Reusable surgical headwear has a reduced carbon footprint and matches disposables regarding surgical site infection: a systematic review and meta-analysis

IF 3.9 3区医学 Q1 INFECTIOUS DISEASES

Journal of Hospital Infection Pub Date : 2024-08-26 DOI:10.1016/j.jhin.2024.07.017

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引用次数: 0

Abstract

Surgical headwear is designed to maintain sterility and prevent microbial contamination. However, the environmental impact of the healthcare industry carries an obligation to develop sustainable alternatives. We aim to explore the environmental impact and safety of reusable surgical headwear. A systematic review and meta-analysis were performed using MEDLINE, Embase, Scopus, Google Scholar, PubMed, and the Cochrane Library until December 10, 2023. Studies were reviewed for suitability and risk of bias using the ROBINS-I tool, with the results aggregated using Review Manager Version 5.4 for odds ratios (ORs) and 95% confidence intervals (CIs), and the I2 was used to assess heterogeneity. This systematic review included nine studies, and the meta-analysis included six studies involving 45,708 procedural cases. There was no significant difference in surgical site infection (SSI) rates between the reusable and disposable groups (OR: 0.79; 95% CI: 0.59–1.07; P=0.13). Policy implementation did not affect SSI rates (OR: 1.21; 95% CI: 0.85–1.73; P=0.30). Reusable surgical head covers demonstrated a significantly lower carbon footprint (P<0.001), ozone depletion (P<0.005), fossil fuel depletion (P<0.005), terrestrial acidification (P<0.005), and fine particulate matter formation (P<0.005) than disposable alternatives. Reusable surgical headwear matches disposable options for SSI incidence and offers environmental advantages. These findings support a shift towards reusable alternatives in healthcare, aligning patient safety with ecological responsibility. By adopting reusable alternatives, healthcare systems can actively contribute to planetary health, thereby highlighting the significant role of sustainable practices in modern medical settings.

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可重复使用的外科头巾可减少碳足迹，在手术部位感染方面与一次性用品不相上下：系统回顾与元分析》。

背景：手术帽旨在保持无菌并防止微生物污染。然而，医疗保健行业对环境的影响要求我们必须开发可持续的替代品。我们旨在探讨可重复使用的手术帽对环境的影响和安全性：我们使用 MEDLINE、Embase、Scopus、Google Scholar、PubMed 和 Cochrane 图书馆进行了系统回顾和荟萃分析，直至 2023 年 12 月 10 日。使用 ROBINS-I 工具对研究的适宜性和偏倚风险进行了审查，并使用 Review Manager Version 5.4 对结果进行了汇总，得出了几率比（OR）和 95% 置信区间（CI），同时使用 I2 评估了异质性：本系统综述包括 9 项研究，荟萃分析包括 6 项研究，涉及 45 708 个手术病例。可重复使用组和一次性使用组的手术部位感染（SSI）率无明显差异（OR：0.79；95% CI：0.59-1.07；P = 0.13）。政策的实施并不影响 SSI 感染率（OR：1.21；95% CI：0.85-1.73；P = 0.30）。与一次性替代品相比，可重复使用手术头套的碳足迹（P < 0.001）、臭氧消耗（P < 0.005）、化石燃料消耗（P < 0.005）、陆地酸化（P < 0.005）和微粒物质形成（P < 0.005）均显著降低：结论：可重复使用的手术头罩在 SSI 发生率方面与一次性头罩不相上下，并具有环保优势。这些研究结果支持在医疗保健领域转向可重复使用的替代品，使患者安全与生态责任相一致。通过采用可重复使用的替代品，医疗保健系统可以为地球健康做出积极贡献，从而凸显出可持续实践在现代医疗环境中的重要作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Hospital Infection 医学-传染病学

CiteScore

12.70

自引率

5.80%

发文量

271

审稿时长

19 days

期刊介绍： The Journal of Hospital Infection is the editorially independent scientific publication of the Healthcare Infection Society. The aim of the Journal is to publish high quality research and information relating to infection prevention and control that is relevant to an international audience. The Journal welcomes submissions that relate to all aspects of infection prevention and control in healthcare settings. This includes submissions that: provide new insight into the epidemiology, surveillance, or prevention and control of healthcare-associated infections and antimicrobial resistance in healthcare settings; provide new insight into cleaning, disinfection and decontamination; provide new insight into the design of healthcare premises; describe novel aspects of outbreaks of infection; throw light on techniques for effective antimicrobial stewardship; describe novel techniques (laboratory-based or point of care) for the detection of infection or antimicrobial resistance in the healthcare setting, particularly if these can be used to facilitate infection prevention and control; improve understanding of the motivations of safe healthcare behaviour, or describe techniques for achieving behavioural and cultural change; improve understanding of the use of IT systems in infection surveillance and prevention and control.