医院在手部卫生、手套使用和止血带使用方面的感染控制措施不力。
Poor hospital infection control practice in hand hygiene, glove utilization, and usage of tourniquets.
作者信息
Sacar Suzan, Turgut Huseyin, Kaleli Ilknur, Cevahir Nural, Asan Ali, Sacar Mustafa, Tekin Koray
机构信息
Department of Infectious Diseases and Clinical Microbiology, Pamukkale University Faculty of Medicine, Department of Infectious Diseases, Turkey.
出版信息
Am J Infect Control. 2006 Nov;34(9):606-9. doi: 10.1016/j.ajic.2006.02.006.
BACKGROUND
Hospital-acquired infection often occurs because of lapses in accepted standards of practice on the part of health care personnel. The aim of this study is to attract attention on poor hospital infection control practice in venepuncture and use of tourniquets and emphasize the importance of hand hygiene.
METHODS
Overall compliance with hygiene during usage of tourniquets and routine patient care before and after implementation of a hospital infection control measures was evaluated.
RESULTS
According to the questionnaire, only 26.9% of respondents always washed their hands both before and after venepuncture. In the second step of the study, based on direct observation, hands were washed both before and after venepuncture on only 41 (45.1%) occasions. Failure to remove gloves after patient contact was observed on 23.1% occasions.
CONCLUSION
Our survey reveals poor infection control practice in hand hygiene, glove utilization, and usage of tourniquets and the implementation of infection control measures produced a moderate improvement in compliance with them.
背景
医院获得性感染常因医护人员未遵守公认的操作规范而发生。本研究旨在引起对静脉穿刺和使用止血带时医院感染控制措施不力的关注，并强调手卫生的重要性。
方法
评估了医院感染控制措施实施前后，使用止血带和常规患者护理期间卫生的总体依从性。
结果
根据问卷，只有26.9%的受访者在静脉穿刺前后都总是洗手。在研究的第二步，基于直接观察，静脉穿刺前后仅41次（45.1%）洗手。23.1%的情况下观察到接触患者后未脱手套。
结论
我们的调查显示，在手部卫生、手套使用、止血带使用方面感染控制措施不力，而感染控制措施的实施使这些方面的依从性有适度改善。
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