Advancing Sustainable Medical Waste Management: A Case Study on Waste Generation and Classification in a University Hospital Microbiology Laboratory


ÇETİN E., Hussein A., Güneş-Durak S.

Sustainability (Switzerland), vol.17, no.10, 2025 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 17 Issue: 10
  • Publication Date: 2025
  • Doi Number: 10.3390/su17104325
  • Journal Name: Sustainability (Switzerland)
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, Aerospace Database, Agricultural & Environmental Science Database, CAB Abstracts, Communication Abstracts, Food Science & Technology Abstracts, Geobase, INSPEC, Metadex, Veterinary Science Database, Directory of Open Access Journals, Civil Engineering Abstracts
  • Keywords: environmental sustainability, hospital microbiology laboratory, medical waste management, sustainable healthcare, waste classification
  • Istanbul University Affiliated: Yes

Abstract

Effective medical waste management is crucial for minimizing environmental contamination, protecting occupational health, and advancing sustainability goals in healthcare systems. However, microbiology laboratories remain underexplored in waste characterization studies, despite their potential to contribute to sustainable healthcare operations. This study assessed waste generation patterns, classification accuracy, and the impact of training on regulatory compliance in a university hospital microbiology laboratory. Over 45 days, waste from six specialized units was categorized and weighed daily. A survey of 304 healthcare professionals evaluated their knowledge of medical waste handling. Statistical analyses revealed that training frequency (R2 = 0.72, p < 0.01) was the most significant predictor of compliance, while years of experience had no measurable impact. On average, the laboratory generated 22.78 kg/day of medical waste, 11.67 kg/day of liquid waste, and 5.61 kg/day of sharps waste, with the bacteriology unit being the largest contributor. Despite adequate general awareness, 15% of staff misclassified hazardous waste—particularly expired pharmaceuticals and cytotoxic vials—indicating critical gaps in practice. The findings support the need for recurring training programs, stricter monitoring systems, improved waste labeling, and the integration of digital tracking tools. These interventions can reduce environmental burdens, enhance healthcare sustainability, and support the development of more resilient waste management systems in medical institutions. Future research should explore how AI and automation can further strengthen sustainable healthcare waste strategies.