120-a306a

Kagoma Y, Stall N, Rubinstein E, Naudie D. People, planet and profits: the case for greening operating rooms. CMAJ. 2012; 84(17):1905-1911. DOI: https://doi.org/10.1503/cmaj.112139

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Published

2020-10-07

How to Cite

Negrão Guassú Nogueira, D., Alves Santos, G., Maciel Cardelli, A. A., & Castilho, V. (2020). Medical waste: profile and cost analysis in a surgical site. Revista SOBECC, 25(3), 151–158. https://doi.org/10.5327/Z1414-4425202000030005

Issue

Vol. 25 No. 3 (2020)

Section

ORIGINAL ARTICLES

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