EXHIBIT 10.42


                                  EXHIBIT 10.42
                                 AMENDMENT NO. 6

         THIS AMENDMENT NO. 6 (this "AMENDMENT"), dated as of September 22,
2000, is by and among STERILE RECOVERIES, INC., a Florida corporation (the
"BORROWER"), certain Subsidiaries of the Borrower identified on the signature
pages hereto (each a "GUARANTOR", and collectively, the "GUARANTORS"), the
Lenders identified on the signature pages hereto (the "LENDERS") and FIRST UNION
NATIONAL BANK, as Agent for the Lenders (the "AGENT").

                                                W I T N E S S E T H:

         WHEREAS, pursuant to the Credit Agreement dated as of February 24,
1999, as amended from time to time prior to the date hereof (the "EXISTING
CREDIT AGREEMENT") among the Borrower, the Guarantors, the Lenders and the
Agent, the Lenders have extended commitments to make certain credit facilities
available to the Borrower;

         WHEREAS, the parties hereto have agreed to amend the Existing Credit
Agreement as set forth herein;

         NOW, THEREFORE, in consideration of the agreements herein contained,
the parties hereby agree as follows:

                                     PART I
                                   DEFINITIONS

                  SUBPART 1.1. CERTAIN DEFINITIONS. Unless otherwise defined
         herein or the context otherwise requires, the following terms used in
         this Amendment No. 6, including its preamble and recitals, have the
         following meanings:

                           "AMENDED CREDIT AGREEMENT" means the Existing Credit
                  Agreement as amended hereby.

                           "AMENDMENT NO. 6 EFFECTIVE DATE" is defined in
                  SUBPART 3.1.

                  SUBPART 1.2. OTHER DEFINITIONS. Unless otherwise defined
         herein or the context otherwise requires, terms used in this Amendment,
         including its preamble and recitals, have the meanings provided in the
         Amended Credit Agreement.

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                                     PART II
                     AMENDMENTS TO EXISTING CREDIT AGREEMENT

         Effective on (and subject to the occurrence of) the Amendment No. 6
Effective Date, the Existing Credit Agreement is hereby amended in accordance
with this Part II. Except as so amended, the Existing Credit Agreement shall
continue in full force and effect.

                  SUBPART 2.1. SECTION 1.1. The definition of "Required Lenders"
         appearing in Section 1.1 of the Existing Credit Agreement is amended
         and restated in its entirety to read as follows:

                  "REQUIRED LENDERS" means, at any time, Lenders which are then
         in compliance with their obligations hereunder (as determined by the
         Agent) and holding in the aggregate at least 66 2/3 % of (i) the
         Revolving Commitments (and participation interests therein) or (ii) if
         the Commitments have been terminated, the outstanding Loans, LOC
         Obligations and participation interests.

                                    PART III
                           CONDITIONS TO EFFECTIVENESS

                  SUBPART 3.1. AMENDMENT NO. 6 EFFECTIVE DATE. This Amendment
         shall be and become effective as of the date hereof (the "AMENDMENT NO.
         6 EFFECTIVE DATE") when all of the conditions set forth in this PART
         III shall have been satisfied, and thereafter this Amendment shall be
         known, and may be referred to, as "AMENDMENT NO. 6."

                  SUBPART 3.2. EXECUTION OF COUNTERPARTS OF AMENDMENT. The Agent
         shall have received counterparts (or other evidence of execution,
         including telephonic message, satisfactory to the Agent) of this
         Amendment, which collectively shall have been duly executed on behalf
         of each of the Borrower, the Guarantors, the Agent and the Lenders.

                  SUBPART 3.3. FEES AND EXPENSES. There shall have been paid by
         the Borrower to the Agent, any accrued and unpaid fees due under the
         Credit Agreement (including, without limitation, legal fees and
         expenses) .



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                                     PART IV
                                  MISCELLANEOUS

                  SUBPART 4.1. CROSS-REFERENCES. References in this Amendment to
         any Part or Subpart are, unless otherwise specified, to such Part or
         Subpart of this Amendment.

                  SUBPART 4.2. INSTRUMENT PURSUANT TO EXISTING CREDIT AGREEMENT.
         This Amendment is a Credit Document executed pursuant to the Existing
         Credit Agreement and shall (unless otherwise expressly indicated
         therein) be construed, administered and applied in accordance with the
         terms and provisions of the Existing Credit Agreement.

                  SUBPART 4.3. REFERENCES IN OTHER CREDIT DOCUMENTS. At such
         time as this Amendment No. 6 shall become effective pursuant to the
         terms of SUBPART 3.1, all references in the Existing Credit Agreement
         to the "Agreement" and all references in the other Credit Documents to
         the "Credit Agreement" shall be deemed to refer to the Existing Credit
         Agreement as amended by this Amendment.

                  SUBPART 4.4. AFFIRMATION OF LIENS. The Borrower and the
         Guarantors, as applicable, affirm the liens and security interests
         created and granted in the Existing Credit Agreement and the Credit
         Documents and agree that this Amendment shall in no manner adversely
         affect or impair such liens and security interests.

                  SUBPART 4.5. REPRESENTATIONS AND WARRANTIES. The Borrower and
         the Guarantors hereby represent and warrant as follows:

                           (i) Each Credit Party has taken all necessary action
                  to authorize the execution, delivery and performance of this
                  Amendment.

                           (ii) This Amendment has been duly executed and
                  delivered by the Credit Parties and constitutes each of the
                  Credit Parties' legal, valid and binding obligations,
                  enforceable in accordance with its terms, except as such
                  enforceability may be subject to (i) bankruptcy, insolvency,
                  reorganization, fraudulent conveyance or transfer, moratorium
                  or similar laws affecting creditors' rights generally and (ii)
                  general principles of equity (regardless of whether such
                  enforceability is considered in a proceeding at law or in
                  equity).

                           (iii) No consent, approval, authorization or order
                  of, or filing, registration or qualification with, any court
                  or Governmental Authority or


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<PAGE>

                  third party is required in connection with the execution,
                  delivery or performance by any Credit Party of this Amendment.

                           (iv) The representations and warranties of the Credit
                  Parties set forth in Article VI of the Amended Credit
                  Agreement are true and correct in all material respects as of
                  the date hereof.

                           (v) No Default or Event of Default exists under the
                  Existing Credit Agreement on and as of the date hereof after
                  giving effect to the amendments contained herein.

                           (vi) No Credit Party, to the best of its knowledge,
                  has any counterclaims, offsets, credits or defenses to the
                  Credit Documents and the performance of its obligations
                  thereunder.

                  SUBPART 4.6. ACKNOWLEDGMENT. The Guarantors (i) acknowledge
         and consent to all of the terms and conditions of this Amendment, (ii)
         affirm all of their obligations under the Credit Documents and (iii)
         agree that this Amendment and all documents executed in connection
         herewith do not operate to reduce or discharge the Guarantors'
         obligations under the Amended Credit Agreement or the other Credit
         Documents.

                  SUBPART 4.7. COUNTERPARTS. This Amendment may be executed by
         the parties hereto in several counterparts, each of which shall be
         deemed to be an original and all of which shall constitute together but
         one and the same agreement.

                  SUBPART 4.8. GOVERNING LAW. THIS AMENDMENT SHALL BE DEEMED TO
         BE A CONTRACT MADE UNDER AND GOVERNED BY THE INTERNAL LAWS OF THE STATE
         OF FLORIDA WITHOUT GIVING EFFECT TO THE CONFLICT OF LAW PRINCIPLES
         THEREOF.

                  SUBPART 4.9. SUCCESSORS AND ASSIGNS. This Amendment shall be
         binding upon and inure to the benefit of the parties hereto and their
         respective successors and assigns.



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Each of the parties hereto has caused a counterpart of this Amendment to be duly
executed and delivered as of the date first above written.

BORROWER:                                   STERILE RECOVERIES, INC.,
--------                                    a Florida corporation


                                            By:    /s/  D. JON MCGUIRE
                                               ---------------------------------

                                            Title: VICE PRESIDENT
                                                  ------------------------------

GUARANTOR:                                  REPAK SURGICAL ENTERPRISES, INC.,
---------                                   an Ohio corporation


                                            By:    /s/  D. JON MCGUIRE
                                               ---------------------------------

                                            Title: VICE PRESIDENT
                                                  ------------------------------


LENDERS:                                    FIRST UNION NATIONAL BANK
-------                                     individually in its capacity as
                                            a Lender and in its
                                            capacity as Agent

                                            By:      /s/ JOYCE L. BARRY
                                               ---------------------------------

                                            Title:   SENIOR VICE PRESIDENT
                                                  ------------------------------


                                            SOUTHTRUST BANK

                                            By:      /s/ CHARLES S. SCHWARTZ
                                               ---------------------------------

                                            Title:   VICE PRESIDENT
                                                  ------------------------------


SIGNATURE PAGE
AMENDMENT NO. 6
TO STERILE RECOVERIES, INC. CREDIT AGREEMENT