再加工低风险和中等风险的一次性医疗器械的安全性,成本和环境影响:系统审查
Niamh McGrath1, Catherine Waldron1, Ailish Farragher1
1Evidence Centre, Health Information and Evidence Directorate, Health Research Board, Dublin, Ireland.
GMS hygiene and infection control
|February 23, 2026
概括
再加工低风险和中等风险的一次性医疗器械 (SuMDs) 显示没有显著的患者安全差异. 财务影响是中性的,但再加工减少了全球变暖,同时增加了对人类健康的影响,证据的确定性非常低.
科学领域:
- 医疗设备再加工 医疗设备再加工
- 卫生技术评估 卫生技术评估
- 环境健康 环境健康
背景情况:
- 一次性医疗器械 (SuMD) 在医疗保健中很普遍.
- 有关SuMD再加工对安全,财务和环境的影响存在担忧.
- 关于再加工与新 SuMD 的比较影响的证据有限.
研究的目的:
- 估计再加工低风险和中等风险的SuMD的安全,财务和环境影响.
- 系统地审查对再加工的SuMD与新 SuMD进行比较的初级研究.
主要方法:
- 主要研究的系统综述 (PROSPERO ID:CRD42022365642). 这是一项研究.
- 包括非关键和半关键医疗器械.
- 通过使用GRADE方法来评估患者安全,财务成本和环境影响.
主要成果:
- 十项研究评估了10种风险类别I和II的10种设备.
- 没有发现患者安全结果的显著差异.
- 财务影响分析显示没有显著的节约.
- 再加工减少了全球变暖,但增加了对人类健康的影响.
- 对安全性和成本的证据确定性非常低.
结论:
- 有效的安全监控系统对于SuMD再处理是必要的.
- 需要标准化的方法来估计再加工成本.
- 需要使用生命周期评估进行进一步的研究,以便明智作出决策.
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