Hussein Rezhan, Khakoo Rashida, Hobbs Gerald
ETSU Quillen College of Medicine, Division of Infectious Diseases, Johnson City, TN, USA.
Scand J Infect Dis. 2007;39(6-7):566-70. doi: 10.1080/00365540601126687.
Observations of hand hygiene practices of the health care workers (HCWs) were carried out at a tertiary care center by a single observer in all adult and pediatric intensive care units (ICUs) before and after educational programs. Access to alcohol-based hand rub was also increased. A survey of HCWs was carried out to determine knowledge of hand hygiene. Before interventions, mean adherence to hand hygiene in all ICUs was 54% with significant difference between adult and pediatric ICUs (p<.0001) (35% vs 90%, respectively). Traditional handwashing versus alcohol-based hand rub use was 72% versus 28%, respectively. Following the interventions, there was a significant increase (p<.0001) in hand hygiene adherence in adult ICUs (81%). 46% of survey respondents believed that alcohol-based hand rub could not be used for methicillin resistant Staphylococcus aureus infection and 21% believed that alcohol-based hand rub could be used if hands were soiled. Overall, adherence to hand hygiene in adult ICUs improved with institution of an educational program and increase in accessibility of alcohol-based hand rub. There was a statistically significant increase in the frequency of alcohol-based hand rub use; however, traditional handwashing was still preferred. The survey of HCWs revealed gaps in knowledge regarding methods of hand hygiene.
在一家三级医疗中心，由一名观察员在所有成人和儿科重症监护病房（ICU）的教育项目前后，对医护人员（HCW）的手部卫生习惯进行了观察。同时，基于酒精的洗手液的可及性也有所提高。对医护人员进行了一项调查，以确定他们对手部卫生的了解情况。在干预措施实施前，所有ICU的手部卫生平均依从率为54%，成人ICU和儿科ICU之间存在显著差异（p<0.0001）（分别为35%和90%）。传统洗手与使用基于酒精的洗手液的比例分别为72%和28%。干预措施实施后，成人ICU的手部卫生依从率显著提高（p<0.0001）（达到81%）。46%的调查受访者认为基于酒精的洗手液不能用于耐甲氧西林金黄色葡萄球菌感染，21%的受访者认为如果手部弄脏可以使用基于酒精的洗手液。总体而言，通过开展教育项目和增加基于酒精的洗手液的可及性，成人ICU的手部卫生依从情况有所改善。基于酒精的洗手液的使用频率有统计学意义的显著增加；然而，传统洗手仍然更受青睐。对医护人员的调查揭示了他们在手部卫生方法知识方面的差距。
