Microbial Waste Management in Healthcare Settings: A Review

Microbial Waste Management in Healthcare Settings

  • Shakti Rath Associate Professor (Microbiology & Research), Faculty of Dental Sciences and Nursing, Central Research Laboratory, Institute of Dental Sciences, Siksha ‘O’ Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
  • Subrat Kumar , Tripathy Department of Biochemistry, IMS & Sum Hospital, Siksha O Anusandhan (deemed to be) University, Bhubaneswar, Odisha, India
  • Debasmita Dubey Assistant Professor, Medical Research Laboratory, IMS & Sum Hospital, Siksha O Anusandhan (deemed to be) University, Bhubaneswar, Odisha, India
  • Santosh Kumar Swain Professor, Department of Otolaryngology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
  • Sangram Panda Professor, Department of Prosthodontics, Institute of Dental Sciences, Siksha O Anusandhan (Deemed to be University), Bhubaneswar 751003, Odisha, India.

Abstract

Human health is directly related to the environment and its various components. Healthcare is one sector that witnesses maximum footfalls in terms of patients, thus giving rise to a large scale of microbial wastes. These microbial wastes are mostly hazardous and risk polluting the environment and putting public health at stake. Safe disposal of these wastes is a significant concern due to their associated risks. Waste management methods commonly include chemical disinfection, steam sterilization, landfilling, and incineration. These methods pose various risks to human health, possibly attributed to their characteristic property of creating secondary pollutants. Such problems have intrigued researchers to search for better alternatives and advanced techniques. The onset of COVID-19 has jeopardized the waste management system in the healthcare sector, mainly related to hazardous microbial wastes. The current review discusses the impact of microbial wastes on the public and environmental health. It further discusses the advantages of modern techniques over traditional ones for sustainable management of microbial wastes. Modern techniques still face certain drawbacks, so the authors invite future research activities to work towards making these techniques even better and more sustainable.

Keywords: Environmental pollution, Healthcare sector, Microbial waste management, Modern techniques, Secondary pollutants.

Downloads

Download data is not yet available.

Author Biographies

Shakti Rath, Associate Professor (Microbiology & Research), Faculty of Dental Sciences and Nursing, Central Research Laboratory, Institute of Dental Sciences, Siksha ‘O’ Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India

Associate Professor (Microbiology & Research), Faculty of Dental Sciences and Nursing, Central Research Laboratory, Institute of Dental Sciences, Siksha ‘O’ Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India

Subrat Kumar , Tripathy, Department of Biochemistry, IMS & Sum Hospital, Siksha O Anusandhan (deemed to be) University, Bhubaneswar, Odisha, India
  1. Department of Biochemistry, IMS & Sum Hospital, Siksha O Anusandhan (deemed to be) University, Bhubaneswar, Odisha, India
Santosh Kumar Swain, Professor, Department of Otolaryngology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India

Professor, Department of Otolaryngology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India

Sangram Panda, Professor, Department of Prosthodontics, Institute of Dental Sciences, Siksha O Anusandhan (Deemed to be University), Bhubaneswar 751003, Odisha, India.

Professor, Department of Prosthodontics, Institute of Dental Sciences, Siksha O Anusandhan (Deemed to be University), Bhubaneswar 751003, Odisha, India.

References

1. Datta P, Mohi GK, Chander J. Biomedical waste management in India: Critical appraisal. J Lab Physicians. 2018;10(1):6-14. https://doi.org/10.4103/JLP.JLP_89_17
2. Saxena, P., Pradhan, I. P., & Kumar, D. (2022). Redefining biomedical waste management during COVID-19 in India: A way forward. Materials today: proceedings, 60, 849-858. https://doi.org/10.1016/j.matpr.2021.09.507
3. Rath, S., (2021). Microbial Contamination of Drinking Water. Water Pollution and Management Practices, pp.1-17. https://doi.org/10.1007/978-981-15-8358-2_1
4. World Health Organization, 2015. Water, sanitation, and hygiene in health care facilities: status in low- and middle-income countries and way forward. World Health Organization. https://cdn.who.int/media/docs/default-source/wash-documents/qa-wash-hcf.pdf?sfvrsn=f2bb0bf6_8
5. Padmanabhan, K. K., & Barik, D. (2019). Health Hazards of Medical Waste and its Disposal. Energy from Toxic Organic Waste for Heat and Power Generation, 99–118. https://doi.org/10.1016/B978-0-08-102528-4.00008-0
6. Rahman, M. M., Bodrud-Doza, M., Griffiths, M. D., & Mamun, M. A. (2020). Biomedical waste amid COVID-19: perspectives from Bangladesh. The Lancet. Global health, 8(10), e1262. https://doi.org/10.1016/S2214-109X(20)30349-1
7. World Health Organization. Water, sanitation, hygiene, and waste management for SARS-CoV-2, the virus that causes COVID-19. The World Health Organization, COVID-19: Infection prevention and control/WASH, 020. https://doi.org/10.2166/washdev.2021.254
8. Central Pollution Control Board Annual Report (2019a) Annual Report on Biomedical Waste Management as per Biomedical WasteManagementRules,2016 Available at: https://cpcb.nic.in/uploads/Projects/Bio-Medical-Waste/AR_BMWM_2019.pdf (accessed on Jul 14, 2021).
9. Central Pollution Control Board Annual Report 2018/2019. Ministry of Environment, Forest, and Climate Change (2019b), pp.1-160 https://cpcb.nic.in/openpdffile.php?id=UmVwb3J0RmlsZXMvMTExOV8xNTk3MDM3NTM0X21lZGlhcGhvdG8xOTY1Ni5wZGY=
10. Agbere, S., Melila, M., Dorkenoo, A., Kpemissi, M., Ouro-Sama, K., Tanouayi, G., Solitoke, D. H., & Gnandi, K. (2021). State of the art of the management of medical and biological laboratory solid wastes in Togo. Heliyon, 7(2), e06197. https://doi.org/10.1016/j.heliyon.2021.e06197
11. Egbenyah, F., Udofia, E. A., Ayivor, J., Osei, M. M., Tetteh, J., Tetteh-Quarcoo, P. B., & Sampane-Donkor, E. (2021). Disposal habits and microbial load of solid medical waste in sub-district healthcare facilities and households in Yilo-Krobo municipality, Ghana. Plos one, 16(12), e0261211. https://doi.org/10.1371/journal.pone.026121
12. Ali, Y., Dolan, M.J., Fendler, E.J., Lasrson, E.L.(2001). Alcohols. In: Block SS, ed. Disinfection, Sterilization, and Preservation. 5th ed. Philadelphia: Lippincott Williams & Wilkins, 229-254. https://www.cdc.gov/infectioncontrol/pdf/guidelines/disinfection-guidelines-H.pdf
13. Rutala, W. A., Peacock, J. E., Gergen, M. F., Sobsey, M. D., & Weber, D. J. (2006). Efficacy of hospital germicides against adenovirus 8, a common cause of epidemic keratoconjunctivitis in health care facilities. Antimicrobial agents and chemotherapy, 50(4), 1419–1424. https://doi.org/10.1128/AAC.50.4.1419-1424.2006
14. Mbithi, J. N., Springthorpe, V. S., Sattar, S. A., & Pacquette, M. (1993). Bactericidal, virucidal, and mycobactericidal activities of reused alkaline glutaraldehyde in an endoscopy unit. Journal of Clinical Microbiology, 31(11), 2988-2995. DOI: https://doi.org/10.1128/jcm.31.11.2988-2995.1993
15. Mahaseth, T., & Kuzminov, A. (2017). Potentiation of hydrogen peroxide toxicity: From catalase inhibition to stable DNA-iron complexes. Mutation Research/Reviews in Mutation Research, 773, 274-281. https://doi.org/10.1016/j.mrrev.2016.08.006
16. Miyajima, K., Yoshida, J., & Kumagai, S. (2010). Ortho-phthalaldehyde exposure levels among endoscope disinfection workers. Sangyo Eiseigaku Zasshi= Journal of Occupational Health, 52(2), 74-74. https://doi.org/10.1539/sangyoeisei.b9013
17. Tyan, K., Levin, A., Avalos-Pacheco, A., Plana, D., Rand, E. A., Yang, H., Maliszewski, L. E., Chylek, L. A., Atta, L., Tye, M. A., Carmack, M. M., Oglesby, N. S., Burgin, S., Yu, S. H., LeBoeuf, N. R., & Kemp, J. M. (2020). Considerations for the Selection and Use of Disinfectants Against SARS-CoV-2 in a Health Care Setting. Open forum infectious diseases, 7(9), ofaa396. https://doi.org/10.1093/ofid/ofaa396
18. Rastogi, V. K., Wallace, L., & Smith, L. S. (2007). Disinfection of Acinetobacter baumannii-contaminated surfaces relevant to medical treatment facilities with ultraviolet C light. Military medicine, 172(11), 1166-1169. https://doi.org/10.7205/MILMED.172.11.1166
19. Mattiello, A., Chiodini, P., Bianco, E., Forgione, N., Flammia, I., Gallo, C., Pizzuti, R., & Panico, S. (2013). Health effects associated with the disposal of solid waste in landfills and incinerators in populations living in surrounding areas: a systematic review. International journal of public health, 58(5), 725–735. https://doi.org/10.1007/s00038-013-0496-8
20. Wang, J., Shen, J., Ye, D., Yan, X., Zhang, Y., Yang, W., Li, X., Wang, J., Zhang, L., & Pan, L. (2020). Disinfection technology of hospital wastes and wastewater: Suggestions for disinfection strategy during coronavirus Disease 2019 (COVID-19) pandemic in China. Environmental pollution (Barking, Essex : 1987), 262, 114665. https://doi.org/10.1016/j.envpol.2020.114665
21. Chen, T., Zhan, M. X., Yan, M., Fu, J. Y., Lu, S. Y., Li, X. D., Yan, J. H., & Buekens, A. (2015). Dioxins from medical waste incineration: Normal operation and transient conditions. Waste management & research : the journal of the International Solid Wastes and Public Cleansing Association, ISWA, 33(7), 644–651. https://doi.org/10.1177/0734242X15593639
22. Vilavert, L., Nadal, M., Schuhmacher, M., & Domingo, J. L. (2015). Two decades of environmental surveillance in the vicinity of a waste incinerator: human health risks associated with metals and PCDD/Fs. Archives of environmental contamination and toxicology, 69, 241-253. https://doi.org/10.1007/s00244-015-0168-1
23. Schecter, A., Birnbaum, L., Ryan, J. J., & Constable, J. D. (2006). Dioxins: an overview. Environmental research, 101(3), 419-428. https://doi.org/10.1016/j.envres.2005.12.003
24. Xu, L., Dong, K., Zhang, Y., & Li, H. (2020,). Comparison and analysis of several medical waste treatment technologies. In IOP Conference Series: Earth and Environmental Science (Vol. 615, No. 1, p. 012031). IOP Publishing. DOI 10.1088/1755-1315/615/1/012031
25. Dharmaraj, S., Ashokkumar, V., Pandiyan, R., Munawaroh, H. S. H., Chew, K. W., Chen, W. H., & Ngamcharussrivichai, C. (2021). Pyrolysis: An effective technique for degradation of COVID-19 medical wastes. Chemosphere, 275, 130092. https://doi.org/10.1016/j.chemosphere.2021.130092
26. Khaskhachikh, V. V., Kornil’eva, V. F., & Gerasimov, G. Y. (2021). Investigation into the pyrolysis of medical waste in a fixed-bed reactor. Journal of Engineering Physics and Thermophysics, 94(3), 580-586. https://doi.org/10.1007/s10891-021-02331-8
27. Ilyas, S., Srivastava, R. R., & Kim, H. (2020). Disinfection technology and strategies for COVID-19 hospital and bio-medical waste management. Science of the Total Environment, 749, 141652. https://doi.org/10.1016/j.scitotenv.2020.141652
28. Voudrias, E. A. (2016). Technology selection for infectious medical waste treatment using the analytic hierarchy process. Journal of the air & waste management association, 66(7), 663-672. https://doi.org/10.1080/10962247.2016.1162226
29. Cai, X., & Du, C. (2021). Thermal plasma treatment of medical waste. Plasma Chemistry and Plasma Processing, 41, 1-46.https://doi.org/10.1007/s11090-020-10119-6
30. Erdogan, A. A., & Yilmazoglu, M. Z. (2021). Plasma gasification of the medical waste. International journal of hydrogen energy, 46(57), 29108-29125. https://doi.org/10.1016/j.ijhydene.2020.12.069
31. Giakoumakis, G. E., & Sidiras, D. K. (2017). Torrefaction for Increasing Gross Heat of Combustion of Medical Cotton Waste. International Journal of Economics and Management Systems, 2: 350–355. https://www.iaras.org/iaras/filedownloads/ijems/2017/007-0049(2017).pdf
Statistics
1237 Views | 876 Downloads
How to Cite
Rath, S., Tripathy, S., Dubey, D., Swain, S. and Panda, S. (2024) “Microbial Waste Management in Healthcare Settings: A Review”, International Journal of Advancement in Life Sciences Research, 7(2), pp. 1-8. doi: https://doi.org/10.31632/ijalsr.2024.v07i02.001.