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从患者护理到环境卫生:一项在泌尿外科回收灌溉袋中聚氯乙烯(PVC)的试点项目。

From patient care to environmental health: a pilot program recycling polyvinyl chloride (PVC) from irrigation bags in urology.

作者信息

Lagos-Beitz Horst Emanuel, Mendez Gerardo Tena-González, Méndez-Probst Carlos, Garza-Gangemi Adrián Mauricio, Castillejos-Molina Ricardo Alonso, Rodríguez-Covarrubias Francisco Tomás, Gabilondo-Pliego Bernardo, Berman-Parks Nathan

机构信息

Department of Urology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.

Department of Urology, Penn State Health, Camp Hill, Hershey, PA, USA.

出版信息

World J Urol. 2025 May 3;43(1):262. doi: 10.1007/s00345-025-05660-y.

Abstract

PURPOSE

PVC waste from urology care contributes to environmental pollution, greenhouse gas emissions, high energy use, and increased costs, impacting public health. Effective recycling strategies remain limited. This study aimed to assess the feasibility of a PVC recycling program for urology waste.

MATERIALS AND METHODS

This feasibility study implemented a recycling program for PVC waste in a urology unit. Healthcare staff, including physicians, residents, nurses, and janitorial personnel, were trained in the recycling process for empty irrigation bags, which were collected daily, weighed, and tracked. Bags were then sent to a facility to process them into high-quality PVC pellets. A cost analysis reflected financial conditions in Mexico City. Additionally, an electronic survey of 10 questions gauged participants' ease of involvement, barriers, program impact, and improvement suggestions. Statistical and qualitative analyses were conducted.

RESULTS

Over 15 months, 2,805 irrigation bags were collected, which corresponded to 187.93 kg of waste, yielding 186.05 kg (99%) of PVC. On a further life cycle assessment, we concluded that by recycling we saved 2,418 L of water, reduced CO emissions by 930 kg, and saved 3,720 kWh of energy. Projected five-year recycling estimates suggest a potential collection of 1,527.6 kg of PVC, which will amount to water savings of 19,858.8 L, a reduction of CO emissions of 7,638 kg, and energy savings of 30,552 kWh. Potential financial savings could reach €25,333.66.

CONCLUSIONS

A PVC recycling program for irrigation bags is feasible, with economic and environmental benefits. This initiative supports waste reduction and public health efforts.

摘要

目的

泌尿外科护理产生的聚氯乙烯(PVC)废物会造成环境污染、温室气体排放、高能源消耗及成本增加,对公众健康产生影响。有效的回收策略仍然有限。本研究旨在评估泌尿外科废物PVC回收项目的可行性。

材料与方法

本可行性研究在一个泌尿外科单元实施了PVC废物回收项目。包括医生、住院医师、护士和清洁人员在内的医护人员接受了空冲洗袋回收流程的培训,这些冲洗袋每天收集、称重并进行跟踪。然后将袋子送到一家工厂加工成高质量的PVC颗粒。成本分析反映了墨西哥城的财务状况。此外,通过一项包含10个问题的电子调查来衡量参与者参与的难易程度、障碍、项目影响及改进建议。进行了统计分析和定性分析。

结果

在15个月的时间里,共收集了2805个冲洗袋,相当于187.93千克废物,产出了186.05千克(99%)的PVC。在进一步的生命周期评估中,我们得出结论,通过回收利用,我们节省了2418升水,减少了930千克二氧化碳排放,并节省了3720千瓦时的能源。预计的五年回收量估计表明,PVC的潜在收集量为1527.6千克,这将节省19858.8升水,减少7638千克二氧化碳排放,并节省30552千瓦时的能源。潜在的财务节省可达25333.66欧元。

结论

冲洗袋的PVC回收项目是可行的,具有经济和环境效益。该举措有助于减少废物并推动公共卫生工作。

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