EXECUTIVE SUMMARY
i. Report Methodology
ii. Overview of Infectious Organisms and Diseases
iii. Infectious Diseases Demographics and National Guidelines for Control
iv. Nosocomial and Community-Acquired Infections and Prevention Strategies
v. Injection Devices and Related Products
vi. Handwashes, Surgery Preparations, and Germicides
vii. Sterilization Equipment, Services, and Supplies
viii. Wound Closure Devices
ix. Combined Market Analysis
1. OVERVIEW OF INFECTIOUS ORGANISMS AND DISEASES
1.1 Bacterial Infections
1.1.1 Anthrax
1.1.2 Botulism
1.1.3 Brucellosis
1.1.4 Cholera
1.1.5 Diphtheria
1.1.6 Diseases Associated with Haemophilus spp.
1.1.7 Diseases Associated with Mycobacteria spp.
1.1.8 Diseases Associated with Pseudomonas spp.
1.1.9 Diseases Associated with Staphylococcus spp.
1.1.10 Diseases Associated with Streptococcus spp.
1.1.11 Escherichia coli Infection
1.1.12 Gonorrhea/Meningitis
1.1.13 Legionnaires' Disease
1.1.14 Listeriosis
1.1.15 Lyme Disease
1.1.16 Nocardiosis
1.1.17 Salmonella
1.1.18 Tularemia
1.1.19 Yersiniosis
1.2 Parasitic Infections
1.2.1 Giardiasis
1.2.2 Roundworm
1.2.2.1 Ascariasis
1.2.2.2 Hookworm
1.2.2.3 Pinworm
1.2.2.4 Whipworm
1.2.3 Tapeworm
1.3 Proteinaceous Infections
1.3.1 Bovine Spongiform Encephalopathy
1.3.1.1 New-Variant Creutzfeldt-Jakob Disease
1.4 Viral Infections
1.4.1 Dysentery
1.4.2 Encephalitis
1.4.3 Hemorrhagic Fever
1.4.4 Hepatitis
1.4.5 Herpes Simplex
1.4.6 Herpes Zoster
1.4.7 Human Immunodeficiency Virus
1.4.8 Human Papillomavirus
1.4.9 Influenza
1.4.10 Measles
1.4.11 Mononucleosis
1.4.12 Mumps
1.4.13 Respiratory Syncytial Virus
1.4.14 Parvovirus
1.4.15 Poliomyelitis
1.4.16 Protozoa
1.4.17 Varicella
1.4.18 Variola
1.5 Diagnosis
1.5.1 Bacterial Infection Diagnosis
1.5.1.1 Cultures
1.6 Parasitic Infection Diagnosis
1.6.1 Serology
1.7 Viral Infection Diagnosis
1.8 Other Diagnostic Tests
1.8.1 Imaging
1.8.2 Invasive Tests
1.8.3 Smears
2. INFECTIOUS DISEASES DEMOGRAPHICS AND NATIONAL GUIDELINES FOR CONTROL
2.1 Demographics Overview
2.1.1 High Risk Populations
2.1.1.1 Acute Healthcare
2.1.1.1.1 Patients
2.1.1.1.2 Healthcare Workers
2.1.1.2 Long-Term Healthcare
2.1.1.2.1 Patients
2.1.1.2.2 Healthcare Workers
2.1.2 Types of Acquired Infections
2.1.2.1 Airborne Pathogens
2.1.2.2 Bloodborne Pathogens
2.1.3 Impact of Managed Care
2.1.4 Drug-Resistance
2.1.4.1 Methicillin-Resistant Staphylococcus Aureus
2.1.4.2 Vancomycin-Resistant Enterococcus
2.1.4.3 Types of Microbes and Viruses
2.1.4.4 Impact on Cost of Care
2.1.5 Technological Developments
2.2 National Guidelines Overview
2.2.1 American Association of Perioperative Registered Nurses
2.2.2 American Nurses Association
2.2.3 American Society for Healthcare Central Service Professionals
2.2.4 Association for the Advancement of Medical Instrumentation
2.2.5 Association for Professionals in Infection Control and Epidemiology
2.2.6 Centers for Disease Control and Prevention
2.2.6.1 National Institute for Occupational Safety and Health
2.2.7 International Association of Healthcare Central Service Material Management
2.2.8 Joint Commission on Accreditation of Healthcare Organizations
2.2.9 Occupational Safety and Health Administration
2.2.10 Service Employees International Union
2.2.11 Society for Healthcare Epidemiology of America
2.2.12 United States Food and Drug Administration
3. NOSOCOMIAL AND COMMUNITY-ACQUIRED INFECTIONS AND PREVENTION STRATEGIES
3.1 Overview
3.2 National Nosocomial Infections Surveillance
3.2.1 High-Risk Delivery Areas
3.2.1.1 Intensive Care Unit Infection Rates
3.2.1.1.1 Bloodstream Infections
3.2.1.1.2 Respiratory Tract Infections
3.2.1.1.3 Surgical Site Infections
3.2.1.1.4 Urinary Tract Infections
3.2.1.2 Device-Related Infections
3.2.1.3 Hospital Practices-Related Infections
3.2.2 Mortality Rates
3.2.3 Related Costs
3.2.4 Prevention Strategies
3.3 Nosocomial Infection Prevention
3.3.1 Skin Preparation
3.3.1.1 Handwashing
3.3.1.2 Perioperative Patient Skin Preparation
3.3.1.3 Surgical Scrubbing
3.3.2 Safety Needles
3.3.3 Infection-Resistant Products
3.3.4 Cleaning, Disinfection, and Sterilization
3.3.4.1 Cleaning
3.3.4.1.1 Scrubbing by Hand
3.3.4.1.2 Ultrasonic Cleaning
3.3.4.2 Disinfection
3.3.4.2.1 Liquid Chemicals
3.3.4.3 Sterilization
3.3.4.3.1 Autoclaving
3.3.4.3.2 Ethylene Oxide
3.3.4.3.3 Flash
3.3.4.3.4 Gamma Radiation
3.3.4.3.5 Hydrogen Peroxide
3.3.4.3.6 Microwave
3.3.4.3.7 Ozone
3.3.4.3.8 Peracetic Acid
3.3.5 Antimicrobial Barriers
3.3.6 Handling and Disposal of Medical Waste
3.3.6.1 Products and Technology
3.3.6.1.1 Autoclaving
3.3.6.1.2 Chemical Disposal
3.3.6.1.3 Incineration
3.3.6.1.4 Microwaving
3.3.6.1.5 Plasma Pyrolysis
3.3.6.2 Market Analysis
3.3.7 Ventilation Systems Management
3.3.7.1 Air Filtration Systems
3.3.7.1.1 Products and Technologies
3.3.7.1.2 Market Forecast
3.3.7.2 Indoor Air Quality Monitoring Systems
3.3.7.2.1 Products and Technologies
3.3.8 Single-Patient-Use versus Reusable Medical Devices
3.3.8.1 Multiple Use of Single-Patient-Use Medical Devices
3.3.8.1.1 Products and Technologies
3.3.8.1.2 Market Analysis
4. INJECTION DEVICES AND RELATED PRODUCTS
4.1 Overview
4.2 Skin Puncture Devices
4.2.1 Regulations and Guidelines
4.2.1.1 Federal Legislation
4.2.1.2 State Legislation
4.2.2 Needlestick Prevention
4.2.3 Products and Technologies
4.2.4 Market Analysis
4.2.4.1 Disposable Needles and Syringes
4.2.4.1.1 Competitive Analysis
4.2.4.2 Safety Needles and Syringes
4.2.4.2.1 Competitive Analysis
4.2.4.2.2 Retractable Syringes
4.2.4.2.3 Other Products
4.2.4.3 Phlebotomy and Venipuncture Needle Devices
4.3 Non-Skin Puncture Devices
4.3.1 Products and Technologies
4.3.2 Market Analysis
4.3.3 Competitive Analysis
4.4 Alternatives to Traditional Injection Systems
4.4.1 Products and Technologies
4.4.1.1 Auto-Injectors
4.4.1.2 Inhalation Drug Delivery
4.4.1.3 Iontophoresis
4.4.1.4 Powder Injection
4.4.1.5 Transdermal Drug Delivery
4.5 Sharps Disposal Products
4.5.1 Regulations and Guidelines
4.5.2 Products and Technologies
4.5.3 Market Analysis
4.6 Combined Market Forecast
5. HANDWASHES, PERIOPERATIVE SKIN PREPARATIONS, AND GERMICIDES
5.1 Handwashes and Perioperative Skin Preparations
5.1.1 Handwashes and Surgical Scrubs
5.1.1.1 Guidelines
5.1.1.2 Compliance
5.1.1.3 Products and Technologies
5.1.1.3.1 Hygienic Handwashes
5.1.1.3.2 Surgical Scrubs
5.1.1.4 Market Analysis
5.1.2 Perioperative Skin Preparations
5.1.2.1 Products
5.1.2.2 Market Analysis
5.1.3 Combined Market Analysis
5.2 Disinfectants and Germicides
5.2.1 Products
5.2.1.1 High-Level Disinfectants
5.2.1.1.1 Market Analysis
5.2.1.2 Low-Level Disinfectants
5.2.1.2.1 Market Analysis
5.2.2 Combined Market Analysis
5.3 Combined Market Analysis
6. STERILIZATION EQUIPMENT, SERVICES, AND SUPPLIES
6.1 Sterility Assurance Level
6.2 Technology
6.3 Equipment
6.3.1 Sterilizers
6.3.1.1 Regulations and Guidelines
6.3.1.2 Products and Technology
6.3.1.3 Market Analysis
6.4 Services
6.4.1 Contract Sterilization
6.4.1.1 Market Analysis
6.5 Supplies
6.5.1 Products and Technology
6.5.2 Market Analysis
6.6 Combined Market Analysis
7. WOUND CLOSURE DEVICES
7.1 Traditional Wound Closure
7.1.1 Products and Technologies
7.1.1.1 Staples
7.1.1.1.1 Market Analysis
7.1.1.1.2 Competitive Analysis
7.1.1.2 Sutures
7.1.1.2.1 Market Analysis
7.1.1.2.2 Competitive Analysis
7.1.1.3 Wound Closure Strips
7.1.1.3.1 Market Analysis
7.1.1.3.2 Competitive Analysis
7.2 Emerging Technologies
7.2.1 Automated Suturing Devices
7.2.1.1 Market Analysis
7.2.1.2 Competitive Analysis
7.2.2 Energy-Based Closure Devices
7.2.2.1 Market Analysis
7.2.2.2 Competitive Analysis
7.2.3 Surgical Sealants and Glues
7.2.3.1 Market Analysis
7.2.3.2 Competitive Analysis
7.3 Combined Market Analysis
8. COMPANY PROFILES
8.1 3M Company
8.2 Abbott Laboratories, Inc.
8.3 Axya Medical, Inc.
8.4 Baxter International, Inc.
8.5 B. Braun Melsungen AG
8.6 Becton, Dickinson and Company
8.7 Cohesion Technologies Corporation/Angiotech Pharmaceuticals, Inc.
8.8 Johnson & Johnson
8.9 Kimberly-Clark, Inc.
8.10 Portex, Inc./Smiths Group PLC
8.11 Purdue Frederick Company/Purdue Pharma LP
8.12 Stericycle, Inc.
8.13 STERIS Corporation
8.14 Tyco Healthcare, Inc./Tyco International LTD
APPENDIX: COMPANY LISTING
LIST OF EXHIBITS
Exhibit ES-1: Injection Devices and Related Products, Market Forecast, 2001-2010
Exhibit ES-2: Handwashes, Perioperative Skin Preparations, and Germicides, Market Forecast, 2001-2010
Exhibit ES-3: Sterilization Equipment, Services, and Supplies, Market Forecast, 2001-2010
Exhibit ES-4: Wound Closure Devices, Market Forecast, 2001-2010
Exhibit ES-5: Infection Control and Biosafety Products, Combined Market Forecast, 2001-2010
Exhibit 1-1: Selected Pathogenic Microbes and Resulting Diseases
Exhibit 1-2: Selected Diseases, Causes of Emergence, and Modes of Transmission
Exhibit 1-3: Selected Biological Diseases and Agents, by Category
Exhibit 1-4: Selected Herpes Viruses
Exhibit 1-5: Selected Bacterial Infections, Symptoms, and Diagnostic Tests
Exhibit 1-6: Selected Parasitic Infections, Symptoms, and Diagnostic Tests
Exhibit 1-7: Selected Viral Infections, Symptoms, and Diagnostic Tests
Exhibit 2-1: Population Distribution, by Age, 1990, 1995, 2000, 2005, 2010, and 2020
Exhibit 2-2: Length-of-Stay in Nonfederal, Short-Stay Hospitals, 1970, 1985, 1990, 1995, and 1998
Exhibit 2-3: 2001, Selected Occupationally Acquired Infections, by Area of Employment
Exhibit 2-4: 2001, Selected Occupationally Acquired Infections, by Mode of Disease Transmission
Exhibit 2-5: 1999, Selected Antimicrobial-Resistant Pathogens in Intensive Care Unit Patients
Exhibit 2-6: 1998, Selected Drug-Resistant Infectious Agents, by Country or Region
Exhibit 3-1: Device-Associated Infection Rates, by Type of Device, 1995-2002
Exhibit 3-2: Nosocomial Infection Prevention Strategies
Exhibit 3-3: Advantages and Disadvantages of Selected Sterilization Technologies
Exhibit 3-4: Medical Waste Disposal Products and Services, Market Forecast, 2001-2010
Exhibit 3-5: Occupational Safety and Health Administration Air Quality Guidelines
Exhibit 3-6: 2003, Selected Air Filtration Products
Exhibit 3-7: Portable Air Filtration Products, Market Forecast, 2001-2010
Exhibit 3-8: 2003, Selected Indoor Air Quality Monitoring Systems
Exhibit 4-1: 2003, Needlestick Safety Devices, by Type
Exhibit 4-2: Skin Puncture Devices, Market Forecast, 2001-2010
Exhibit 4-3: 2001, Standard Disposable Needles and Syringes Market, Share by Supplier
Exhibit 4-4: 2003, Selected Safety Needles and Syringes
Exhibit 4-5: 2001, Safety Needles and Syringes Market, Share by Supplier
Exhibit 4-6: Non-Skin Puncture Devices, Market Forecast, 2001-2010
Exhibit 4-7: 2001, Non-Skin Puncture Devices Market, Share by Supplier
Exhibit 4-8: Occupational Safety and Health Administration Criteria for Sharps Disposable Container Safety
Exhibit 4-9: Sharps Disposal Containers, Market Forecast, 2001-2010
Exhibit 4-10: Injection Devices and Related Products, Combined Market Forecast, 2001-2010
Exhibit 5-1: Healthcare Hand Antisepsis Product Categories
Exhibit 5-2: 2003, Selected Antimicrobials Used for Hand Antisepsis
Exhibit 5-3: 2003, Selected Handwashing Products
Exhibit 5-4: 2003, Selected Hand Antisepsis Scrub Products
Exhibit 5-5: Handwashes and Surgical Scrubs, Market Forecast, 2001-2010
Exhibit 5-6: 2003, Selected Perioperative Skin Preparation Products
Exhibit 5-7: Perioperative Skin Preparations, Market Forecast, 2001-2010
Exhibit 5-8: Handwashes and Perioperative Skin Preparations, Combined Market Forecast, 2001-2010
Exhibit 5-9: 2001, Handwashes and Perioperative Skin Preparations Market, Share by Supplier
Exhibit 5-10: 2003, Selected High-Level Disinfectants
Exhibit 5-11: High-Level Disinfectants, Market Forecast, 2001-2010
Exhibit 5-12: 2003, Selected Low-Level Disinfectants
Exhibit 5-13: Low-Level Disinfectants, Market Forecast, 2001-2010
Exhibit 5-14: Disinfectants and Germicides, Combined Market Forecast, 2001-2010
Exhibit 5-15: Handwashes, Perioperative Skin Preparations, and Germicides, Combined Market Forecast, 2001-2010
Exhibit 6-1: 2003, Comparison of Selected Sterilization Methods
Exhibit 6-2: 2003, Selected Sterilization Products
Exhibit 6-3: Sterilization Equipment, Market Forecast, 2001-2010
Exhibit 6-4: Contract Sterilization Services, Market Forecast, 2001-2010
Exhibit 6-5: Sterilization Supplies, Market Forecast, 2001-2010
Exhibit 6-6: Sterilization Equipment, Services, and Supplies, Market Forecast, 2001-2010
Exhibit 6-7: 2001, Sterilization Equipment, Services, and Supplies Market, Share by Supplier
Exhibit 7-1: Skin Layers and Supporting Structures
Exhibit 7-2: Major Wound Types, by Causation
Exhibit 7-3: 2001, Inpatient and Outpatient Surgery, Procedure Volumes
Exhibit 7-4: 2001, Incidence of Major Wound Types
Exhibit 7-5: Wound Stapling Products, Market Forecast, 2001-2010
Exhibit 7-6: 2001, Surgical Staplers Market, Share by Supplier
Exhibit 7-7: Sutures, Market Forecast, 2001-2010
Exhibit 7-8: 2003, Selected Sutures
Exhibit 7-9: Wound Closure Strips, Market Forecast, 2001-2010
Exhibit 7-10: 2001, Wound Closure Strips Market, Share by Supplier
Exhibit 7-11: Automated Suturing Devices, Market Forecast, 2001-2010
Exhibit 7-12: 2001, Automated Suturing Devices Market, Share by Supplier
Exhibit 7-13: Energy-Based Closure Devices, Market Forecast, 2001-2010
Exhibit 7-14: 2001, Energy-Based Closure Devices Market, Share by Supplier
Exhibit 7-15: Modes of Action for Surgical Sealants and Glues
Exhibit 7-16: Surgical Sealants and Glues, Market Forecast, 2001-2010
Exhibit 7-17: 2001, Surgical Sealants and Glues Market, Share by Supplier
Exhibit 7-18: Wound Closure Devices, Combined Market Forecast, 2001-2010
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