Hirschmann H, Fux L, Podusel J, Schindler K, Kundi M, Rotter M, Wewalka G
Community Hospital Feldkirch, University of Vienna, Austria.
J Hosp Infect. 2001 Nov;49(3):199-203. doi: 10.1053/jhin.2001.1077.
In a prospective multi-centre study involving 1132 peripheral venous catheters in three hospitals, the relationship between various measures of hand hygiene before insertion of peripheral venous catheters and the frequency of infectious complications', such as local reddening, swelling, pain, purulence and fever of unknown origin, were analysed. For documentation of the relevant data, special protocol forms, one for each catheter, were filled in at the time of insertion and removal of catheters. In comparison with simple hand washing, disinfection of hands before the insertion or wearing of gloves resulted in significantly fewer complications (relative risk 0.59 and 0.66, respectively). Normal hand washing was no better than no hand hygiene (relative risk 1.13), with regard to reduction of complications. This underlines the necessity of employing more effective measures of hand hygiene. The frequency of complications was dependent on the duration of peripheral venous catheterization. Catheters inserted in the operating room had a significantly lower risk of complications than catheters inserted on the ward or in the outpatient unit.
在一项涉及三家医院1132根外周静脉导管的前瞻性多中心研究中，分析了外周静脉导管插入前各种手部卫生措施与感染并发症发生率之间的关系，这些并发症包括局部发红、肿胀、疼痛、化脓以及不明原因发热。为记录相关数据，在插入和拔除每根导管时都填写了专门的协议表格。与简单洗手相比，插入导管前或戴手套前对手部进行消毒可显著减少并发症的发生（相对风险分别为0.59和0.66）。就减少并发症而言，普通洗手并不比不进行手部卫生措施更好（相对风险为1.13）。这凸显了采用更有效手部卫生措施的必要性。并发症的发生率取决于外周静脉置管的持续时间。在手术室插入的导管发生并发症的风险明显低于在病房或门诊科室插入的导管。
