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墨尔本一家三级医院中,压力定量吸入器与干粉吸入器和软雾吸入器的环境影响比较。

Environmental impact of pressurised metered dose inhalers versus dry powder and soft mist inhalers at a tertiary Melbourne hospital.

机构信息

Department of Respiratory Medicine, Royal Melbourne Hospital, Melbourne, Victoria, Australia.

Deptartment of Thoracic Surgery, Royal Melbourne Hospital and Peter MacCallum Cancer Centre, University of Melbourne, Melbourne, Victoria, Australia.

出版信息

Intern Med J. 2024 Nov;54(11):1898-1902. doi: 10.1111/imj.16530. Epub 2024 Oct 14.

DOI:10.1111/imj.16530
PMID:39400958
Abstract

The carbon footprint of devices to deliver inhaled respiratory medications has come into focus as climate change has been identified as a worldwide emergency. Metered dose inhalers (MDIs) contain hydrofluorocarbons that have significant global warming potential compared to dry powder inhalers (DPIs) and soft mist inhalers (SMIs), which do not use a propellant gas. A 12-month pharmacy inpatient dispensing audit demonstrated that inpatient MDI use significantly outweighed that of DPIs and SMIs and accounted for approximately 99% of inhaler-related greenhouse gas emissions at our hospital.

摘要

随着气候变化被确定为全球性紧急事件,用于输送吸入式呼吸药物的设备的碳足迹已成为焦点。计量吸入器 (MDI) 含有氢氟碳化物,与不使用推进剂气体的干粉吸入器 (DPI) 和软雾吸入器 (SMI) 相比,其全球变暖潜能值显著更高。一项为期 12 个月的药房住院患者配药审计表明,住院患者 MDI 的使用量明显超过 DPI 和 SMI,占我们医院与吸入器相关的温室气体排放的约 99%。

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