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感染控制实践对环境的影响和可持续性:系统的范围审查
Oliver Lim1, Wei Yu Chua1, Andrew Wong1
1Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Antimicrobial resistance and infection control
|December 24, 2024
概括
感染预防和控制 (IPC) 计划对环境产生了重大影响,特别是浪费. 可重复使用的物品可以减少碳排放,但需要对环境指标进行标准化.
科学领域:
- 环境科学 环境科学
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 感染预防和控制 (IPC) 计划对于尽量减少病原体在医疗机构的传播至关重要.
- 随着COVID-19大流行,对IPC的需求增加,突出了评估其环境影响的必要性.
- 目前对IPC实践对环境足迹和气候影响的了解有限.
研究的目的:
- 进行范围审查,以确定IPC措施对环境足迹的证据.
- 突出IPC对环境影响的文献中存在的空白.
- 提出一种方法来规范IPC中的环境指标.
主要方法:
- 进行了范围审查,包括30篇文章.
- 研究量化了通过废物质量,碳排放或挥发性有机化合物对环境的影响.
- 数据合成的重点是识别IPC环境影响评估中的趋势和差距.
主要成果:
- 传染性废物的质量差异很大 (0.163.95公斤/床/天),收入较高的国家产生更多的废物.
- 可重复使用的长袍和尖刀容器与一次性替代品相比,大大减少了碳排放.
- 主要差距包括缺乏标准化量化方法和低收入国家有限的研究.
结论:
- IPC实践对环境有相当大的影响,主要涉及废物产生和碳排放.
- 标准化环境指标对于准确评估和管理IPC对气候的影响至关重要.
- 需要进一步的研究,特别是关注低收入国家和制定标准化的评估方法.
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