Avaliação da gestão dos resíduos sólidos de serviços de saúde em hospitais do município de João Pessoa-PB

Detalhes bibliográficos
Autor(a) principal: Araújo, Elizabeth Sousa de
Data de Publicação: 2018
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Biblioteca Digital de Teses e Dissertações da UFPB
Texto Completo: https://repositorio.ufpb.br/jspui/handle/123456789/15312
Resumo: Health-Care Waste (HCW) management seeks to adapt handling procedures to legal and regulatory requirements based on waste segregation and reduce the generation. The HCW are those generated in establishments providing aid to human and animal health and although it represents a small percentage of the total solid waste generated in a municipality, it constitutes a portion that represents a risk to human health and the environment when handled in an inadequate manner. With the objective of evaluating the conditions of HCW management, including the steps of segregation, identification, internal transportation, treatment and final destination, a study was carried out on a sample of 18 hospital establishments located in the city of João Pessoa / PB, those 18 establishments correspond to 72.6% of the existing beds in the State. The facilities of two incinerators located in the State of Paraíba were visited for this study. Interviews were conducted in which managers of health-care centers answered a questionnaire prepared and later approved by the Research Ethics Committee of the Lauro Wanderley University Hospital (nº. 2.101.418), and the waste management steps evaluated from a checklist. The results showed that the main difficulties were the incorrect segregation of HCW groups and subgroups; the unfulfillment of elaboration of a health services waste management plan; the wrong storage of infectious waste; the structural deficiencies on the external waste warehouses. In relation to external collection, common wastes were collected by the public cleaning agency and association of recyclable materials. On the other hand, the collection of Groups A, B and E was, in all cases, outsourced and performed by a company specialized in the treatment of HCW. The priority treatment was the incineration and disposal of the ash occurred at Campina Grande Municipal Landfill and at the Waste Treatment Plant of Pernambuco. It is concluded that despite the observation of adequate practices in the intra-establishment management and correct final destination of the infectious and piercing parcel of waste, hospitals must still move forward in order to obtain an adequate situation of the establishments located in the municipality besides the need to improve the data base, mainly in relation to the quantity of waste generation.
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spelling Avaliação da gestão dos resíduos sólidos de serviços de saúde em hospitais do município de João Pessoa-PBResíduos sólidosResíduos de serviços de saúdeGerenciamento de resíduosResíduo hospitalarSolid wasteHealth services wasteWaste managementHospital wasteCNPQ::ENGENHARIAS::ENGENHARIA CIVILHealth-Care Waste (HCW) management seeks to adapt handling procedures to legal and regulatory requirements based on waste segregation and reduce the generation. The HCW are those generated in establishments providing aid to human and animal health and although it represents a small percentage of the total solid waste generated in a municipality, it constitutes a portion that represents a risk to human health and the environment when handled in an inadequate manner. With the objective of evaluating the conditions of HCW management, including the steps of segregation, identification, internal transportation, treatment and final destination, a study was carried out on a sample of 18 hospital establishments located in the city of João Pessoa / PB, those 18 establishments correspond to 72.6% of the existing beds in the State. The facilities of two incinerators located in the State of Paraíba were visited for this study. Interviews were conducted in which managers of health-care centers answered a questionnaire prepared and later approved by the Research Ethics Committee of the Lauro Wanderley University Hospital (nº. 2.101.418), and the waste management steps evaluated from a checklist. The results showed that the main difficulties were the incorrect segregation of HCW groups and subgroups; the unfulfillment of elaboration of a health services waste management plan; the wrong storage of infectious waste; the structural deficiencies on the external waste warehouses. In relation to external collection, common wastes were collected by the public cleaning agency and association of recyclable materials. On the other hand, the collection of Groups A, B and E was, in all cases, outsourced and performed by a company specialized in the treatment of HCW. The priority treatment was the incineration and disposal of the ash occurred at Campina Grande Municipal Landfill and at the Waste Treatment Plant of Pernambuco. It is concluded that despite the observation of adequate practices in the intra-establishment management and correct final destination of the infectious and piercing parcel of waste, hospitals must still move forward in order to obtain an adequate situation of the establishments located in the municipality besides the need to improve the data base, mainly in relation to the quantity of waste generation.Conselho Nacional de Pesquisa e Desenvolvimento Científico e Tecnológico - CNPqO gerenciamento dos resíduos de serviços de saúde (RSS) busca adequar os procedimentos de manejo às exigências legais e normativas baseado na segregação adequada e na minimização da geração. Os RSS são aqueles gerados em estabelecimentos que prestam assistência à saúde humana e animal e, apesar de representar uma pequena porcentagem do total de resíduos sólidos gerados em um município, se constituem como uma parcela que oferece risco a saúde humana e ao meio ambiente quando manejados de maneira inadequada. Com o objetivo de avaliar às condições do gerenciamento dos resíduos sólidos de serviços de saúde, subdividido nas etapas de segregação, identificação, transporte interno, tratamento e destinação final, procedeu-se estudo em uma amostra de dezoito (18) estabelecimentos hospitalares localizados no município de João Pessoa/PB, correspondente a 72,6% dos leitos existentes no município, além da visita às instalações de duas empresas incineradoras localizadas no Estado da Paraíba. Foram realizadas entrevistas com responsáveis pelo gerenciamento de RSS a partir de questionário aprovado pelo Comitê de Ética em Pesquisa do Hospital Universitário Lauro Wanderley - CEP/HULW (Parecer no 2.101.418) e as etapas de gerenciamento avaliadas a partir de checklist. Os resultados apontaram que as principais dificuldades enfrentadas nos hospitais visitados foram a correta segregação dos grupos de RSS, cumprimento de elaboração de plano de gerenciamento de resíduos de serviços de saúde (PGRSS), armazenamento dos resíduos infectantes e as deficiências estruturais em relação aos abrigos externos de resíduos. Em relação à coleta externa, os resíduos comuns eram coletados pelo órgão de limpeza pública e associações de materiais recicláveis, já a coleta dos Grupos A, B e E era, em todos os hospitais, terceirizada e realizada por empresa especializada no tratamento de RSS. O tratamento prioritariamente empregado foi a incineração e a disposição das cinzas que ocorria no Aterro Municipal de Campina Grande e na Central de Tratamento de Resíduos de Pernambuco. Concluiu-se que apesar da observação de práticas adequadas no gerenciamento intraestabelecimento e destinação final correta dos resíduos, os hospitais localizados no município ainda devem avançar a fim de se adequar as legislações e normas aplicáveis, além da necessidade de melhorar a base de dados, principalmente em relação ao controle dos quantitativos de resíduos gerados.Universidade Federal da ParaíbaBrasilEngenharia Cívil e AmbientalPrograma de Pós-Graduação em Engenharia Civil e AmbientalUFPBNóbrega, Claudia Coutinhohttp://lattes.cnpq.br/8208309251703934Araújo, Elizabeth Sousa de2019-08-20T20:48:34Z2019-08-202019-08-20T20:48:34Z2018-09-06info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesishttps://repositorio.ufpb.br/jspui/handle/123456789/15312porAttribution-NoDerivs 3.0 Brazilhttp://creativecommons.org/licenses/by-nd/3.0/br/info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UFPBinstname:Universidade Federal da Paraíba (UFPB)instacron:UFPB2019-08-20T20:48:34Zoai:repositorio.ufpb.br:123456789/15312Biblioteca Digital de Teses e Dissertaçõeshttps://repositorio.ufpb.br/PUBhttp://tede.biblioteca.ufpb.br:8080/oai/requestdiretoria@ufpb.br|| diretoria@ufpb.bropendoar:2019-08-20T20:48:34Biblioteca Digital de Teses e Dissertações da UFPB - Universidade Federal da Paraíba (UFPB)false
dc.title.none.fl_str_mv Avaliação da gestão dos resíduos sólidos de serviços de saúde em hospitais do município de João Pessoa-PB
title Avaliação da gestão dos resíduos sólidos de serviços de saúde em hospitais do município de João Pessoa-PB
spellingShingle Avaliação da gestão dos resíduos sólidos de serviços de saúde em hospitais do município de João Pessoa-PB
Araújo, Elizabeth Sousa de
Resíduos sólidos
Resíduos de serviços de saúde
Gerenciamento de resíduos
Resíduo hospitalar
Solid waste
Health services waste
Waste management
Hospital waste
CNPQ::ENGENHARIAS::ENGENHARIA CIVIL
title_short Avaliação da gestão dos resíduos sólidos de serviços de saúde em hospitais do município de João Pessoa-PB
title_full Avaliação da gestão dos resíduos sólidos de serviços de saúde em hospitais do município de João Pessoa-PB
title_fullStr Avaliação da gestão dos resíduos sólidos de serviços de saúde em hospitais do município de João Pessoa-PB
title_full_unstemmed Avaliação da gestão dos resíduos sólidos de serviços de saúde em hospitais do município de João Pessoa-PB
title_sort Avaliação da gestão dos resíduos sólidos de serviços de saúde em hospitais do município de João Pessoa-PB
author Araújo, Elizabeth Sousa de
author_facet Araújo, Elizabeth Sousa de
author_role author
dc.contributor.none.fl_str_mv Nóbrega, Claudia Coutinho
http://lattes.cnpq.br/8208309251703934
dc.contributor.author.fl_str_mv Araújo, Elizabeth Sousa de
dc.subject.por.fl_str_mv Resíduos sólidos
Resíduos de serviços de saúde
Gerenciamento de resíduos
Resíduo hospitalar
Solid waste
Health services waste
Waste management
Hospital waste
CNPQ::ENGENHARIAS::ENGENHARIA CIVIL
topic Resíduos sólidos
Resíduos de serviços de saúde
Gerenciamento de resíduos
Resíduo hospitalar
Solid waste
Health services waste
Waste management
Hospital waste
CNPQ::ENGENHARIAS::ENGENHARIA CIVIL
description Health-Care Waste (HCW) management seeks to adapt handling procedures to legal and regulatory requirements based on waste segregation and reduce the generation. The HCW are those generated in establishments providing aid to human and animal health and although it represents a small percentage of the total solid waste generated in a municipality, it constitutes a portion that represents a risk to human health and the environment when handled in an inadequate manner. With the objective of evaluating the conditions of HCW management, including the steps of segregation, identification, internal transportation, treatment and final destination, a study was carried out on a sample of 18 hospital establishments located in the city of João Pessoa / PB, those 18 establishments correspond to 72.6% of the existing beds in the State. The facilities of two incinerators located in the State of Paraíba were visited for this study. Interviews were conducted in which managers of health-care centers answered a questionnaire prepared and later approved by the Research Ethics Committee of the Lauro Wanderley University Hospital (nº. 2.101.418), and the waste management steps evaluated from a checklist. The results showed that the main difficulties were the incorrect segregation of HCW groups and subgroups; the unfulfillment of elaboration of a health services waste management plan; the wrong storage of infectious waste; the structural deficiencies on the external waste warehouses. In relation to external collection, common wastes were collected by the public cleaning agency and association of recyclable materials. On the other hand, the collection of Groups A, B and E was, in all cases, outsourced and performed by a company specialized in the treatment of HCW. The priority treatment was the incineration and disposal of the ash occurred at Campina Grande Municipal Landfill and at the Waste Treatment Plant of Pernambuco. It is concluded that despite the observation of adequate practices in the intra-establishment management and correct final destination of the infectious and piercing parcel of waste, hospitals must still move forward in order to obtain an adequate situation of the establishments located in the municipality besides the need to improve the data base, mainly in relation to the quantity of waste generation.
publishDate 2018
dc.date.none.fl_str_mv 2018-09-06
2019-08-20T20:48:34Z
2019-08-20
2019-08-20T20:48:34Z
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dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
format masterThesis
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url https://repositorio.ufpb.br/jspui/handle/123456789/15312
dc.language.iso.fl_str_mv por
language por
dc.rights.driver.fl_str_mv Attribution-NoDerivs 3.0 Brazil
http://creativecommons.org/licenses/by-nd/3.0/br/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Attribution-NoDerivs 3.0 Brazil
http://creativecommons.org/licenses/by-nd/3.0/br/
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Universidade Federal da Paraíba
Brasil
Engenharia Cívil e Ambiental
Programa de Pós-Graduação em Engenharia Civil e Ambiental
UFPB
publisher.none.fl_str_mv Universidade Federal da Paraíba
Brasil
Engenharia Cívil e Ambiental
Programa de Pós-Graduação em Engenharia Civil e Ambiental
UFPB
dc.source.none.fl_str_mv reponame:Biblioteca Digital de Teses e Dissertações da UFPB
instname:Universidade Federal da Paraíba (UFPB)
instacron:UFPB
instname_str Universidade Federal da Paraíba (UFPB)
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reponame_str Biblioteca Digital de Teses e Dissertações da UFPB
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repository.name.fl_str_mv Biblioteca Digital de Teses e Dissertações da UFPB - Universidade Federal da Paraíba (UFPB)
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