GVR Report cover High Level Disinfection Services Market Size, Share & Trends Report

High Level Disinfection Services Market Size, Share & Trends Analysis Report By Services (In-house, Outsourced), By Compound (Formaldehyde, Glutaraldehyde, Peracetic Acid), By End Use, By Region, And Segment Forecasts, 2021 - 2028

  • Report ID: GVR-4-68039-372-8
  • Number of Pages: 90
  • Format: Electronic (PDF)
  • Historical Range: 2016 - 2019
  • Industry: Healthcare

Report Overview

The global high level disinfection services market size was valued at USD 25.36 billion in 2020 and is expected to expand at a compound annual growth rate (CAGR) of 9.2% from 2021 to 2028. The demand for high level disinfection services is increasing owing to the surge in Hospital-acquired Infections (HAIs), rising incidence of infectious disease, and increasing number of surgical procedures across the globe.

U.S. high level disinfection services market size, by compound, 2016 - 2028 (USD Billion)

HAIs are nosocomial infections that are more frequent in people undergoing long-term care, most notably surgical treatment. HAIs are most common in the elderly, infants, and patients with weakened immune systems. A variety of causes, including a lack of proper hygiene in healthcare facilities, the use of catheters, and an overuse of antibiotics, might surge susceptibility to HAIs. These types of diseases may often lead to central line-related bloodstream infections, surgical site infections, Urinary Tract Infections (UAIs) associated with catheters, ventilator and hospital-acquired pneumonia, and infections associated with Clostridium difficile.

The most common HAIs are:

  • Central line-associated bloodstream infections

  • Methicillin-resistant Staphyloccocus aureus (MRSA)

  • Vancomycin-resistant Enterococci bloodstream infections

  • Clostridium difficile

  • Surgical site infections (SSIs)

An increase in the prevalence of HAIs due to lack of sanitation and preventive measures is a major factor expected to propel the growth of the market for high level disinfection services over the forecast period. According to a research article published in British Medical Journal, in 2016-2017, there were about 6,53,000 healthcare-associated infections (HCAIs) reported among which, 13.8 million adult inpatients in NHS hospitals in England. Of these, around 22800 patients died due to infection. Also, CDC states that about 1 in 31 hospital patients has at least 1 healthcare-associated infection per day. The incidence of HAIs depends largely on the patients’ immunity, the practices of infection prevention and hygiene, and the presence of different infectious agents in the health care facility, leading to an upsurge in demand for infection control services. Hand hygiene with antiseptics and low-level disinfectants and sterilization of gastro-intestinal endoscopes with potent, high level disinfectants are both possible preventive measures.

The continuous product launch by the key players operating in the market for high level disinfection services is one of the major factors contributing to market growth over the forecast period. For instance, in March 2020, specialty chemicals company LANXESS launched the high level disinfectant Rely+On Virkon, which is highly effective against the coronavirus. Tests have confirmed that Rely+On Virkon inactivates a closely related substitute of the rapidly spreading corona strain. Furthermore, Solvay also offers peracetic acid (PAA) based liquid solution, PROXITANE that is effective against a wide-ranging fungus, bacteria, viruses, including SAR-CoV-2, on clean and soiled surfaces.

  • In the US, PROXITANE AHC has been granted approval for use against SARS-CoV-2 by the US Environmental Protection Agency (EPA Registration Number 68660-11).

  • In Europe, PROXITANE solutions have been tested and proven effective against a wide range of viruses, including SARS-CoV-2, aiding a log 4 reduction of these viruses at tremendously low PAA concentration (0.3%), according to standard EN14476:2013. Testing exhibited efficacy in both clean and dirty conditions.

  • In Brazil, PROXITANE solution is available as a high level surface disinfectant for hospitals.

The rising prevalence of chronic diseases such as diabetes, cancer, and other autoimmune diseases is expected to drive demand for high-level disinfectant services. Antimicrobial tolerance, rising adoption of unhealthy and sedentary lifestyles, obesity, and alcohol intake are all significant contributors to the rising prevalence of chronic diseases. According to the World Health Organization (WHO), chronic disease prevalence has been expected to surge by 57.00% by the year 2020. Moreover, the rising geriatric population across the globe is the major population suffering from chronic diseases. The WHO states that, by 2050, the world’s population aged 60 years and older is expected to total 2 billion. As a result, the increasing prevalence of chronic diseases has dramatically raised hospital admission rates. Blankets, clean fluids, and appliances are some of the necessities in hospitals and other care services. Thus, in such situations, high-level disinfectants and environment efficiently serve the purpose, as they mitigate the risk of infection transmission among patients and increase care quality. Thus, the increasing prevalence of chronic diseases is projected to have a positive effect on the market over the forecast period.

High Level Disinfection Services Market Trends

Rising number of surgical procedures in hospitals and growing awareness regarding infections & diseases caused due to nonsterile environment are among factors expected to propel market growth over the forecast period. Various factors such as lack of appropriate hygiene in healthcare settings, usage of catheters, and excessive use of antibiotics can increase predisposition to HAIs.

Increase in the incidence of chronic diseases, such as cancer, diabetes, cardiovascular illness, and other autoimmune diseases, is anticipated to boost the demand for high-level disinfection services in healthcare facilities. Increased adoption of unhealthy & sedentary lifestyle, smoking & alcohol consumption, and antimicrobial resistance are some of the major factors contributing to growing prevalence of chronic diseases.

Increasing use of endoscope reprocesses and surgical units is expected to propel market growth over the forecast period. For instance, according to British Society of Gastroenterology & BMJ Publishing Group in 2018, the demand for Gastrointestinal (GI) endoscopy has grown immensely for bowel cancer screening in symptomatic patients.

Regulations or guidelines associated with application of high-level disinfectants used in clinics and hospitals may hinder market growth over the forecast period. In the U.S., every disinfectant needs to meet certain FDA regulations and their use should be based on guidelines by CDC. These guidelines recommend preferred method for sterilization, disinfection, & cleaning of patient-care medical devices and for disinfecting & cleaning healthcare environment.

Adverse health effects associated with high-level chemical-based disinfection products have been observed in professional cleaners and among residents involved in domestic cleaning. Several studies by NCBI and CDC have identified cleaning disinfectants as an occupational risk factor for asthma among healthcare workers. Various chemicals in cleaning and disinfecting products can cause or worsen asthma owing to their sensitizing or irritant properties, such as quaternary ammonium compounds, ethanolamines, chlorhexidine, glutaraldehyde, ortho-phthalaldehyde, hexachlorophene, and chloramine-T.

Services Insights

The outsource segment dominated the market for high level disinfection services and held the largest revenue share of 53.6% in 2020. The segment is expected to witness a considerable growth rate over the forecast period. Hospitals, clinics diagnostics centers usually prefer outsourcing of disinfection services. Several benefits are associated with outsourcing such as cost-saving, customized cleaning services, and usage of advanced technology. Furthermore, advances in global healthcare practices have resulted in hospitals outsourcing disinfection and sterilization services. This has provided new opportunities for manufacturers of HLD equipment.

Outsourcing facilities are more prevalent in developed economies and are gradually infiltrating developing economies. In countries like the U.S. and few countries in Western Europe, healthcare facilities are increasingly outsourcing Central Sterile Supply Department (CSSD) nations to meet infection control standards as well as top-quality management of complex surgical instruments. Several experts suggest that the third-party sterilization and disinfection vendors will increase their focus on becoming end-to-end solution providers in order to cover cleaning, sterilization, tracking and managing workflow, CSSD layout design, and logistics services. This will drive Original Equipment Manufacturers (OEMs) to embrace value-added services including inventory management, CSSD integration, and equipment repair in their portfolio over the traditional services-centered approach. This step would ensure third-party sterilization services in direct contact with key decision-makers for better infection control by opening further avenues for market expansion.

The in-house segment is anticipated to witness a slow growth rate in the market for high level disinfection services over the forecast period. In-house disinfection provides complete control over services movement and eliminates the extra handling and charges associated with shipping loads to and from the facility. However in-house disinfection is only feasible if there is enough volume to keep the disinfection facility running at or near capacity. Moreover, it is costlier as compared to outsourcing. Outsourcing has several advantages over in-house services, thus the segment will experience sluggish growth in the forecast period.

Compound Insights

The glutaraldehyde segment dominated the market for high level disinfection services and held the largest revenue share of 23.5% in 2020. The segment is anticipated to witness a considerable growth rate over the forecast period. Aldehyde disinfectants are often used for endoscopic procedures and surgical unit reprocessing. Glutaraldehyde has long and widely been used as an HLD for reusable surgical equipment in healthcare facilities. The growing number of surgical procedures across the globe is expected to fuel demand for these services. Furthermore, hospital-acquired infections caused by excessive surgical unit reprocessing are expected to fuel demand for these solutions, causing the segment to rise profitably over the forecast period.

The hydrogen peroxide segment is anticipated to witness a considerable growth rate over the forecast period. The US Food and Drug Administration has authorized disinfectant solutions containing 7.5% hydrogen peroxide for sterilization and high-level disinfection in healthcare settings. Hydrogen peroxide is the disinfectant of choice for semi-critical and non-critical devices, as well as a suitable surface disinfectant, due to its broad-spectrum bactericidal, sporicidal virucidal, and fungicidal properties. Hydrogen peroxide disinfectant solutions are considered ideal substitutes for toxic sterilants, such as ethylene oxide and aldehyde disinfectants. Thereby, owing to the aforementioned advantages, the segment is expected to grow at a rapid pace.

End-use Insights

The hospitals and clinics segment dominated the market for high level disinfection services and held the largest revenue share of 34.6% in 2020. The segment is expected to witness a considerable growth rate over the forecast period. The rising prevalence of hospital-acquired infections is generating high demand for HLD in hospitals and other healthcare settings. Moreover, in several nations, the COVID-19 pandemic brought the use of hospital high level disinfectant services to the mainstream as part of bundle strategies to control the virus. Furthermore, the increased number of surgical procedures, stringent safety guidelines for both staff and patients, and medical waste disposal are driving the adoption of disinfection services in hospitals. However, according to the survey by the Joint Commission in 2018, more than 50.00% of hospitals were noncompliant with high-level disinfection and sterilization standard IC.02.02.01, EP2. Understanding the severity associated with HAIs, coronavirus infections, and several other infections, more hospitals should be compliant with HLD standards.

Global high level disinfection services market share, by end use, 2020 (%)

Moreover, to maintain a healthy environment in the clinic, proper hygiene and sanitation are needed. The spread of COVID-19 necessitates the implementation of preventive measures to limit the disease's spread; as a result, clinics are taking preventive measures. These factors are expected to fuel the segment's growth over the forecast period by encouraging clinics to use high level disinfection services.

The need for optimal sterility and precision in testing procedures has led to increased demand for disinfection equipment in diagnostic laboratories and research centers. In the current situation, majorly due to rising COVID-19 cases, the number of people undertaking RT PCR and rapid antigen tests has surged. This situation has created a burden on diagnostic and pathology laboratories that necessitates the use of HLD solutions. These are commonly used in research laboratories to clean medical equipment and testing kits. In addition, dissection of infected medical instruments after use is an essential aspect of research centers safety procedures that will curb false results. The FDA has set guidelines to review the safety and sterility practices in research labs, which is expected to boost segment growth.

Regional Insights

North America dominated the high level disinfection services market and accounted for the largest revenue share of 45.4% in 2020. The region is expected to witness a considerable growth rate of 9.3% over the forecast period. North America is projected to lead the high level disinfectant services industry, owing to the outbreak of COVID-19 in this area that has significantly increased demand for surface disinfectants. The Environmental Protection Agency (EPA) of the United States released an updated list of EPA-registered disinfectant services that have been qualified for use against SARS-CoV-2 in March 2020, which included approximately 200 additional services and 40 new services.

Government initiatives such as awareness campaigns and discharge surveys can help combat HAIs, the Department of Health and Human Services in the US announced the Collaboration for Patients initiative to reduce HAIs. It focuses on life-threatening HAIs such as catheter-associated urinary tract infections, bloodstream infections, SSIs, and ventilator-associated pneumonia.

Furthermore, the number of surgeries in the region has risen dramatically in recent years. According to the ASPS (American Society of Plastic Surgeons), more than 17.7 million surgical and minimally invasive aesthetic operations were performed in the US in 2018. As a result of both of these factors, North America is projected to have the highest revenue share in the market over the forecast period.

Germany is a major contributor to Europe high level disinfection services market. The presence of a well-established healthcare system, including trained staff & medical facilities, and rapid adoption of technologically advanced products, are major among factors fueling the market in Germany. According to the Federal Statistical Office, in 2019, Germany's healthcare spending was 410.8 billion Euros or 4,944 Euros per inhabitant. Thus, rising healthcare expenditure is further fueling the German market growth.

In Asia Pacific, the market for high level disinfection services is anticipated to witness the fastest growth rate over the forecast period, due to the growing cases of infection-transmitted diseases, such as COVID-19, exponentially in India, which are surging the demand for surface disinfectants.

According to statistics provided by the Union Health Ministry data, on 25th April 2021, India logged a record of 3,49,691 new coronavirus infections in a day taking its total tally of coronavirus cases to 1,69,60,172, while active cases crossed the 26-lakh mark. Moreover, a significant increase in the geriatric population susceptible to hospital-acquired infections is thereby expected to propel the regional market growth.

China’s high level disinfection services market is estimated to witness significant growth over the forecast period owing to the growing geriatric population, which is expected to transform the delivery of healthcare services and generate greater market opportunities for high level disinfectants, as this demographic is more susceptible to severe HAIs. According to 2020 census estimates, there were about 264 million (18.7%) people in China in the age group of 60 years and above. The elderly population is expected to increase to 300 million by 2025 and cross 400 million by 2033. Hence, growing geriatric population is likely to surge hospitalization, as a major patient population falls under this demographic. Thus, the demand for HLD services is expected to increase, propelling market growth.

According to the UNFPA statistics, the number of older people in Asia Pacific will triple reaching 1.3 billion by 2050. Additionally, the rising incidence of chronic diseases, rising number of surgeries, increasing prevalence of surgical site infections, and HAIs will contribute to the rising demand for HLD services leading to regional market growth.

Key Companies & Market Share Insights

Key players are involved in adopting strategies such as mergers and acquisitions, partnerships, and launching new services to strengthen their foothold in the market.

  • In July 2020, oneSOURCE collaborated with Pfiedler Education, a subsidiary of the Association of periOperative Registered Nurses (AORN Inc.), to provide free access to a webinar course from sterile processing expert Rose Seavey. The course focused on effective tools to help pass accreditation surveys and enable healthcare professionals to receive continuing education in high-level disinfection, sterilization, and implants and tissue management.

  • In June 2019, CS Medical launched TEEClean, an automated TEE probe cleaner disinfector. TEEZyme, an enzymatic solution that is injected into the cleaning and disinfection reservoir after a soiled TEE probe has been properly inserted, is used in TEEClean. It is used in high level disinfection.

Some of the prominent players in the high level disinfection services market include:

  • Altapure


  • Microchem Laboratory

  • Metrex Research, LLC.

  • EcoFMR.Com

  • Rentokil Initial plc.

  • Advance Sterilization Products (ASP)

High Level Disinfection Services Market Report Scope

Report Attribute


Market size value in 2021

USD 28.62 billion

Revenue forecast in 2028

USD 53.17 billion

Growth Rate

CAGR of 9.2% from 2021 to 2028

Base year for estimation


Historical data

2016 - 2019

Forecast period

2021 - 2028

Quantitative units

Revenue in USD million and CAGR from 2021 to 2028

Report coverage

Revenue forecast, company ranking, competitive landscape, growth factors, and trends

Segments covered

Services, compound, end use, region

Regional scope

North America; Europe; Asia Pacific; Latin America; Middle East & Africa (MEA)

Country scope

U.S.; Canada; U.K.; Germany; Japan; China; Brazil; Mexico; South Africa; Saudi Arabia

Key companies profiled

Altapure; STERIS; Microchem Laboratory; Metrex Research, LLC.; EcoFMR.Com; Rentokil Initial plc.; Advance Sterilization Products (ASP)

Customization scope

Free report customization (equivalent up to 8 analyst’s working days) with purchase. Addition or alteration to country, regional & segment scope.

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Segments Covered in the Report

This report forecasts revenue growth at global, regional, and country levels and provides an analysis of the latest industry trends in each of the sub-segments from 2016 to 2028. For the purpose of this study, Grand View Research has segmented the global high level disinfection services market report on the basis of services, compound, end use, and region:

  • Services Outlook (Revenue, USD Million, 2016 - 2028)

    • In house

    • Outsource

  • Compound Outlook (Revenue, USD Million, 2016 - 2028)

    • Formaldehyde

    • Glutaraldehyde

    • Ortho-phthalaldehyde

    • Hydrogen Peroxide

    • Peracetic Acid

    • Others

  • End-use Outlook (Revenue, USD Million, 2016 - 2028)

    • Hospitals & Clinics

    • Diagnostic Laboratories

    • Pharmaceutical & Biotechnology Companies

    • Academic and Research Institutes

    • Others

  • Regional Outlook (Revenue, USD Million, 2016 - 2028)

    • North America

      • U.S.

      • Canada

    • Europe

      • Germany

      • U.K.

    • Asia Pacific

      • Japan

      • China

    • Latin America

      • Brazil

      • Mexico

    • Middle East & Africa

      • South Africa

      • Saudi Arabia

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