Evidence map›Paper›PMID 40476130›Full record

ArticleCureus2025

Assessment of Biomedical Waste Management Practices and Risk Perception Among Healthcare Workers in South India.

Yogesh Manickam Dominic Savio, Devi Krishna Ravichandran, Hariharan Surathkumaar, Yashvanthan Vinjmur Ragavan, Priya Santharam, Ashni Bhandari, Krishna Prasanth

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Yogesh Manickam Dominic SavioCommunity Medicine, Sree Balaji Medical College and Hospital, Chennai, IND.
Devi Krishna RavichandranGeneral Practice, Kauvery Hospital, Chennai, IND.
Hariharan SurathkumaarCommunity Medicine, Sree Balaji Medical College and Hospital, Chennai, IND.
Yashvanthan Vinjmur RagavanPharmacology, Saveetha Medical College and Hospital, Chennai, IND.
Priya SantharamMicrobiology, Sree Balaji Medical College and Hospital, Chennai, IND.
Ashni BhandariEpidemiology and Public Health, Sree Balaji Medical College and Hospital, Chennai, IND.
Krishna PrasanthCommunity Medicine, Sree Balaji Medical College and Hospital, Chennai, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction Inefficient biomedical waste (BMW) management in healthcare settings can expose patients, workers, and the environment to significant risks. This study aimed to assess BMW segregation practices, occupational risk perception, training exposure, and sharps injury incidence among healthcare workers (HCWs) across multiple tertiary care hospitals in South India. Methods A cross-sectional observational study was conducted over six months across four randomly selected tertiary care teaching hospitals in Chennai, Tamil Nadu. A total of 356 healthcare workers comprising 84 (23.6%) doctors, 186 (52.2%) nurses, and 86 (24.2%) housekeeping staff were selected using stratified random sampling. Data were collected via a pre-validated, structured questionnaire (55 items), on-site observations, and semi-structured interviews. Risk perception was measured using a five-point Likert scale, and a simplified infection risk model adapted from the UK Environmental Agency was applied. Data were analyzed using SPSS version 26.0 (IBM Corp., Armonk, NY, USA), employing chi-square tests and one-way ANOVA. Results Overall, 257 (72.1%) of participants demonstrated correct knowledge of BMW segregation protocols, with highest accuracy among nurses (142, 76.3%) and lowest among doctors (53, 63%). Field observations revealed inconsistent compliance, particularly in high-volume areas. Risk perception was highest for environmental contamination (mean score: 4.30) and waste worker exposure (4.08), but significantly lower for patients and visitors. A total of 41 sharps injuries were reported, with underreporting observed among doctors. Training participation varied significantly across roles: only 26 (31%) doctors were trained compared to 138 (74.2%) nurses and 76 (88.3%) housekeeping staff. Training was strongly associated with both risk perception and segregation accuracy (p < 0.05). Conclusion This multi-center study highlights critical gaps in BMW knowledge, risk perception, and training, particularly among doctors. Despite awareness, compliance remains inconsistent, underscoring the need for mandatory training, improved monitoring, and institution-wide reinforcement of biomedical waste protocols to reduce health and environmental hazards.

Indexed as

biomedical wastehealthcare workershospital safetyindiainfection controlneedlestick injuriesoccupational exposurerisk perceptiontertiary carewaste segregation

Identifiers

PMID40476130
PMCPMC12140131

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.