基于酒精的手部消毒：重症监护病房中一种更有效的手部卫生方法。

Alcohol-based hand disinfection: a more robust hand-hygiene method in an intensive care unit.

作者信息

Tvedt C, Bukholm G

机构信息

Institute of Clinical Epidemiology and Molecular Biology, Akershus University Hospital, 1474 Nordbyhagen, Norway.

出版信息

J Hosp Infect. 2005 Mar;59(3):229-34. doi: 10.1016/j.jhin.2004.10.003.

DOI:10.1016/j.jhin.2004.10.003

PMID:15694980

Abstract

This study involved observation of hand-hygiene behaviour and evaluation of the effect of alcohol-based hand disinfection and handwashing with plain liquid soap on microbial flora. The study was performed in a combined medical and surgical intensive care unit. We demonstrated a crude compliance of hand hygiene of 50.4%, which was only performed adequately in 20.8% of cases. Of this group, handwashing and hand-disinfection procedures were performed properly 34.0% and 71.6% of the time, respectively. Hand samples for bacteriological examinations with the glove juice method demonstrated that whilst handwashing was sensitive to the way in which hand hygiene was performed, alcohol-based hand disinfection was less sensitive to such performance. Our study demonstrated that alcohol-based hand disinfection is a robust hand-hygiene method with many advantages in a practical setting. It is very feasible for use in hospital wards.

摘要

本研究涉及对手卫生行为的观察，以及对基于酒精的手部消毒和使用普通液体肥皂洗手对微生物菌群的影响评估。该研究在一个综合医疗和外科重症监护病房进行。我们发现手部卫生的粗略依从率为50.4%，其中只有20.8%的情况执行得当。在这一组中，洗手和手部消毒程序分别在34.0%和71.6%的时间内正确执行。采用手套汁法进行细菌学检查的手部样本表明，虽然洗手对手卫生的执行方式敏感，但基于酒精的手部消毒对这种执行方式不太敏感。我们的研究表明，基于酒精的手部消毒是一种强大的手部卫生方法，在实际应用中有许多优点。它在医院病房使用非常可行。