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非无菌检查手套和无菌手术手套:哪个更可持续?

Non-sterile examination gloves and sterile surgical gloves: which are more sustainable?

机构信息

Department of Paediatric Dentistry, Eastman Dental Institute, University College London, London, UK.

Department of Paediatric Dentistry, Eastman Dental Institute, University College London, London, UK.

出版信息

J Hosp Infect. 2021 Dec;118:87-95. doi: 10.1016/j.jhin.2021.10.001. Epub 2021 Oct 14.

Abstract

BACKGROUND

Healthcare professionals should consider environmental sustainability when using personal protective equipment (PPE). One of the most frequently used items of PPE in medical settings are gloves.

AIM

This study aims to quantify the environmental impact of sterile versus non-sterile gloves using the life cycle assessment (LCA) methodology.

METHODS

This study used three glove types: non-sterile gloves and sterile gloves (latex and latex-free). Sixteen different environmental impact categories were used to demonstrate the impact of each glove type.

FINDINGS

Non-sterile gloves had the least environmental impact in all categories. The two types of sterile gloves, non-latex (synthetic rubber) and latex (natural rubber), performed similarly, although the non-latex gloves had a greater impact on ozone depletion, mineral use and ionizing radiation. For climate change impact, sterile latex gloves were 11.6 times higher than non-sterile gloves. This study found that for both sterile type gloves (latex and non-latex), the manufacture of the gloves contributes to the most considerable environmental impact, with an average of 64.37% for sterile latex gloves and 60.48% for non-latex sterile gloves.

CONCLUSION

Using the LCA methodology, this study quantitatively demonstrated the environmental impact of sterile versus non-sterile gloves.

摘要

背景

医疗保健专业人员在使用个人防护设备 (PPE) 时应考虑环境可持续性。在医疗环境中,最常使用的 PPE 之一是手套。

目的

本研究旨在使用生命周期评估 (LCA) 方法量化无菌与非无菌手套的环境影响。

方法

本研究使用了三种手套类型:非无菌手套和无菌手套(乳胶和无乳胶)。使用了十六个不同的环境影响类别来展示每种手套类型的影响。

发现

在所有类别中,非无菌手套的环境影响最小。两种类型的无菌手套(合成橡胶制成的非乳胶手套和天然橡胶制成的乳胶手套)的性能相似,尽管非乳胶手套对臭氧消耗、矿物使用和电离辐射的影响更大。对于气候变化的影响,无菌乳胶手套比非无菌手套高 11.6 倍。本研究发现,对于两种类型的无菌手套(乳胶和非乳胶),手套的制造对环境的影响最大,无菌乳胶手套的平均贡献率为 64.37%,非乳胶无菌手套的平均贡献率为 60.48%。

结论

本研究使用 LCA 方法定量证明了无菌与非无菌手套的环境影响。

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