选择明智:比较三种呼吸道采样技术的碳足迹,用于呼吸机相关的肺炎
Adam Celier1, Charlotte Correard1, Ines de Maisoncelle2
1Service de Médecine Intensive et Réanimation (Département R3S), AP-HP, Groupe Hospitalier Universitaire APHP-Sorbonne Université, site Pitié-Salpêtrière, Paris, F-75013, France.
Annals of intensive care
|December 8, 2025
概括
气管吸入 (TA) 是诊断呼吸机相关肺炎 (VAP) 的最可持续的方法,提供最低的碳足迹和成本. 这项研究强调TA作为在重症监护室 (ICU) VAP诊断的更绿色替代品.
科学领域:
- 环境科学 环境科学
- 医疗保健的可持续性 医疗保健的可持续性
- 传染病诊断 传染病诊断 传染病诊断
背景情况:
- 重症监护病房 (ICU) 对全球医疗保健排放有很大贡献.
- 呼吸机相关肺炎 (VAP) 是一种普遍存在的ICU感染,需要微生物学确认.
- 目前的VAP诊断方法在环境影响和成本方面存在差异.
研究的目的:
- 为了比较三种VAP诊断技术的碳足迹,经济成本和专业影响:气管吸收 (TA),盲目的支气管取样 (BBS) 和支气管洗 (BAL).
- 提供数据,支持在ICU中对VAP诊断进行更可持续的决策.
主要方法:
- 使用Carebone©工具进行生命周期评估 (LCA),以估计碳足迹.
- 对药物和设备的排放因子的计算.
- 评估每个程序的经济成本.
- 对护理人员进行调查,了解每种技术对专业的影响.
主要成果:
- 气管吸收 (TA) 显示出最低的排放量 (0.57kgCO2e) 和成本 (€4).
- 随后是盲目的支气管采样 (BBS),2.82公斤CO2e和24欧元,而支气管膜洗 (BAL) 的影响最大 (6.60公斤CO2e,209欧元).
- 单独采用TA可以在分析的ICU中减少84%的排放量和93%的成本.
结论:
- 支气管支气管洗 (BAL) 在评估的VAP诊断方法中具有最高的碳足迹和经济成本.
- 气管吸收 (TA) 成为一个更具可持续性和成本效益的选择.
- 这些发现支持选择环保方法来进行VAP微生物确认.
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