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Actreen® and the environment

Intermittent catheters in use – a major source of waste[1]

Like many other medical products, catheters can only be used once. Every patient should place an intermittent catheter about five times a day[2,3] which is why just as many catheters end up in the waste every day. The same applies to the patient’s stay in your facility after surgery or for rehabilitation. Therefore, the amount of litter affects them personally as well as your facility.[1] Waste is a challenge for all of us.[4]

Examplary calculation of catheter usage after surgery. *First part of example calculation of intermittent catheter usage of one spinal cord injury patient. Calculation basis: average use of 5 catheters per day [2,3] simplified calculation basis 4 weeks = one month.
Why plastics are a problem
beach full of plastic waste

green icon of a man

green icon hand with flower above

green icon with piggy bank

Actreen®  discreet pouches

Extra service for your patients and the environment[9]

You want to give your patients as much scope as possible in terms of action. This is why we have delivered a free pouch with every package of Actreen®: Your patient can use this to carry their catheters with them – anywhere, anytime. 

The Actreen® discreet pouches are made of paper with a special PVC-coating designed to be used multiple times in a wet environment. Compared to the older versions available some years ago, the PVC content has been reduced to keep these pouches durable.

Your choice makes the difference

B. Braun is at your side to provide you with good solutions

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nurse with man in wheelchair outside in the garden

References

** Please consider your local regulations for recycling.

  1. Sun AJ, Comiter CV, Elliott CS. The cost of a catheter: An environmental perspective on single use clean intermittent catheterization. Neurourol Urodyn. 2018 Sep;37(7):2204-2208. doi: 10.1002/nau.23562. Epub 2018 Aug 14. PMID: 30106190.
  2. Groen J, Pannek J, Castro Diaz D, Del Popolo G, Gross T, Hamid R, Karsenty G, Kessler TM, Schneider M, 't Hoen L, Blok B. Summary of European Association of Urology (EAU) Guidelines on Neuro-Urology. Eur Urol. 2016 Feb;69(2):324-33. doi: 10.1016/j.eururo.2015.07.071. Epub 2015 Aug 22. PMID: 26304502.
  3. Woodbury MG, Hayes KC, Askes HK. Intermittent catheterization practices following spinal cord injury: a national survey. Can J Urol. 2008 Jun;15(3):4065-71. PMID: 18570710.
  4. Hardesty BD, Wilcox C. Eight million tonnes of plastic are going into the ocean each year. The Conversation. 2015 February 12. https://theconversation.com/eight-million-tonnes-of-plastic-are-going-into-the-ocean-each-year-37521#:~:text=Around%208%20million%20metric%20tonnes,of%20coastline%20(excluding%20Antarctica). Accessed April 25th 2025.
  5. Ritchie H, Roser M. Plastic Pollution. Our World in Data Sept 2018, updated April 2022. https://ourworldindata.org/plastic-pollution. Accessed April 25th 2025.
  6. Wearden G. More plastic than fish in the sea by 2050, says Ellen MacArthur. The Guardian. January 19, 2016. https://www.theguardian.com/business/2016/jan/19/more-plastic-than-fish-in-the-sea-by-2050-warns-ellen-macarthur. April 25th 2025.
  7. Vahr Lauridsen S, Chagani S, Daniels A, Kelly T, Lurvink H, Pearce I, Popiński M, Thoft Jensen B, Villa G, Wildeman S, Geng V. Evidence-based Guidelines for Best Practice in Urological Health Care Urethral intermittent catheterisation in adults Including urethral intermittent dilatation. The European Association of Urology Nurses (EAUN) 2024. https://nurses.uroweb.org/wp-content/uploads/EAUN-Guideline-Urethral-intermittent-catheterisation-in-adults-2024.pdf. Accessed 24th April 2025.
  8. UN Environment Program: Healthcare waste: what to do with it? 09 April 2020. https://www.unep.org/news-and-stories/story/healthcare-waste-what-do-it. Accessed April 24th, 2025.
  9. Gibbens S. Can medical care exist without plastic? National Geographic Newsletter 2019 Oct 9th. https://www.nationalgeographic.com/science/article/can-medical-care-exist-without-plastic. Accessed April 24th 2025.
  10. Bouton F. Qualitative environmental comparison between: Actreen® Hi Lite & Mini ranges and the main European competitor catheters. EVEA fabrique de solutions durables. July 2020. www.evea-conseil.com.
  11. Chartier-Kastler E, Chapple C, Schurch B, Saad M. A Real-world Data Analysis of Intermittent Catheterization, Showing the Impact of Prelubricated Versus Hydrophilic Catheter Use on the Occurrence of Symptoms Suggestive of Urinary Tract Infections. Eur Urol Open Sci. 2022 Mar 4;38:79-87. doi: 10.1016/j.euros.2022.02.008. PMID: 35495281; PMCID: PMC9051966. 
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