Supporting sustainable development goals and the challenge of reusing of the single use instruments in interventional radiology

M. Vyval, D. Shchehlov, S.V. Chebanyuk
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引用次数: 1

Abstract

Interventional radiology has traditionally been at the forefront of the modern medicine, offering minimally invasive alternatives to surgical treatment with reducing of the length of hospital stay. The problem of medical waste and the recycling of medical supplies to support sustainable development goals in the health sector has entred a “green revolution” that aims to overcome global warming and fight with environmental pollution. Operating waste accounts for 20 to 70 % of all hospital waste, and many of them require special disposal. On the other hand, revenues for health care companies continue to rise, as do patient care costs, which are a huge burden for families and health systems, especially in low-income countries during COVID-19 pandemic. The issue of disposal and reuse of unique, expensive disposable radiological profile instruments is not widely reported in the scientific literature, but surveys among interventionists indicate that reuse exists even in countries where it is officially prohibited. Despite the emergence of regulations on the reuse of disposable instruments, it is largely carried out outside the quality standards. Also, manufacturers are not interested in reusing disposable instruments and often refuse to provide information on how they can be properly recycled and sterilized. Although well-remanufactured tools have significant promise, both for reducing healthcare costs and environmental pollution, and for spreading modern interventional technologies to the critical places where resources are limited and they can save lives.
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支持可持续发展目标和在介入放射学中重复使用一次性器械的挑战
传统上,介入放射学一直处于现代医学的前沿,为外科治疗提供了微创替代方案,缩短了住院时间。医疗废物和回收医疗用品以支持卫生部门的可持续发展目标的问题已进入一场"绿色革命",其目的是克服全球变暖并与环境污染作斗争。经营废物占所有医院废物的20%至70%,其中许多需要特殊处理。另一方面,医疗保健公司的收入持续增加,患者护理费用也在增加,这对家庭和卫生系统来说是一个巨大的负担,特别是在COVID-19大流行期间的低收入国家。独特的、昂贵的一次性放射剖面仪器的处置和再使用问题在科学文献中没有广泛报道,但对干预主义者的调查表明,即使在正式禁止使用的国家,也存在着重复使用的情况。尽管出现了关于一次性器械重复使用的规定,但它在很大程度上是在质量标准之外进行的。此外,制造商对重复使用一次性器械不感兴趣,并且经常拒绝提供如何正确回收和消毒的信息。虽然经过精心再造的工具在降低医疗成本和环境污染以及将现代介入技术推广到资源有限的关键地区以及挽救生命方面具有重大前景。
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