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Table 6 Results of the environmental sustainability model

From: Plus Sutures for preventing surgical site infection: a systematic review of clinical outcomes with economic and environmental models

Environmental impact of SSI

Activity

Unit

per SSI

GHG emissions (kg CO2e)

Fresh water use (m3)

Waste generation (kg)

Additional LOS in general ward

Days

6.8

258

413

22

Additional LOS in ICU

Days

3.2

286

440

42

Additional outpatient visits

Number

4.1

5

9

1

Additional outpatient journeys (including return journeys)

Number

8.2

24

4

0

Additional A&E attendance

Number

0.22

3

5

0

Journeys to A&E (return not included)

Number

0.22

1

0

0

Total environmental impact of an SSI

576

872

65

Potential environmental benefits of reductions in SSI with the use of triclosan-coated sutures

 

Triclosan-coated sutures

Comparator Suturesa

Difference (triclosan-coated sutures minus Comparator)

Number of SSIs per 1,000 patients

7.4

10.4

-3.0

GHG emissions due to SSI per 1,000 patients (tCO2e)

4.26

6.0

-1.74

Water use due to SSI per 1,000 patients (m3)

6,438

9,067

-2,629

Waste generation due to SSI per 1,000 patients (t)

0.48

0.68

-0.2

  1. Note: Negative values indicate an environmental saving
  2. aSutures that do not contain an antibacterial agent