Analysis of the Relationship between the Number of Patients Receiving Services and the Amount of Infectious Waste Generated at the University of Phayao Dental Hospital
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Abstract
This study aimed to 1) examine the amount of infectious waste generated by each clinic within the Dental Hospital, University of Phayao; 2) investigate the number of patients receiving services at each clinic; and 3) analyze the relationship between the number of patients and the amount of infectious waste produced. A descriptive cross-sectional study design was employed. Data were collected between August 2024 and January 2025 via the HOSxP hospital information system and infectious waste records in accordance with the Department of Health guidelines. Correlation analysis was conducted using Pearson’s or Spearman’s correlation coefficients, depending on the normality of the data. The results revealed a strong positive correlation between the number of patients and the amount of infectious waste (r = 0.829, p = 0.042), which was statistically significant. These findings suggest that the amount of infectious waste in dental clinics is influenced not only by the number of patients but also by the nature of the procedures, the types of materials used, and the waste management practices of each clinic. This study provides valuable insights for designing effective infectious waste management systems tailored to the specific context of each clinic. This study also supports the development of efficient, safe, and environmentally friendly waste management practices and highlights the need for further research with larger and more diverse datasets.
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References
Windfeld ES, Brooks MS. Medical waste management – A review. Waste Manag. 2015;48:575–85. https://doi.org/10.1016/j.jenvman.2015.08.013
World Health Organization. Global analysis of health care waste in the context of COVID-19: status, impacts and recommendations. Geneva: WHO; 2022. Available from: https://www.who.int/publications/i/item/9789240039612
CareQuest Institute for Oral Health, Organization for Safety, Asepsis and Prevention (OSAP). Best practices for infection control in dental clinics during the COVID-19 pandemic. 2020. Available from: https://www.carequest.org/system/files/CareQuest-Institute-OSAP-best-practices-for-infection-control-in-dental-clinics-during-the-covid-19-pandemic.pdf
The Open Dentistry Journal. COVID-19 in dental practice: transmission risk, infection control challenges, and the implications for dental care. Open Dent J. 2020;14:348–54. Available from: https://opendentistryjournal.com/VOLUME/14/PAGE/348/FULLTEXT/
Chartier Y, Emmanuel JR, Pieper U, Prüss A. Health-care waste management. Geneva: World Health Organization; 2014.
World Health Organization. Infection prevention and control of epidemic- and pandemic-prone acute respiratory infections in health care (Internet). Geneva: World Health Organization; 2018 (cited 2025 Apr 18). Available from: https://www.who.int
Deana NF, Seiffert A, Aravena-Rivas Y, Alonso-Coello P, Muñoz-Millán P, Espinoza-Espinoza G, et al. Recommendations for safe dental care: A systematic review of clinical practice guidelines in the first year of the COVID-19 pandemic. Int J Environ Res Public Health. 2021;18(19):10059. https://doi.org/10.3390/ijerph181910059
Mahjoub MMO, Soliman MC. Dental waste management strategies in dental clinics: exploring the relationship between cost efficiency, environmental impact, and regulatory compliance. Int J Multidiscip Res Growth Eval. 2025;6(3):769–776.
Department of Health, Ministry of Public Health. Guidelines for the Management of Infectious Waste in Healthcare Facilities B.E. 2566 (2023) (Internet). Nonthaburi: Department of Health; 2023 (cited 2025 Apr 19). Available from: https://laws.anamai.moph.go.th/th/notification-of-the-department-of-health/download/?did=208426&id=89657&reload=
Mukaka MM. A guide to appropriate use of correlation coefficient in medical research. Malawi Med J. 2012;24(3):69–71.
de Sousa ATR, Pataca LCM, Maia CC, Vimieiro GV, Gonçalves MF, Mol MPG. Waste management from dental clinics: a case study in Belo Horizonte, Brazil. Waste Manag. 2024;189:177–84. https://doi.org/10.1016/j.wasman.2024.08.027
Kaposi A, Nagy A, Gomori G, et al. Analysis of healthcare waste and factors affecting the amount of hazardous healthcare waste in a university hospital. J Mater Cycles Waste Manag. 2024;26:1169–80. https://doi.org/10.1007/s10163-024-01890-1
Waste Managed. Dental waste disposal guide (Internet). Waste Managed; 2024 (cited 2025 May 29). Available from: https://www.wastemanaged.co.uk/our-news/dental/dental-waste-disposal-guide/
Sukmak K, Bunjongsiri K. The capacity for infectious waste management in Thailand under normal circumstances and during the COVID-19 pandemic. Dis Control J. 2024;50(3):451–462. https://doi.org/10.14456/dcj.2024.36
Lim O, Chua WY, Wong A, Ling RR, Chan HC, Quek SC, Wu S, Somani J. The environmental impact and sustainability of infection control practices: a systematic scoping review. Antimicrob Resist Infect Control. 2024;13(1):156. https://doi.org/10.1186/s13756-024-01507-0
World Health Organization. Global analysis of health care waste in the context of COVID-19: status, impacts and recommendations. Geneva: WHO; 2022. Available from: https://www.who.int/publications/i/item/9789240039612
Centers for Disease Control and Prevention. Best practices for environmental infection prevention and control in dental settings. Atlanta: CDC; 2023. Available from: https://www.cdc.gov/dental-infection-control/hcp/dental-ipc-faqs/cleaning-disinfecting-environmental-surface.html
European Centre for Disease Prevention and Control. Considerations for infection prevention and control practices in the context of COVID-19 in healthcare settings. Stockholm: ECDC; 2022. Available from: https://www.ecdc.europa.eu/sites/default/files/documents/Considerations%20for%20IPC%20respiratory%20viral%20infections%20in%20HC%20settings.pdf
American Dental Association. Best management practices for amalgam waste. Chicago: ADA; 2023. Available from: https://www.ada.org/-/media/project/ada-organization/ada/ada-org/files/resources/library/oral-health-topics/topics_amalgamwaste_brochure.pdf