Glutaraldehyde (GA) is a broad-spectrum anti-microbial agent that is widely used in health care settings as a cold disinfectant for semi-critical medical devices such as endoscopes and laparoscopes. The occupational health effects of GA exposure are well-documented: severe dermatitis, chronic skin and respiratory sensitization and asthma. The disposal of GA into hospital wastewater presents environmental concerns as well. Objectives: To 1) examine the GA-reducing control methods and alternative technologies utilized by a range of hospitals, 2) evaluate these control methods from both a pollution prevention (P2) and occupational health perspective, and 3) assess the economic feasibility of the recommended process changes. Methods: 1) A literature review of the health effects of GA exposure and GA alternatives was conducted as well as 2) hospital worksite evaluations of GA use and control, and 3) telephone and personal interviews with hospital managers, healthcare workers and equipment manufacturers. Results and Conclusions: Work practices and controls for GA exposure vary widely across hospitals, ranging from substitution to extensive use of large quantities transported in open containers. GA use can be significantly reduced or eliminated in hospitals without compromising infection control or contributing to the wastewater pollution generated by hospitals. The initial capital investment associated with non-GA technologies may be offset by 1) the long term expense of GA-related occupational illnesses, and 2) the cost of comprehensive programs to monitor healthcare worker exposure to GA.
Learning Objectives: Participants will learn 1) which glutaraldehyde-reducing control methods and alternative technologies are utilized by a range of hospitals 2) how to evaluate these control methods from both a pollution prevention (P2) and occupational health perspective, and 3) how to assess the economic feasibility of the recommended process changes
Keywords: Health Care Workers, Occupational Health
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.