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Evaluating pharmaceutical waste disposal in pediatric units* * Extracted from the course finishing work “Avaliação do descarte de resíduos de medicamentos em unidades pediátricas”, Universidade Federal de São Paulo, 2012.

Evaluación del descarte de resíduos de fármacos en unidades pediátricas

Abstract

OBJECTIVE

To verify the disposal of pharmaceutical waste performed in pediatric units.

METHOD

A descriptive and observational study conducted in a university hospital. The convenience sample consisted of pharmaceuticals discarded during the study period. Handling and disposal during preparation and administration were observed. Data collection took place at pre-established times and was performed using a pre-validated instrument.

RESULTS

356 drugs disposals were identified (35.1% in the clinic, 31.8% in the intensive care unit, 23.8% in the surgical unit and 9.3% in the infectious diseases unit). The most discarded pharmacological classes were: 22.7% antimicrobials, 14.8% electrolytes, 14.6% analgesics/pain killers, 9.5% diuretics and 6.7% antiulcer agents. The most used means for disposal were: sharps’ disposable box with a yellow bag (30.8%), sink drain (28.9%), sharps’ box with orange bag (14.3%), and infectious waste/bin with a white bag (10.1%). No disposal was identified after drug administration.

CONCLUSION

A discussion of measures that can contribute to reducing (healthcare) waste volume with the intention of engaging reflective team performance and proper disposal is necessary.

Descriptors
Medical Waste; Pharmaceutical Preparations; Pediatric Nursing

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