迈向可持续的临床化学:从测试4种常用的自动化分析仪的废物量化和减少策略
Adetoun A Ejilemele1,2, Ila R Singh1,2
1Department of Pathology & Immunology, Baylor College of Medicine, Houston, TX, United States.
The journal of applied laboratory medicine
|December 26, 2025
概括
临床实验室产生大量的废物,基本代谢面板从10万个测试中产生超过4000公斤的固体废物. 不同实验室分析仪的废物输出量有很大差异,这凸显了可持续实践的必要性.
科学领域:
- 环境科学 环境科学
- 临床实验室科学 临床实验室科学
- 医疗保健的可持续性 医疗保健的可持续性
背景情况:
- 临床实验室对于医疗保健至关重要,但产生相当大的环境废物.
- 高量的试验量,一次性使用物品和能源密集型设备有助于实验室垃圾.
- 废物包括具有潜在环境危害的固体,液体和化学副产品.
研究的目的:
- 在常见的自动化学分析仪上量化基本代谢面板产生的固体和液体废物.
- 将废物分为分析前,分析后和分析后的阶段.
- 评估实验室废物的环境影响,包括碳足迹.
主要方法:
- 来自基本代谢面板的量化固体和液体废物通过四个自动化学分析仪.
- 将废物分类为分析前,分析 (特定于仪器) 和分析后的组件.
- 对环境危害的化学成分进行了分析,并计算了碳足迹.
主要成果:
- 10万个面板产生了超过4000公斤的固体废物,而切术用品是其中的主要贡献者.
- 分析器特定的干废物变化为24倍,液体废物变化为32倍.
- 试剂含有危险物质,如酸;碳足迹的差异是33倍.
结论:
- 在执行相同测试的分析仪之间,废物输出存在显著差异.
- 减少实验室浪费需要多方面的干预措施,包括测试优化,样本采集,分析仪选择和采购政策.
- 临床实验室可以通过将环境责任纳入运营,领导医疗保健可持续性工作.
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