儿科耳鼻喉科的环境可持续性:手术室实践模式的国际调查

IF 1.3 4区 医学 Q3 OTORHINOLARYNGOLOGY
Nick Teller , Kalpesh Hathi , Claire A. Wilson , Jacob Davidson , Anthony De Luca , Neil K. Chadha , Sohit Kanotra , Eric Levi , Mat Daniel , Scott M. Rickert , Thomas Schrepfer , Niall Jefferson , Julie Strychowsky
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引用次数: 0

摘要

本研究的主要目的是评估儿科耳鼻喉科手术室中与环境可持续性相关的国际实践模式,重点关注一次性用品与可重复使用用品的使用。方法使用REDCap向国际儿科耳鼻喉科WhatsApp群成员分发电子调查问卷(n = 324)。该调查包括多项选择、李克特量表和开放式问题,涉及在腺扁桃体切除术、耳管插入和喉镜/支气管镜手术中使用斗篷、长袍和手套,以及更广泛的可持续性实践,包括障碍和促进因素。结果有效率为16.0% (n = 52/324)。受访者分别来自北美(30.8%)、欧洲(25.0%)、澳大利亚/新西兰(23.1%)、亚洲(15.4%)、南美(3.8%)和非洲(1.9%)。在腺扁桃体切除术中,61.5%的患者使用一次性患者布,61.5%的患者使用一次性手术台布,44.2%的患者使用一次性手术台布。对于耳管置入,最常报道的是一次性桌巾(53.8%);一次性使用的病人布(38.4%)和长袍(21.2%)较不常见。在喉镜/支气管镜检查中,大多数患者不使用患者纱布(31.4%)或纱布(32.7%),而62.8%的患者使用一次性手术台纱布。提高手术室可持续性的最大障碍是成本(51.9%)和感染预防和控制(IPAC)实践(44.2%)。促成因素包括充足的技术(46.2%)和财政(36.6%)资源,专门的政策(30.8%)和支持性领导(34.6%)。结论:在全球范围内,儿科耳鼻喉科的手术室仍然高度依赖一次性材料。成本、IPAC、教育和领导是可持续发展努力的重要考虑因素。这些调查结果确定了减少废物的可行目标,并支持了采取具体可持续发展干预措施的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Environmental sustainability in pediatric otolaryngology: An international survey of operating room practice patterns

Objectives

The primary objective of this study was to evaluate international practice patterns related to environmental sustainability in pediatric otolaryngology ORs, with a focus on the use of single-use versus reusable supplies.

Methods

An electronic survey was distributed using REDCap to members of an international pediatric otolaryngology WhatsApp group (n = 324). The survey included multiple-choice, Likert-scale, and open-ended questions regarding drape, gown, and glove usage for adenotonsillectomy, ear tube insertion, and laryngoscopy/bronchoscopy procedures, and broader sustainability practices including barriers and enablers.

Results

Response rate was 16.0 % (n = 52/324). Respondents were from North America (30.8 %), Europe (25.0 %), Australia/New Zealand (23.1 %), Asia (15.4 %), South America (3.8 %), and Africa (1.9 %). For adenotonsillectomy 61.5 % reported using single-use patient drapes, 61.5 % use single-use table drapes, and 44.2 % use single-use gowns. For ear tube insertions, single-use table drapes (53.8 %) were most frequently reported; single-use patient drapes (38.4 %) and gowns (21.2 %) were less common. For laryngoscopy/bronchoscopy, the majority did not use patient drapes (31.4 %) or gowns (32.7 %), while 62.8 % use single-use table drapes. Top barriers to improving sustainability in the OR were cost (51.9 %) and infection prevention and control (IPAC) practices (44.2 %). Enablers included sufficient technological (46.2 %) and financial (36.6 %) resources, dedicated policies (30.8 %), and supportive leadership (34.6 %).

Conclusion

There remains a strong reliance on single-use materials in pediatric otolaryngology ORs globally. Cost, IPAC, education, and leadership are important considerations in sustainability efforts. These findings identify actionable targets for waste reduction and support the need for specialty-specific sustainability interventions.
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来源期刊
CiteScore
3.20
自引率
6.70%
发文量
276
审稿时长
62 days
期刊介绍: The purpose of the International Journal of Pediatric Otorhinolaryngology is to concentrate and disseminate information concerning prevention, cure and care of otorhinolaryngological disorders in infants and children due to developmental, degenerative, infectious, neoplastic, traumatic, social, psychiatric and economic causes. The Journal provides a medium for clinical and basic contributions in all of the areas of pediatric otorhinolaryngology. This includes medical and surgical otology, bronchoesophagology, laryngology, rhinology, diseases of the head and neck, and disorders of communication, including voice, speech and language disorders.
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