Cohen H A, Kitai E, Levy I, Ben-Amitai D
Pediatric Ambulatory Center, Department of Family Medicine, Petach Tiqwa, Israel.
Dermatology. 2002;205(4):358-61. doi: 10.1159/000066421.
The hands of health care workers are a major source of nosocomial infection. Studies conducted mainly in intensive-care units and emergency departments have shown low compliance with hand hygiene recommendation.
To study hand hygiene practices in outpatient dermatology clinics in Israel.
The fingers of 13 dermatologist physicians were sampled for bacterial cultures and their hand hygiene practices were monitored by two observers. In addition, 51 dermatologists attending a professional conference completed a questionnaire on hand hygiene practice.
All the physicians' hands were found to be contaminated. Staphylococcus aureus was isolated in 9 cases (69.2%), a methicillin-resistant S. aureus in 1 (7.7%). Monitoring revealed 555 opportunities for handwashing; the average compliance was 31.4%. In the questionnaire, the main reasons given for poor hand hygiene were excessive work schedule (58%), lack of awareness (35.3%), reaction to disinfectants (17.7%) and lack of readily available facilities (15.7%).
The hands of dermatologists are frequently colonized with microbial pathogens, but compliance with hand hygiene practice recommendations is low, despite a fairly high awareness of the importance. An active educational infection control program should be introduced in dermatology clinics.
医护人员的手是医院感染的主要来源。主要在重症监护病房和急诊科进行的研究表明，手部卫生建议的依从性较低。
研究以色列门诊皮肤科诊所的手部卫生习惯。
对13名皮肤科医生的手指进行细菌培养采样，并由两名观察员监测他们的手部卫生习惯。此外，51名参加专业会议的皮肤科医生填写了一份关于手部卫生习惯的问卷。
发现所有医生的手都被污染。9例（69.2%）分离出金黄色葡萄球菌，1例（7.7%）分离出耐甲氧西林金黄色葡萄球菌。监测发现有555次洗手机会；平均依从率为31.4%。在问卷中，手部卫生不良的主要原因是工作安排过多（58%）、缺乏意识（35.3%）、对消毒剂有反应（17.7%）和缺乏便利设施（15.7%）。
皮肤科医生的手经常被微生物病原体定植，尽管对重要性有相当高的认识，但手部卫生习惯建议的依从性较低。皮肤科诊所应引入积极的感染控制教育计划。
