环境可持续的胃肠病学实践:对当前状态和未来目标的审查
Sneh Sonaiya1, Richard Marino2, Klea Agollari2
1Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
概括
胃肠道内镜产生大量的温室气体排放. 减少一次性使用的物品和拥抱可重复使用的设备可以降低胃肠病学实践的碳足迹.
科学领域:
- 环境科学 环境科学
- 医学实践 医学实践
- 可持续发展 可持续性 可持续性
背景情况:
- 医疗保健部门是全球温室气体排放的主要贡献者.
- 胃肠病学,特别是胃肠道 (GI) 内镜,由于大量使用一次性材料,对这一足迹产生了重大影响.
研究的目的:
- 分析胃肠病学实践的碳足迹,专注于胃肠内镜.
- 确定减少环境影响的障碍.
- 为可持续的胃肠病学实践推战略.
主要方法:
- 在PubMed,Embase和Cochrane图书馆的综合文献综述.
- 对胃肠病学碳足迹研究的分析,包括内镜,住院/门诊服务和招聘.
- 推减轻环境影响的建议.
主要成果:
- 美国内镜每年产生约85,768二氧化碳.
- 每个内镜产生2.1公斤的一次性废物,其中大部分最终会被填埋在垃圾场.
- 一次性使用设备的制造碳足迹 (1.37kg CO2) 比可重复使用设备 (0.0017kg CO2) 的制造碳足迹更高.
- 住院/门诊服务,招聘和会议也对碳足迹做出了重大贡献.
结论:
- 胃肠道内镜和相关实践造成了相当大的碳足迹,主要是通过一次性使用和废物产生.
- 推广可重复使用的内镜设备而不是一次性替代品至关重要.
- 实施机构碳足迹计算,比较和使用虚拟平台可以提高环境可持续性.
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