Praxishygiene im Fokus: Der richtige Umgang mit medizinischen Einwegprodukten
• Dr. med. univ. Daniel Pehböck, DESA / 0 Comments

Practice hygiene in focus: The proper handling of medical disposable products


1. INTRODUCTION

Hook & Relevance

  • Entry: Numbers on the topic: About 4.8 million tons of waste are generated annually in German hospitals alone
  • Current relevance: New Medical Devices Operator Regulation (MPBetreibV) in effect since February 2025
  • Target audience: Direct address to practice operators, medical professionals
  • Problem statement: Balancing the highest hygiene standards with economic efficiency

Core Message

"Medical disposable products are essential for practice hygiene – but only with proper selection, application, and disposal do they fulfill their purpose efficiently and safely."


2. MAIN PART: LEGAL FOUNDATIONS

Legal Framework 2025

Current legal situation:

  • MPBetreibV 2025: New requirements since February 20, 2025

    • Clarified operator obligations
    • §8: Preparation in accordance with manufacturer specifications
    • §9: Reprocessing of single-use products only under strict conditions
  • KRINKO/BfArM Recommendations: Considered an accepted hygiene standard

    • Regularly updated Appendix 8 (as of March 2025)
    • Risk classification: non-critical, semi-critical A/B, critical A/B/C
  • Infection Protection Act (IfSG): Basis for infection prevention

Hygiene Plan Requirement

Every practice must create an individual hygiene plan with:

  • Hand hygiene protocols
  • Surface disinfection
  • Regulations for disposable products
  • Waste disposal concept
  • Documentation obligations (at least 5 years)

Tip for readers: Do not simply adopt template forms – individual adaptation to your own practice is mandatory!


3. MAIN PART: PRODUCT CATEGORIES & SELECTION

3.1 Medical Gloves

Material Comparison:

Material Advantages Disadvantages Field of Application
Latex High elasticity, tear resistance, excellent tactile sensitivity Allergy risk, permeable to oils Standard examinations, surgery
Nitrile Latex-free, chemical-resistant, oil-resistant Lower elasticity Allergy sufferers, laboratory, chemicals
Vinyl Inexpensive, allergy-free Low elasticity, not suitable for longer tasks Short applications, care
PE Very inexpensive, allergy-free One size fits all, film-like Very short applications

Quality Features:

  • AQL value 1.5 as a medical standard
  • Prefer powder-free versions (lower allergy risk)
  • Anatomical shaping for surgical gloves
  • Size selection for optimal fit

Market Trends 2024-2025:

  • Nitrile gloves gaining market share (better quality, decreasing prices)
  • Global market growing by 15.7% annually
  • Post-COVID-19: Stabilization of prices and availability

3.2 Paper Products & Covers

Examination Paper/Doctor Rolls:

  • Material: cellulose or paper
  • Standard widths: 50-60 cm
  • Lengths: 50-150 m per roll
  • With/without perforation

Patient Underlays:

  • Absorbent disposable underlays
  • Various absorption strengths
  • Waterproof backing

Paper Towels:

  • Dispenser systems for contactless dispensing
  • Z-fold or roll goods
  • Important: Elbow-operated dispensers

3.3 Protective Clothing

  • Protective Gowns: Weigh the pros and cons of disposable vs. reusable
  • Face Masks: FFP2/FFP3, surgical masks
  • Caps & Overshoes: For surgical areas

4. MAIN PART: PRACTICAL APPLICATION

Procurement & Storage

Purchasing Criteria:

  1. Check certifications: CE marking, DIN standards
  2. Pay attention to manufacturer specifications: Material compatibility, durability
  3. Needs analysis: Realistically calculate consumption quantities
  4. Cost-effectiveness: Bulk packaging vs. storage costs
  5. Supply chain security: Maintain multiple suppliers

Storage Instructions:

  • Dry, cool rooms (room temperature)
  • FIFO principle (First In, First Out)
  • Separate storage by product groups
  • Regular inventory checks
  • Monitor expiration dates

Correct Application

Gloves:

  • Hand disinfection BEFORE putting on
  • Observe single-use
  • Change immediately if damaged
  • Note: Up to 10% may have microfine holes (even new!)
  • After removal: re-disinfect hands

Examination Paper:

  • Renew after each patient
  • Regularly disinfect paper roll holders
  • Ensure sufficient overlap

Documentation:

  • Note batch numbers for critical products
  • Track consumption for reorders
  • Document complaints

5. MAIN PART: COST-EFFICIENCY

Cost-saving potentials without loss of quality

1. Needs-based selection:

  • Do not use the most expensive product for every task
  • PE gloves for simple tasks
  • Nitrile only where necessary
  • Prefer standard sizes (M/L as main sizes)

2. Quantity strategy:

  • Bulk packages with longer shelf life
  • Annual contracts with quantity discounts
  • Joint orders in practice communities
  • Use online comparison platforms

3. Waste reduction:

  • Dispenser systems reduce waste
  • Training staff for conscious dispensing
  • Review actual needs

Cost example (reference values 2025):

  • Nitrile gloves: 4-8 €/100 pieces
  • Latex gloves: 3-6 €/100 pieces
  • Vinyl gloves: 2-4 €/100 pieces
  • PE gloves: 1-2 €/100 pieces
  • Examination paper: 0.80-2.50 € per roll

Cost-effectiveness calculation: With 20 patients/day and an average of 2 glove changes per patient:

  • 40 gloves/day = 10,000+ gloves/year
  • Switching from nitrile to vinyl where possible: savings of up to 600 €/year
  • With 5 treatment rooms: potential savings of 3,000+ €

6. MAIN PART: DISPOSAL

Waste management according to current regulations

Waste categories:

  1. Non-contaminated disposable products:
    • Example: Unused or clean paper products
    • Disposal: Household waste/recycling
  2. Contaminated, non-infectious waste:
    • Example: Used gloves without blood/secret contact
    • Disposal: Medical waste (yellow/gray bags)
  3. Infectious waste:
    • Example: Blood or secret-contaminated material
    • Disposal: Special containers, certified disposal companies

Special disposal:

  • Sharps containers: For sharp objects
  • Labeling: According to LAGA guidelines
  • Documentation: Keep disposal certificates

Proper disposal:

  • Privacy protection for waste containers
  • Fill level control (max. 2/3 full)
  • Organize regular pickups
  • Staff training for separation

7. MAIN PART: SUSTAINABILITY

Environmentally conscious practice hygiene

The dilemma:

  • Disposable products are essential for hygiene reasons
  • High resource consumption and waste generation
  • Patient safety always takes precedence

Sustainable approaches 2025:

  1. Material innovations:

    • Biobased gloves made from renewable resources
    • Recyclable packaging
    • Reduced plastic content where possible
    • EU directive: Reduction of packaging waste required from 2025
  2. Circular economy:

    • Recycling programs for certain medical products
    • Separate collection of clean packaging
    • Special disposal companies for material recovery
  3. Optimize waste separation:

    • Only truly contaminated material as medical waste
    • Collect cardboard and films separately
    • Training for correct separation

Practical tips:

  • Prefer products with eco-certifications
  • Ask manufacturers for sustainability data
  • Check for reusable alternatives (e.g., reusable gowns)
  • Large packages reduce packaging waste

Important: Sustainability must never compromise hygiene and patient safety. The balance always favors safety.


8. COMMON MISTAKES & SOLUTIONS

Typical Practice Problems

Problem 1: Too long storage

  • Error: Creating annual stocks
  • Consequence: Expiration of shelf life, loss of quality
  • Solution: Rolling order system, max. 3-6 months stock

Problem 2: Incorrect glove choice

  • Error: Always using the most expensive product
  • Consequence: Unnecessary costs
  • Solution: Risk analysis of activities, tiered product selection

Problem 3: Inadequate documentation

  • Error: No proof of compliance
  • Consequence: Problems during hygiene inspections
  • Solution: Checklists, digital recording systems

Problem 4: Lack of staff training

  • Error: "Everyone knows that"
  • Consequence: Misuse, hygiene risks
  • Solution: Regular training (at least annually), written work instructions

Problem 5: Excessive consumption

  • Error: No control over dispensing
  • Consequence: Waste, high costs
  • Solution: Dispenser systems, raising team awareness

9. CHECKLIST FOR THE PRACTICE

Your hygiene check: Are you optimally positioned?

☐ Procurement:

  • [ ] Certified products according to current standards
  • [ ] Multiple suppliers for supply security
  • [ ] Economic quantities without overstocking
  • [ ] Regular price comparisons

☐ Storage:

  • [ ] Dry, cool rooms
  • [ ] FIFO system implemented
  • [ ] Expiration dates monitored
  • [ ] Separate storage by categories

☐ Application:

  • [ ] Written work instructions available
  • [ ] Staff trained (documentation!)
  • [ ] Manufacturer specifications available
  • [ ] Dispenser systems installed

☐ Documentation:

  • [ ] Hygiene plan current (annual review)
  • [ ] Batches documented for critical products
  • [ ] Training records available
  • [ ] Disposal certificates archived

☐ Disposal:

  • [ ] Correct waste separation
  • [ ] Sufficient containers
  • [ ] Regular pickups organized
  • [ ] Staff knows separation criteria

☐ Cost-effectiveness:

  • [ ] Consumption analysis conducted
  • [ ] Savings potentials identified
  • [ ] Product range optimized
  • [ ] Cost-benefit ratio checked

10. CONCLUSION & CALL TO ACTION

Summary

Medical disposable products are the backbone of modern practice hygiene. The new MPBetreibV 2025 emphasizes the importance of correct selection, application, and documentation. With the right strategy, the highest hygiene standards, economic efficiency, and increasingly sustainability can be reconciled.

Your 3 key steps:

  1. Check: Verify the currency of the hygiene plan
  2. Optimize: Differentiate product selection based on needs
  3. Train: Regularly educate the team on correct application

Call-to-Action

Discover the complete range of certified disposable products at meinarztbedarf.com:

  • Gloves in all materials and sizes
  • Hygiene papers and covers
  • Protective clothing for every need
  • Fast delivery – Always on the safe side!

Need advice? Our expert team supports you in selecting the optimal products for your practice. [Contact us!]


11. SOURCES

All information is based on:

  • Medical Devices Operator Regulation (MPBetreibV) 2025
  • KRINKO/BfArM Recommendations (RKI)
  • Infection Protection Act (IfSG)
  • Current specialist literature and industry studies (2024-2025)
  • Manufacturer specifications from leading medical product providers

Last updated: January 2025


Total length: approx. 2,500-3,000 words Reading time: approx. 12-15 minutes Target audience: Doctors, practice owners, practice managers, medical professionals


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