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法国一家大学医院的洗手依从性:引入基于无水酒精溶液的擦手方法后的新视角

Handwashing compliance in a French university hospital: new perspective with the introduction of hand-rubbing with a waterless alcohol-based solution.

作者信息

Girou E, Oppein F

机构信息

Unité d'hygiène et Prévention de l'Infection, Hôpital Henri Mondor, Hôpitaux de Paris, Créteil, France. emmanuelle.

出版信息

J Hosp Infect. 2001 Aug;48 Suppl A:S55-7. doi: 10.1016/s0195-6701(01)90015-5.

DOI:10.1016/s0195-6701(01)90015-5
PMID:11759028
Abstract

The baseline compliance with handwashing in a French university hospital was as low as the compliance rates reported in other countries, i.e., less than 50%. By introducing the use of hand-rubbing with an alcoholic solution, as a substitution method for both handwashing with soap and handwashing with an antiseptic agent, we significantly improved hand-cleansing compliance. Despite these encouraging results, mainly due to the accessibility of these non-aqueous products, three major obstacles remain before a wide acceptance by healthcare workers: distrust in terms of efficacy, distrust in terms of skin tolerance and lack of knowledge on hand-cleansing indications.

摘要

法国一家大学医院的洗手基线依从性与其他国家报告的依从率一样低,即低于50%。通过引入使用含酒精溶液擦手,作为用肥皂洗手和用消毒剂洗手的替代方法,我们显著提高了手部清洁的依从性。尽管取得了这些令人鼓舞的结果,主要由于这些非水性产品易于获取,但在医护人员广泛接受之前仍存在三个主要障碍:对功效的不信任、对皮肤耐受性的不信任以及对手部清洁指征缺乏了解。

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Efficacy of handrubbing with alcohol based solution versus standard handwashing with antiseptic soap: randomised clinical trial.
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BMJ. 2002 Aug 17;325(7360):362. doi: 10.1136/bmj.325.7360.362.