[一次性手术仪器的回收利用 - - 这是值得的吗?]
Jonas Dohmen1, Meike Lessau2, Michael Schmitz3
1Department of Surgery, University of Bonn, Bonn, Germany.
Zentralblatt fur Chirurgie
|August 10, 2023
概括
回收受污染的手术仪器是可行的,减少温室气体排放. 然而,更高的成本和净化需求需要进行监管变化和制造商参与,以便广泛采用.
科学领域:
- 环境科学 环境科学
- 废物管理 废物管理
- 医疗保健的可持续性 医疗保健的可持续性
背景情况:
- 德国的医院产生大量的废物,为国家温室气体排放做出了重大贡献.
- 目前的法规要求焚烧大多数医院废物,包括手术仪器,导致二氧化碳排放和资源损失.
- 一次性手术仪器提供了回收的机会,可能被归类为电子废物.
研究的目的:
- 为了证明复杂的回收利用的可行性,被污染的一次性手术仪器.
- 评估手术仪器回收的环境影响和经济可行性.
- 识别障碍,并为实施医院废物回收计划提出解决方案.
主要方法:
- 在医院内对使用过的手术仪器进行擦拭消毒和内部杀菌.
- 在与环境当局协商后,将消毒仪器归类为电子废物.
- 垃圾处理公司的外部机器回收,涉及碎片和分离成材料分片.
主要成果:
- 回收了239公斤的材料,在六个月内将二氧化碳相当的排放量减少了545公斤.
- 实现了80%的回收率,其中50%的金属和30%的可回收塑料.
- 回收成本为1.90欧元/公斤,大约是焚烧成本的3.9倍,员工满意度高,工作量最小.
结论:
- 回收受污染的一次性手术仪器在技术上是可能的,并减少二氧化碳排放.
- 更高的回收成本和需要内部消毒的需求是实施的重大障碍.
- 监管改革和制造商参与回收成本至关重要,以释放医院废物的全部回收潜力.
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