Associate Dentist, Middleton St George Dental Care, Darlington, DL2 1BW, UK.
Consultant in Paediatric Dentistry, Eastman Dental Hospital, 47-49 Huntley Street, London, WC1E 6DG, UK.
Br Dent J. 2024 Sep;237(6):483-486. doi: 10.1038/s41415-024-7836-3. Epub 2024 Sep 27.
Introduction Climate change is a major issue facing the global population. Healthcare services, including dentistry, have an obligation to examine current practice and reduce the carbon footprint of their services. Single-use plastics, for example, those used to cover dental equipment, are not necessarily essential for cross-infection purposes.Materials and methods This quality improvement project was carried out in 2023 across 12 dental practices in the North London dental foundation training scheme. Baseline financial and environmental costs were estimated for the weekly single-use barrier plastics used in each practice. This was communicated to each practice. Practices using single-use plastics were contacted three months later to see if they had made any changes.Results In total, 10 out of 12 practices were using one or more of the single-use plastics at baseline, with an estimated carbon footprint ranging from 0.07-27.02 kg carbon dioxide equivalent (CO2e) per week. Three practices reduced or eliminated their single-use plastics as a result of this quality improvement project, which resulted in an equivalent saving of 46.87 kg CO2e per week.Discussion and conclusion The use of single-use plastic barriers varies widely between dental practices and is associated with a financial and environmental cost. Infection control guidelines are unclear with their recommendations. The authors urge dental services to reduce their single-use plastic barriers and would encourage infection control guidelines to consider the environmental impact when making recommendations.
介绍
气候变化是全球人口面临的主要问题。医疗保健服务,包括牙科,有责任检查当前的做法,并减少其服务的碳足迹。例如,一次性塑料,用于覆盖牙科设备的那些,不一定对交叉感染有必要。
材料和方法
本质量改进项目于 2023 年在伦敦北部牙科基础培训计划的 12 家牙科诊所进行。对每个诊所每周使用的一次性屏障塑料的财务和环境成本进行了基线估计。将这一情况告知了每家诊所。三个月后,联系使用一次性塑料的诊所,了解他们是否有任何改变。
结果
在基线时,共有 10 家诊所使用了一种或多种一次性塑料,其碳足迹估计每周为 0.07-27.02 千克二氧化碳当量 (CO2e)。由于本质量改进项目,有 3 家诊所减少或消除了其一次性塑料的使用,这相当于每周节省 46.87 千克 CO2e。
讨论和结论
牙科诊所之间一次性塑料屏障的使用差异很大,并且与财务和环境成本有关。感染控制指南的建议并不明确。作者敦促牙科服务减少其一次性塑料屏障,并鼓励感染控制指南在提出建议时考虑环境影响。