Corresponding Author- Professor  & HOD of Hospital Administration &  Addl. Medical Superintendent, SDM College of Medical Sciences & Hospital, Dharwad , Email : satyashankar_@hotmail.com
Off late more and more Indian hospitals are migrating towards use of disposable textiles in the operation theatre, though many Western hospitals are reverting back to reusables.  Cost is a major issue in decision making, since maximising operational saving is critical for any hospital.  There are conflicting study reports on the subject, hence cost per operation of reusable textiles was done in operation theatre of a teaching hospital. At first glance it appears that disposable textiles are more cost effective.  However to determine the true cost, we must look beyond the initial purchase price. Study was done in a hospital having 750 beds, with 85% bed occupancy and performing average 40 major operations per day.  Cost arrived at was compared with the cost of disposable textiles available in the market.  Average cost of washing the linen in in-house laundry was Rs.3.14/- including fixed and variable cost.  Average linen used per operation was 22 no.s and hence the average laundry cost per operation was Rs.69/-.  Average cost of sterilisation in CSSD per cubic feet was Rs.66.68/- and average cubic feet of linen per operation was 1.7.  Hence the sterilisation cost per operation was Rs.113.36/-.  Total laundry cost and sterilisation cost per operation was Rs.182.36/-.  Compared to the lowest quotation of Rs.695/- for the same mix of 22 disposable linen, reusable was 280% economical.  On an annual basis, use of disposable textiles in operating room will add a staggering Rs.60 lakh additional expenditure to the hospital, apart from its occupational health, environmental impact, and warehousing.  75% of users rated reusable as more comfortable to wear.   Disposable OR textiles would add annually 20 tonnes of additional solid infections waste, if used exclusively. From the analysis it is concluded that reusable textiles are far less expensive than the disposable perioperative textiles, apart from their sustainability benefits.


Tuesday, January 12, 2021