Reprocessing and reuse of single-use medical devices in China: a pilot survey

Duojin Wang,Jing Wu

doi:10.1186/s12889-019-6835-9

Abstract

BackgroundIn China, reprocessing and reuse of single-use medical devices (SUDs) are banned. However, the actual situation has not been reported so far. The study aims to clarify the perceptions and concerns of various sectors of the community on the reuse of SUDs, and whether such practice exists. In addition, we are also wondering how acceptable the respondents are on this matter.MethodsA cross-sectional study based on a national survey which was conducted on the professional online questionnaire survey platform (www.wjx.cn) from July 26 to August 4, 2015. We analyzed the data according to the work fields, sex, age, education level, professional background and participants’ answers to 49 other questions.ResultsFive hundred forty-four nationwide respondents belong to nine different work fields. In general, participants had positive attitudes towards the reprocessing and reuse of SUDs. However, many respondents doubted the hygienic and functional safety of the reprocessed SUDs. They also tended to think that the reuse of SUDs should have lower prices and more technical training as well as patient advocacy. Further analysis demonstrated the work fields, education level and professional background of respondents were statistically associated with their responses to certain questions.ConclusionsThe research indicated that although the reuse of SUDs is prohibited legally in China, there were extensive reprocessing and reuse in hospitals. Most responses tended to accept reprocessed SUDs if safety and low prices were guaranteed. These existing contradictions and the lack of relevant research led to policy makers in China will confront numerous challenges in building and improving this use system of medical devices to meet escalating demands of social sectors.

Highlights

In China, reprocessing and reuse of single-use medical devices (SUDs) are banned
We reported crude odds ratios (ORs) and 95% CIs
Compared with the reusable medical devices, they (80.5%) tended to deem that health security of SUDs is higher from the perspective of infection control (B6), and the work field (“health insurer”) had a great influence on the answer (P = 0.039) (Fig. 3)

Summary

Introduction

In China, reprocessing and reuse of single-use medical devices (SUDs) are banned. The study aims to clarify the perceptions and concerns of various sectors of the community on the reuse of SUDs, and whether such practice exists. With the development of newly fabrication materials such as plastic polymers the single-use medical devices (SUDs) have been booming since the late 1970s [1]. The SUDs are of great importance in modern medicine especially for minimally invasive technology in the past three decades. The increasing number of interventions and the consequent economic burden on health-care systems had led many countries to consider a reprocessing. The practice has been rationalized and legislated in many well-developed countries. In the United States, it is reported that more than 25% of hospitals reused at least one type of SUDs [7].

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