US Infection Prevention Products & Services
US demand to grow 4.5% annually through 2013
The author projects that total demand for infection prevention products and services will increase 4.5 percent annually through 2013. Growth will partially reflect the impact of new government legislation and changing health insurance reimbursement policies aimed at reducing the incidence of health care-acquired infections (HAIs). Gains will also be driven by efforts to reduce the incidence of HAIs in health care and life science establishments, prompting upgrades to standards involving patient and staff hygiene and protection, facility cleaning and disinfection, device and instrument sterilization, and medical waste collection and disposal.
Safety-enhanced devices to offer best opportunities
Safety-enhanced devices for IV and injectable drug delivery and in vivo fluid withdrawal, along with high quality apparel, textiles and disinfectants for surgical procedures, will remain the top selling groups of infection prevention products. An increasing percentage of the syringes, catheters, IV administration sets, blood collection supplies and other disposable sharp instruments employed by the medical community will incorporate safety components designed to prevent accidental needlesticks and associated infections after use. Spurred by a rising volume of inpatient, outpatient, nursing home care and home health care episodes, demand for safetyenhanced medical devices is projected to rise 6.2 percent annually through 2013. The elevated risk of transmitting air- and blood-borne infections during surgery will foster the expanding use of high barrier drapes, gowns and gloves and high level disinfectants in hospital and ambulatory operating rooms. In addition, upgraded infection prevention standards will encourage the immediate changing of apparel and textiles that are heavily splattered with blood or other body fluids during surgical procedures. Based on upward trends in the volume and mix of operations, the total market for surgical infection prevention products is forecast to grow 3.6 percent annually through 2013. Cost containment pressures and advances in less invasive surgical techniques will moderate faster growth. Personal, surface and instrument disinfectants consumed by health care and life science facilities will grow 4.0 percent annually through 2013. Pressures to adopt stricter patient and staff hygiene and facility cleaning and disinfection practices will foster gains in health care establishments. Disinfectant use in the life sciences sector will expand as production systems and research and diagnostic investigations become increasingly complex and more vulnerable to microbial contamination. Health care and life science markets for sterilization supplies, equipment and services will expand as medical providers and producers adopt stricter protocols to ensure the safety of new and reprocessed products. Stepped up efforts to prevent the transmission of pathogenic microorganisms to and from staff personnel will promote the rising use of examination and laboratory gloves and other protective apparel in the health care and life science sectors. However, multiple source availability and downward pricing pressures will moderate overall growth opportunities for these products. Lastly, the widespread upgrading of medical and life science infection prevention standards, coupled with continuing restrictions on onsite incineration, will create above average growth opportunities for medical waste disposal supplies, equipment and services.
Study coverage
Infection Prevention Products & Services presents US historical demand data (1998, 2003 and 2008) plus forecasts for 2013 and 2018 by product and market. The study also considers market environment factors, evaluates company market share data and profiles 26 industry competitors.
TABLE OF CONTENTS
INTRODUCTION ix
I. EXECUTIVE SUMMARY 1
II. MARKET ENVIRONMENT 4
General 4
Macroeconomic Environment 5
Population & Demographic Trends 10
Health Care Trends 13
Medical Conditions 15
Acute Conditions 15
Chronic Conditions 17
Cancer & AIDS 19
Health Insurance Trends 22
National Health Expenditures 26
Medical Providers 30
Acute Care Hospitals 31
Physicians 32
Outpatient Facilities 33
Patient Activity 35
Hospital Activity 36
Surgical Procedures 36
Outpatient & Home Health Care Activity 37
Diagnostic Tests 40
Life Science Market Trends 42
Research Organizations 43
Pharmaceutical & Medical Device Producers 45
Infection Prevention Market Overview 45
Health Care-Acquired Infections 46
Urinary Tract 47
Surgical Site Infections 48
Blood Infections 48
Respiratory Infections 49
Skin Infections 50
Other HAIs 50
Regulatory Considerations 52
Historical Market Trends 54
US Trade 56
International Markets 58
III. PRODUCTS & SERVICES 63
General 63
Market Overview 64
Infection Prevention Consumables & Supplies 67
Protective Apparel & Textiles 69
Surgical Drapes 70
Surgical Gowns 80
Medical & Laboratory Gloves 83
Face Masks 94
Other Protective Apparel & Textiles 96
Safety-Enhanced Devices 100
Safety-Enhanced Catheters 103
Safety-Enhanced Syringes 109
Safety-Enhanced Blood Collection Sets 116
Other Safety-Enhanced Medical Devices 118
Disinfectants 121
Hand Sanitizers 123
Surgical Disinfectants 128
Surface Disinfectants 133
Instrument Disinfectants 140
Sterilization Supplies 145
Sterile Containers 146
Sterilization Wrap 159
Sterilization Indicators 162
Medical Waste Disposal Supplies 165
Containers 166
Accessories 169
Infection Prevention Equipment 171
Sterilization Equipment 172
Technologies 173
Products & Producers 176
Other Infection Prevention Equipment 178
Washing/Disinfecting Systems 179
Medical Waste Receptacles 181
Medical Waste Processing Equipment 182
All Other Infection Prevention Equipment 182
Infection Prevention Services 183
Medical Waste Disposal Services 184
Contract Sterilization Services 186
IV. MARKETS 189
General 189
Health Care Markets 191
Hospitals 194
Market Overview 197
Infection Prevention Demand 199
Outpatient Market 200
Ambulatory Surgery Centers 202
Urgent Care Centers 203
General Medical Clinics 203
Other Outpatient Facilities 204
Physicians’ Offices 204
Dental Offices 207
Nursing Homes 209
Other Health Care Markets 210
Life Science Market 213
Demand by Type 213
Demand by Facility 216
V. INDUSTRY STRUCTURE 221
General 221
Market Share 225
Competitive Strategies 229
Mergers & Acquisitions 231
Licensing Agreements 233
Marketing & Distribution 234
Research & Development 235
Manufacturing 236
Company Profiles 238
Advanced Sterilization Products, see Johnson & Johnson
Ahlstrom Corporation 239
Ansell Limited 241
Bard (CR) Incorporated 244
Becton, Dickinson and Company 245
Bemis Company Incorporated 249
Cantel Medical Corporation 251
Cardinal Health Incorporated 254
CareFusion Corporation, see Cardinal Health
Chester Packaging LLC, see Medline Industries
Clorox Company 257
Contec Incorporated 258
Covidien plc 259
Crosstex International Incorporated, see Cantel Medical
Danaher Corporation 262
Ecolab Incorporated 265
Enturia Incorporated, see Cardinal Health
Getinge AB 268
GOJO Industries Incorporated 269
Johnson & Johnson 271
JohnsonDiversey Holdings Incorporated 272
Kimberly-Clark Corporation 274
Medline Industries Incorporated 277
Microtek Medical Holdings Incorporated, see Ecolab
Minntech Corporation, see Cantel Medical
Pelton & Crane Company, see Danaher
Perfecseal Incorporated, see Bemis
Purdue Pharma LP 280
Saf-T-Pak Incorporated, see Cantel Medical
Semperit AG Holding 281
Sporicidin International, see Contec
STERIS Corporation 282
Sybron Dental Specialties Incorporated, see Danaher
3M Company 287
Other Companies Mentioned in the Study 289
LIST OF TABLES
SECTION I -- EXECUTIVE SUMMARY
Summary Table 3
SECTION II -- MARKET ENVIRONMENT
1 Macroeconomic Indicators 10
2 Population & Demographics 13
3 Acute Conditions by Type 17
4 Chronic Conditions by Type 19
5 Cancer & AIDS Cases 22
6 Health Insurance Coverage of the US Population 25
7 National Health Expenditures by Type & Source 29
8 Health Care Establishments 31
9 Acute Care Hospitals 32
10 Physicians & Physicians’ Offices 33
11 Outpatient Facilities 35
12 Acute Care Hospital Activity 36
13 Surgical Procedures 37
14 Outpatient & Home Health Care Activity 40
15 Diagnostic Testing Volume 41
16 Life Science Market Indicators 43
17 Infection Prevention Product & Service Demand, 1998-2008 56
18 US Trade in Infection Prevention Products 58
19 World Infection Prevention Product & Service
Demand by Region 62
SECTION III -- PRODUCTS & SERVICES
1 Infection Prevention Products & Services Demand by Type 64
2 Infection Prevention Consumables & Supplies
Demand by Product Group 68
3 Protective Apparel & Textiles Demand by Product Group 70
4 Surgical Drape Demand by Material & Application 72
5 Surgical Gown Demand by Material 80
6 Medical & Laboratory Gloves Demand by Product Group 84
7 Examination Glove Demand by Type 87
8 Surgical Gloves Demand by Type 91
9 Laboratory Gloves Demand by Material 93
10 Face Mask Demand by Type 94
11 Other Protective Apparel & Textiles Demand by Product Group 97
12 Safety-Enhanced Devices Demand by Product Group 103
13 Safety-Enhanced Catheters Demand by Type 104
14 Safety-Enhanced Syringe Demand by Type 110
15 Safety-Enhanced Blood Collection Sets Demand 118
16 Other Safety-Enhanced Device Demand by Product Group 119
17 Disinfectants Demand by Product Group 123
18 Hand Sanitizers Demand by Type 124
19 Surgical Disinfectants Demand by Product Group 129
20 Surface Disinfectants Demand by Product Group 135
21 Instrument Disinfectants & Cleaners Demand by Type 141
22 Sterilization Supplies by Product Group 146
23 Sterile Containers Demand by Type 147
24 Sterilization Wrap Demand by Type 161
25 Sterilization Indicator Demand by Type 165
26 Medical Waste Disposable Supplies by Product Group 166
27 Medical Waste Disposal Containers Demand by Type 169
28 Medical Waste Disposal Accessories Demand by Type 170
29 Infection Prevention Equipment Demand by Product Group 172
30 Sterilization Equipment Demand by Type 173
31 Other Infection Prevention Equipment
Demand by Product Group 179
32 Infection Prevention Services Demand by Type 184
33 Medical Waste Disposal Services Demand by Facility 186
34 Contract Sterilization Services by Type 188
SECTION IV -- MARKETS
1 Infection Prevention Products & Services Demand by Market 191
2 Health Care Markets -- Infection Prevention
Products & Services Demand by Facility 193
3 Hospital Market -- Infection Prevention Products & Services 196
4 Outpatient Market -- Infection Prevention Products & Services 201
5 Physicians’ Office Market -- Infection Prevention
Products & Services 206
6 Dental Office Market -- Infection Prevention
Products & Services 208
7 Nursing Home Market -- Infection Prevention
Products & Services 210
8 Other Health Care Markets -- Infection Prevention
Products & Services 212
9 Life Science Market -- Infection Prevention
Products & Services Demand by Product Group 215
10 Life Science Market -- Infection Prevention
Products & Services Demand by Facility 219
SECTION V -- INDUSTRY STRUCTURE
1 US Infection Prevention Sales by Company, 2008 223
2 Selected Acquisitions & Divestitures 232
LIST OF CHARTS
SECTION II -- MARKET ENVIRONMENT
1 Health Care-Acquired Infections by Type, 2008 47
SECTION III -- PRODUCTS & SERVICES
1 Infection Prevention Consumables & Supplies
Demand by Product Group, 2008 68
SECTION IV -- MARKETS
1 Health Care Markets for Infection Prevention
Products & Services Demand by Facility, 2008 194
2 Life Science Market for Infection Prevention
Products & Services Demand by Facility, 2008 220
SECTION V -- INDUSTRY STRUCTURE
1 Infection Prevention Consumables, Supplies & Equipment,
Market Share by Company, 2008 225
