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Quantifying and qualifying hospital pharmaceutical waste: a case study in Tehran, Iran

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Abstract

Nowadays, hospital waste management is particularly important due to its potential pathogenicity and serious hazards and is considered as one of the most important environmental problems. One of the prominent actions in hospital waste management is quantitative studies and the collection of reliable and valid data to provide the best management solutions using the obtained information. Therefore, the present study was performed to reach this purpose. Measuring and quantifing of the hospital waste was performed using a daily list of the amount of medication used in the hospital. The weight of vial containers and the amount of residue and syringe, and serum wastes were also measured separately. Finally, the overall amount and per capita of waste production were determined. The results showed that pharmaceutical waste and drug residue in the hospital were 153.82 kg.d−1 and 45.87 kg.d−1, respectively. Per capita production of pharmaceutical waste per patient and hospital bed was estimated to be 181.81 g.p−1.d−1 and 264.7 g.b−1.d−1, and per capita production of drug residue per patient and hospital bed were 54.22 g.p−1.d−1 and 88.21 g.b−1.d−1, respectively. Among the types of pharmaceutical waste found in vials, the antibiotics had the highest weight percent. The emergency department and operating room played a major role in producing pharmaceutical waste among different hospital wards. This study showed that the pharmaceutical waste production in the considered hospital was relatively high, which can be attributed to several factors such as waste management, type of health care, type of hospital, ratio of patients under daily treatment, gender, and initial weight of containers.

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References

  1. Komilis D, Fouki A, Papadopoulos D. Hazardous medical waste generation rates of different categories of health-care facilities. Waste Manag. 2012;32(7):1434–41.

    Article  Google Scholar 

  2. Oli AN, et al. Healthcare waste management in selected government and private hospitals in Southeast Nigeria. Asian Pac J Trop Biomed. 2016;6(1):84–9.

    Article  Google Scholar 

  3. Taghipour H, Mosaferi M. Characterization of medical waste from hospitals in Tabriz, Iran. Sci Total Environ. 2009;407(5):1527–35.

    Article  CAS  Google Scholar 

  4. Hossain MS, et al. Clinical solid waste management practices and its impact on human health and environment–A review. Waste Manag. 2011;31(4):754–66.

    Article  CAS  Google Scholar 

  5. Insa E, Zamorano M, Lopez R (2010) Critical review of medical waste legislation in Spain. Resour Conserv Recyc l54(12):1048-1059

  6. Sartaj M, Arabgol R. Assessment of healthcare waste management practices and associated problems in Isfahan Province (Iran). J Mater Cycles Waste Manag. 2015;17(1):99–106.

    Article  Google Scholar 

  7. aus der Beek T, et al. Pharmaceuticals in the environment—Global occurrences and perspectives. Environ Toxicol Chem. 2016;35(4):823–35.

    Article  CAS  Google Scholar 

  8. Cunningham VL, Binks SP, Olson MJ. Human health risk assessment from the presence of human pharmaceuticals in the aquatic environment. Regul Toxicol Pharmacol. 2009;53(1):39–45.

    Article  CAS  Google Scholar 

  9. Kümmerer K. Pharmaceuticals in the environment. Ann Rev Environ Resour. 2010;35:57–75.

    Article  Google Scholar 

  10. Windfeld ES, Brooks MS-L. Medical waste management–A review. J Environ Manag. 2015;163:98–108.

    Article  CAS  Google Scholar 

  11. Patwary MA, et al. Quantitative assessment of medical waste generation in the capital city of Bangladesh. Waste Manag. 2009;29(8):2392–7.

    Article  Google Scholar 

  12. Prüss-Üstün A, Townend W. Book of safe management of wastes from health-care activities (PP.12). World Health Organization; 1999.

  13. Mohammadian Fazli M, Nassiri J, Nabizadeh R. Qualitative and quantitative assessment and management of hospital waste in Zanjan, Iran in 2011. Iran J Health Environ. 2013;6(1):55–64.

    Google Scholar 

  14. Yousefi Z, Avak Rostami M. Quantitative and qualitative characteristics of hospital waste in the city of Behshahr-2016. Environmental Health Engineering and Management Journal. 2017;4(1):59–64.

    Article  CAS  Google Scholar 

  15. Khosravipour S, Nejati A. Qualitative and quantitative survey of solid wastes generated in governmental hospitals of Urmia in 2016. J Occup Environ Health. 2016;2(2):116–24.

    Google Scholar 

  16. Manga VE, et al. Health care waste management in Cameroon: A case study from the Southwestern Region. Resour Conserv Recycl.2011;57:108-116.

  17. Bdour A, et al. Assessment of medical wastes management practice: a case study of the northern part of Jordan. Waste Manag. 2007;27(6):746–59.

    Article  CAS  Google Scholar 

  18. Birpınar ME, Bilgili MS, Erdoğan T. Medical waste management in Turkey: A case study of Istanbul. Waste Manag. 2009;29(1):445–8.

    Article  Google Scholar 

  19. Marinković N, et al. Management of hazardous medical waste in Croatia. Waste Manag. 2008;28(6):1049–56.

    Article  Google Scholar 

  20. Arab M, et al. Wastes management assessment at public-teaching and private hospitals affiliated to Teheran University of Medical Sciences, Iran. J Health Admin. 2010;12(38):71–7.

    Google Scholar 

  21. Ferreira V, Teixeira MR. Healthcare waste management practices and risk perceptions: findings from hospitals in the Algarve region, Portugal. Waste Manag. 2010;30(12):2657–63.

    Article  Google Scholar 

  22. Küster A, Adler N. Pharmaceuticals in the environment: scientific evidence of risks and its regulation. Philos Trans R Soc Lond B Biol Sci. 2014;369(1656):20130587.

    Article  Google Scholar 

  23. Voudrias E, et al. Composition and production rate of pharmaceutical and chemical waste from Xanthi General Hospital in Greece. Waste Manag. 2012;32(7):1442–52.

    Article  CAS  Google Scholar 

  24. Bazrafshan E, Kord-Mostafapoor F. Survey of quantity and quality of hospital wastes in Sistan and Balouchestan Province, 1387-1388. Zahedan J Res Med Sci. 2010;12(1):0–0.

    Google Scholar 

  25. Dehghani M, et al. Assessment of medical waste management in educational hospitals of Tehran university medical sciences. J Environ Health Sci Eng. 2008;5(2):131–6.

    CAS  Google Scholar 

  26. Ghasemi L, et al. Evaluate the types and amount of genotoxic waste in Tehran University of Medical Science’s hospitals. J Environ Health Sci Eng. 2018;16(2):171–9.

    Article  Google Scholar 

  27. Alavi N, et al. Minimization of medical waste in health care centers of Dehdasht, Iran 2012-2013. J Occup Environ Health. 2017;3(2):136–45.

    Google Scholar 

  28. Nabizadeh R, et al. Composition and production rate of dental solid waste and associated management practices in Hamadan, Iran. Waste Manag Res.2012;30(6):619–24.

  29. Patwary MA, O’Hare WT, Sarker MH. Assessment of occupational and environmental safety associated with medical waste disposal in developing countries: a qualitative approach. Saf Sci. 2011;49(8–9):1200–7.

    Article  Google Scholar 

  30. Alagöz AZ, Kocasoy G. Determination of the best appropriate management methods for the health-care wastes in Istanbul. Waste Manag. 2008;28(7):1227–35.

    Article  Google Scholar 

  31. Kümmerer K. Drugs in the environment: emission of drugs, diagnostic aids and disinfectants into wastewater by hospitals in relation to other sources–a review. Chemosphere. 2001;45(6–7):957–69.

    Article  Google Scholar 

  32. Alert N. Preventing occupational exposures to antineoplastic and other hazardous drugs in health care settings. NIOSH Pub, 2004(2004-165).

  33. Sessink P, et al. Occupational exposure to antineoplastic agents at several departments in a hospital. Int Arch Occup Environ Health. 1992;64(2):105–12.

    Article  CAS  Google Scholar 

Download references

Acknowledgements

This study was derived from a dissertation (grant number of 9511388014 and ethics code of IR.TUMS.SPH.REC.1397.171) in the Department of Environmental Health Engineering, School of Health, Tehran University of Medical Sciences. We would like to thank the president of Research Institute, School of Health, Tehran University of Medical Sciences, and the administrator of the hospital affiliated to Tehran University of Medical Sciences.

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Correspondence to Kamyar Yaghmaeian.

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Moradi, F., Yousefzadeh, S., Nabizadeh, R. et al. Quantifying and qualifying hospital pharmaceutical waste: a case study in Tehran, Iran. J Environ Health Sci Engineer 20, 431–441 (2022). https://doi.org/10.1007/s40201-022-00790-6

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