Citation Information :
Bhandari A, Agrawal E, Gupta N, Shradha, Koul A, Gupta SJ. Assessment of Knowledge, Attitude, and Practices Regarding Biomedical Waste Management among Dental Health Professionals in Tertiary Care Hospitals in Uttar Pradesh: A Cross-sectional Study. World J Dent 2022; 13 (5):483-488.
Aim: To determine the level of attitude and awareness regarding biomedical waste management (BMWM) policy and practice among healthcare workers (HCWs) in tertiary level hospitals in Uttar Pradesh.
Materials and methods: This is a questionnaire-based study which was done among 1,000 members of the hospital including undergraduate students, doctors (faculty members and postgraduate students), and class IV employees (cleaners and maintenance personnel). It consisted a total of 33 questions intended to obtain information about knowledge of BMWM practices grouped under three headings: (a) knowledge of biomedical waste (BMW) generation, segregation, and categorization; (b) knowledge of BMWM practice in hospitals on procedure and disposal; and (c) awareness regarding best management practices in dental office.
Results: The mean scores were calculated and it was found that regarding knowledge of BMW generation, segregation, and categorization, the doctors had significantly more knowledge and dental students were having comparatively least knowledge among all groups, whereas mean value of attitude of BMWM practice in hospitals on procedure and disposal and practice regarding best waste management in dental office has shown statistically significant results with doctors.
Conclusion: This study showed that there was a good, satisfactory, and poor level of knowledge, attitude, and practice about BMW generation hazards, legislation, and management among doctors (faculty members and postgraduate students), class IV employees, and dental students, respectively.
Clinical significance: The awareness of these BMWM laws among the public, as well as development of policies and enforcement that respect those laws, is essential. Appropriate measures should be taken to minimize hazardous waste where possible or action should be taken to ensure that all generated waste is managed according to the correct norms and regulations.
Sharma N, Kumar N, Malik JS, et al. Study to assess the knowledge, attitude and practices of biomedical waste management among healthcare personnel at a tertiary care hospital in Haryana. J Adv Res Med Sci Tech 2017;4(1&2):34–39. DOI: 10.24321/2394.6539.201703
Farmer GM, Stankiewicz N, Michael B, et al. Audit of waste collected over one week from ten dental practices. A pilot study. Aust Dent J 1997;42(2):114–117. DOI: 10.1111/j.1834-7819.1997.tb00106.x
Mathur P, Patan S, Shobhawat S. Need of biomedical waste management system in hospitals—an emerging issue—a review. Curr World Environ 2012;7(1):117–124. DOI: 10.12944/CWE.7.1.18
Government of India, Ministry of Environment and Forests. Bio-medical Waste (Management and Handling) Rules. Gazette of India; 1998. Available from: http://envfor.nic.in/legis/hsm/biomed.html
Guidelines for Management of Healthcare Waste as per Biomedical Waste Management Rules, 2016. Directorate General of Health Services. Ministry of Health & Family Welfare. Central Pollution Control Board Ministry of Environment, Forest & Climate Change.
Muhamedagic B, Muhamedagic L, Masic I. Dental office waste—public health and ecological risk. Mater Sociomed 2009;21(1):35–38. DOI: 10.5455/msm.2009.21.35-38
Schaefer ME. Hazardous waste management. Dent Clin N Am 1991;35(2):383–390. DOI: 10.1016/S0011-8532(22)01405-7
Chamberlain M. Diseases Caused by Improper Healthcare Waste Disposal; 2019.
Chatham-Stephens K, Caravanos J, Ericson B, et al. Burden of disease from toxic waste sites in India, Indonesia, and the Philippines in 2010. Environ Health Perspect 2013;121(7):791–796. DOI: 10.1289/ehp.1206127
Babanyara Y, Gana BA, Garba T, et al. Environmental and health risks associated with dental waste management: a review. Civil Environ Res 2015;7(8):133–139.
Government of India, Ministry of Environment, Forest and Climate Change. Notification  dated 28th March, 2016. New Delhi. p. 1–37. Published in the Gazette of India, Extraordinary, Part II, Section 3, Sub-section (i).
Baghele ON, Phadke S, Deshpande AA, et al. A simplified model for biomedical waste management in dental practices—a pilot project at Thane, India. Eur J Gen Dent 2013;2(3):235–240. DOI: 10.4103/2278-9626.115992
Singh A, Agarwal B, Agarwal S, et al. Bio medical waste and dentistry. J Oral Health Comm Dent 2011;5(3):153–155. DOI: 10.5005/johcd-5-3-153
Kishore J, Goel P, Sagar B, et al. Awareness about biomedical waste management and infection control among dentists of a teaching hospital in New Delhi, India. Indian J Dent Res 2000;11(4):157–161.
Pandey A, Ahuja S, Madan M, et al. Bio-medical waste management in a tertiary care hospital: an overview. J Clin Diagn Res 2016;10(11): DC01–DC03. DOI: 10.7860/JCDR/2016/22595.8822
Joshi SC, Diwan V, Tamhankar AJ, et al. Staff perception on biomedical or healthcare waste management: a qualitative study in a rural tertiary care hospital in India. PLoS One 2015;10(5):e0128383. DOI: 10.1371/journal.pone.0128383
Malini A, Eshwar B. Knowledge, attitude and practice of biomedical waste management among healthcare personnel in a tertiary care hospital in Puducherry. Int J Biomed Res 2015;6(3):172–176. DOI: 10.7439/ijbr.v6i3.1665
Mathur V, Dwivedi S, Hassan MA, et al. Knowledge, attitude and practice about biomedical waste management among healthcare personnel: a cross-sectional study. Indian J Community Med 2011;36(2):143–145. DOI: 10.4103/0970-0218.84135
Ismail IM, Kulkarni AG, Kamble SV, et al. Knowledge, attitude and practice about bio-medical waste management among personnel of a tertiary healthcare institute in Dakshina Kannada, Karnataka. Al Ameen J Med Sci 2013;6(4):376–380.
Nirupama N, Shafee M, Jogdand GS, et al. Knowledge, attitude & practices regarding biomedical waste management. Indian J Community Med 2010;35(2):369–370. DOI: 10.4103/0970-0218.66871
Sushma MK, Bhat S, Shetty SR, et al. Bio-medical dental waste management and awareness of waste management policy among private dental practitioners in Mangalore city, India. Tanzania Dent J 2010;16(2):39–43. DOI: 10.4314/tdj.v16i2.69867
Soyam GC, Hiwarkar PA, Kawalkar UG, et al. KAP study of bio-medical waste management among healthcare workers in Delhi. Int J Community Med Public Health 2017;4(9):3332–3337. DOI: 10.18203/2394-6040.ijcmph20173840
Sood AG, Sood A. Dental perspective on biomedical waste and mercury management: a knowledge, attitude and practice survey. Indian J Dent Res 2011;22(3):371–375. DOI: 10.4103/0970-9290.87055
Ananth AP, Prashanthini V, Visvanathan C. Healthcare waste management in Asia. Waste Manag 2010;30(1):154–161. DOI: 10.1016/j.wasman.2009.07.018
Abdul Mujeeb S, Adil MM, Altaf A, et al. Recycling of injection equipment in Pakistan. Infect Control Hosp Epidemiol 2003;24(2): 145–146. DOI: 10.1086/502175
Verma LK, Mani S, Sinha N, et al. Biomedical waste management in nursing homes and smaller hospitals in Delhi. Waste Manag 2008;28(12):2723–2734. DOI: 10.1016/j.wasman.2007.12.013
Patil GV, Pokhrel K. Biomedical solid waste management in an Indian hospital: a case study. Waste Manag 2005;25(6):592–599. DOI: 10.1016/j.wasman.2004.07.011
Sharma A, Sharma V, Sharma S, et al. Awareness of biomedical waste management among healthcare personnel in Jaipur, India. Oral Health Dent Manag 2013;12(1):32–40.