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September 15, 2026Nursing ReportsOpen Access

Beyond Disposability: A Systematic Review of Reusable and Single-Use Products in Hygiene-Related Nursing Care in the ICU

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Authors

ELEleonora LombardiGBGianluca BarraDVDavide Vicari

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Overview

Systematic review reveals mixed clinical, economic, and environmental trade-offs between reusable and disposable hygiene products in ICU patients, highlighting context-dependent sustainability.

Key Points

  • To evaluate and synthesize the clinical, economic, and environmental outcomes of reusable versus single-use hygiene-related nursing products in intensive and critical care settings.
  • Conducted a PRISMA-compliant systematic review searching MEDLINE, Scopus, Web of Science, and CINAHL from database inception to August 2026 without language restrictions (PROSPERO CRD420261376160).
  • Screened primary comparative studies and process-based life cycle assessments reporting original inventory data in English or Italian.
  • Included 8 studies: 3 randomized trials, 4 quasi-experimental or before–after studies (encompassing 2,665 adult, pediatric, and neonatal ICU participants), and 1 process-based life cycle assessment.
  • Reusable linen lowered carbon emissions by 50% (decreasing from 7,206 to 3,605 kg CO2e) and reduced landfill waste, though it increased overall hospital expenditure by approximately 3%.
  • Clinical outcomes showed no consistent advantage between product types: linen type was not independently associated with pressure injury, bathing methods yielded heterogeneous microbial findings, and single-use diapers were linked to lower probable sepsis in one neonatal cohort.

Cite This Study

Lombardi et al. (2026) studied this question.

synapsesocial.com/papers/6aa913819013453be30a16b5https://doi.org/10.3390/nursrep16090335
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