US demand for infection prevention products and services is forecast to increase 5.1 percent annually to $21.4 billion in 2015. Stepped up efforts by medical providers to reduce the incidence and mortality of health care-associated infections (HAIs) will underlie growth. Hospitals and other health care establishments are adopting stricter standards involving patient and staff hygiene and protection, facility cleaning and disinfection, device and instrument sterilization, and medical waste collection and disposal. Each of these applications will continue to form an attractive, growing niche within the medical supply market.

1. Infection Prevention Products & Services
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US demand to rise 5.1% annually through 2015
US demand for infection prevention products and services is forecast to increase 5.1 percent
annually to $21.4 billion in 2015. Stepped up efforts by medical providers to reduce the
incidence and mortality of health care-associated infections (HAIs) will underlie growth.
Hospitals and other health care establishments are adopting stricter standards involving
patient and staff hygiene and protection, facility cleaning and disinfection, device and
instrument sterilization, and medical waste collection and disposal. Each of these
applications will continue to form an attractive, growing niche within the medical supply
market.
The need for improved infection prevention strategies also extends to the life sciences
sector. Stricter FDA standards for product quality control and quality assurance are forcing
pharmaceutical and medical device producers to upgrade and expand sterilization and
disinfection systems. Additionally, the increasing use of biotechnology-derived
microorganisms in investigative and testing procedures is broadening the infection
prevention requirements of life science research and medical diagnostic concerns.
Disinfectants, services to be fastest growing segments
Disinfectants consumed by health care and life science facilities will register demand of
nearly $2 billion in 2015, up 4.9 percent annually from 2010. Growth will benefit from
stepped up pressures on health care facilities to upgrade staff hygiene and facility
disinfection practices to defend against HAIs such as MRSA, VRE and C. diff. Disinfectant
use in life science facilities will expand as production systems and research and diagnostic
investigations become increasingly complex and more vulnerable to microbial
contamination. However, as in the case of protective apparel and textiles, multiple supplier
availability and limited pricing flexibility will hold down overall growth opportunities for this
product group.
Compliance with stricter infection prevention and control safeguards by the health care and
life science communities will create average or better growth opportunities for medical
waste disposal supplies. By contrast, the market for sterilization and other infection
prevention equipment will expand at a slow pace due to maturing end-use markets, and the
increasing availability of used and retrofitted machinery. Demand for infection prevention
services will see above average growth based on the convenience, cost efficiency and
regulatory compliance advantages offered to health care and life science facilities.
Demand for protective apparel and textiles — including surgical drapes and gowns, medical
and laboratory gloves, face masks and staff apparel, will expand at a below average pace
due to trends toward less invasive patient procedures and limited pricing flexibility. The
market for safety-enhanced devices, especially IV and urinary catheters and syringes, will
grow faster based on stricter OSHA standards aimed at preventing accidental needlesticks
and extended health insurance coverage for urinary catheters. Studies indicate that more
than half of HAIs and 90 percent of related mortality and nearly all accidental needlesticks

2. could be prevented if hospitals and other health care facilities implemented integrated
infection prevention strategies advocated by government and private medical groups.
Table of Contents
INTRODUCTION
I. EXECUTIVE SUMMARY
II. MARKET ENVIRONMENT
General
Economic Factors
Demographic Patterns
Health Care Trends
Health Insurance Coverage
Medical Conditions
Acute Conditions
Chronic Conditions
National Health Expenditures
Spending Categories
Funding Sources
Medical Providers
Hospitals
Physicians & Physicians’ Offices
Outpatient Facilities
Dentists & Dental Offices
Other Medical Establishments
Patient Activity
Hospital Activity
Surgical Procedures
Outpatient Activity
Diagnostic Tests
Life Science Markets
Life Science Research & Development Expenditures
Pharmaceutical Shipments
Medical Supply & Device Shipments
III. INFECTION PREVENTION OVERVIEW
General
Health Care-Associated Infections
Urinary Tract Infections

3. Surgical Site Infections
Respiratory Infections
Blood Infections
Skin Infections
Other HAIs
HAI Costs
Regulatory Considerations
Historical Demand Patterns
US Trade
International Markets
IV. PRODUCTS & SERVICES
General
Infection Prevention Overview
Infection Prevention Supplies
Protective Apparel & Textiles
Medical & Laboratory Gloves
Examination Gloves
Surgical Gloves
Laboratory Gloves
Surgical Drapes
Nonwoven Drapes
Plastic & Other Surgical Drapes
Applications
Surgical Gowns
Surgical & Staff Face Masks
Other Protective Apparel & Textiles
Patient Gowns
Staff Apparel
All Other Apparel & Textiles
Safety-Enhanced Medical Devices
Catheters
Urinary Catheters
IV & Other Safety-Enhanced Catheters
Safety-Enhanced Syringes
Prefillable Syringes
Clinical Syringes
Blood Collection Tubes
Other Safety-Enhanced Devices
Surgical Instruments
All Other Safety-Enhanced Devices
Sterilization Supplies
Sterile Containers
Trays

4. Pouches
Bags
Other Sterile Containers
Sterilization Wrap
Sterilization Indicators
Biological Indicators
Chemical Indicators
Producers
Disinfectants
Surface Disinfectants
Phenolic Disinfectants
Quaternary Ammonium Disinfectants
Other Surface Disinfectants
Surgical Disinfectants
Patient Preparations
Surgical Scrubs
Instrument Disinfectants
Enzyme Detergents
Peracetic Acid
Ortho-Phthalaldehyde (OPA)
Glutaraldehyde
Other Instrument Disinfectants
Hand Sanitizers
Alcohol Preparations
Chlorhexidine Gluconate
Chloroxylenol
Other Hand Sanitizers
Medical Waste Disposal Products
Medical Waste Disposal Containers
Medical Waste Disposal Accessories
Infection Prevention Equipment
Sterilization Equipment
Sterilization Technologies
Products & Producers
Washing/Disinfecting Equipment
Other Infection Prevention Equipment
Infectious Waste Receptacles
Infectous Waste Processing Units
All Other Equipment
Infection Prevention Services
Medical Waste Disposal Services
Contract Sterilization Services

5. V. MARKETS
General
Health Care Markets
Hospitals
Market Overview
Infection Prevention Demand
Outpatient Facilities
Ambulatory Surgery Centers
Urgent Care Centers
Other Outpatient Facilities
Physicians’ Offices
Dental Offices
Nursing Homes
Other Health Care Markets
Life Science Market
Demand by Type
Demand by Facility
Pharmaceutical Facilities
Life Science Research Facilities
Medical Supply & Device Facilities
Other Facilities
VI. INDUSTRY STRUCTURE
General
Market Share
Competitive Strategies
Mergers & Acquisitions
Licensing & Related Agreements
Marketing & Distribution
Manufacturing
Company Profiles
Ahlstrom Corporation
Ansell Limited
Bard (CR) Incorporated
Becton, Dickinson and Company
Bemis Company Incorporated
Braun (B.) Melsungen AG
Caltech Industries, see Clorox
Cantel Medical Corporation
Cardinal Health Incorporated
CareFusion Corporation
Clorox Company
Coloplast A/S
ConFirm Monitoring Systems, see Cantel Medical

6. Contec Incorporated
Covidien plc
Crosstex International, see Cantel Medical
Danaher Corporation
Diversey Holdings Incorporated
Ecolab Incorporated
Getinge AB
GOJO Industries Incorporated
Hollister Incorporated
Johnson & Johnson
Kimberly-Clark Corporation
Medegen, see CareFusion
Medline Industries Incorporated
Microtek Medical, see Ecolab
Minntech, see Cantel Medical
Mölnlycke Health Care AB
O’Mara Scientific, see Medline Industries
Pelton & Crane, see Danaher
Purdue Pharma LP
Saf-T-Pak, see Cantel Medical
Semperit AG Holding
Smiths Group plc
STERIS Corporation
Sybron Dental Specialties, see Danaher
Terumo Corporation
3M Company
Unilife Corporation
Other Companies Mentioned in the Study
LIST OF TABLES
SECTION I — EXECUTIVE SUMMARY
Summary Table
SECTION II — MARKET ENVIRONMENT
1 Macroeconomic Indicators
2 Population by Age Group
3 Acute Conditions by Type
4 Chronic Conditions by Type
5 National Health Expenditures by Category
6 National Health Expenditures by Source of Funding
7 Medical Providers by Type
8 Patient Activity by Type
9 Life Science Market Indicators
SECTION III — INFECTION PREVENTION OVERVIEW
1 Number of Health Care-Associated Infections by Type
2 Infection Prevention Products & Services Historical Demand Patterns

7. 3 US Trade in Infection Prevention Products
4 World Demand for Infection Prevention Products & Services
SECTION IV — PRODUCTS & SERVICES
1 Infection Prevention Product & Service Demand by Category
2 Infection Prevention Demand By Application
3 Infection Prevention Supplies Demand by Product Group
4 Protective Apparel & Textile Demand by Product Group
5 Medical & Laboratory Glove Demand by Product Group
6 Examination Glove Demand by Type
7 Surgical Glove Demand by Type
8 Laboratory Glove Demand by Type
9 Surgical Drape Demand by Material & Application
10 Surgical Gown Demand by Type
11 Surgical & Staff Face Mask Demand by Type
12 Other Protective Apparel & Textile Demand by Product Group
13 Safety-Enhanced Medical Device Demand by Product Group
14 Safety-Enhanced Catheter Demand by Type
15 Safety-Enhanced Syringe Demand by Type
16 Safety-Enhanced Blood Collection Tube Demand
17 Other Safety-Enhanced Medical Device Demand by Type
18 Sterilization Supplies Demand by Product Group
19 Sterile Container Demand by Type
20 Sterilization Wrap Demand by Type
21 Sterilization Indicator Demand by Type
22 Disinfectant Demand by Product Group
23 Surface Disinfectant Demand by Type & Classification
24 Surgical Disinfectant Demand by Type
25 Instrument Disinfectant Demand by Type
26 Hand Sanitizer Demand by Type & Formulation
27 Medical Waste Disposal Supplies Demand by Group
28 Medical Waste Disposal Container Demand
29 Medical Waste Disposal Accessories Demand by Type
30 Infection Prevention Equipment Demand by Product Group
31 Sterilization Equipment Demand by Type
32 Washing/Disinfecting Equipment Demand
33 Other Infection Prevention Equipment Demand by Type
34 Infection Prevention Services Demand by Type
35 Medical Waste Disposal Services Demand
36 Contract Sterilization Services Demand by Type
SECTION V — MARKETS
1 Infection Prevention Demand by Market
2 Health Care Markets Infection Prevention Demand by Facility
3 Hospital Infection Prevention Demand by Type
4 Outpatient Facility Infection Prevention Demand by Type
5 Physicians’ Office Infection Prevention Demand by Type
6 Dental Office Infection Prevention Demand by Type
7 Nursing Home Infection Prevention Demand by Type

8. 8 Other Health Care Markets Infection Prevention Demand by Type
9 Life Science Market Infection Prevention Demand by Type
10 Life Science Market Infection Prevention Demand by Facility
SECTION VI — INDUSTRY STRUCTURE
1 Infection Prevention Product Sales by Company, 2010
2 Selected Acquisitions & Divestitures
3 Selected Cooperative Agreements
LIST OF CHARTS
SECTION X — PRODUCTS & SERVICES
1 Infection Prevention Supplies Demand by Product Group, 2010
SECTION XI — MARKETS
1 Health Care Markets Infection Prevention Demand by Facility, 2010
SECTION XII — INDUSTRY STRUCTURE
1 Infection Prevention Products Market Share, 2010
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