Nguyen Kim V, Nguyen Phuong Tran My, Jones Stephanie L
Infection Control Department, Binh Dan Hospital, Ho Chi Minh City, Vietnam.
Trop Med Int Health. 2008 Oct;13(10):1297-302. doi: 10.1111/j.1365-3156.2008.02141.x.
To determine the effectiveness of hand hygiene in a developing healthcare setting in reducing nosocomial infections (NIs).
Prospective study measuring NI rates in a urology ward in Ho Chi Minh City, Vietnam, before and after implementation of a hand hygiene programme with an alcohol-based decontaminant, and compliance rates of medical staff and carers with hand hygiene using standardised observation sheets.
Incidence of NIs fell by 84%, from 13.1% to 2.1%, after implementation of the hand hygiene programme. Extended-spectrum beta-lactamase production was detected in 38.2%-50% of Enterobacteriaceae isolated from clinical samples. Length of patient stay and cost to the patient for antibiotics were reduced after implementation of the hand hygiene programme.
The hand hygiene programme was effective in reducing incidence of NIs, leading to shorter inpatient stays and reduced treatment costs. Such programmes with measurable outcomes can be implemented at minimal cost in developing health contexts and should be promoted in all healthcare settings.
确定在发展中国家的医疗环境中手部卫生在降低医院感染（NI）方面的有效性。
在越南胡志明市的一个泌尿外科病房进行前瞻性研究，在实施使用含酒精去污剂的手部卫生计划之前和之后测量NI发生率，并使用标准化观察表记录医务人员和护理人员手部卫生的依从率。
实施手部卫生计划后，NI的发生率从13.1%降至2.1%，下降了84%。从临床样本中分离出的肠杆菌科细菌中有38.2%-50%检测出产超广谱β-内酰胺酶。实施手部卫生计划后，患者住院时间缩短，患者抗生素治疗费用降低。
手部卫生计划在降低NI发生率方面有效，从而缩短了住院时间并降低了治疗成本。此类具有可衡量结果的计划可以在发展中国家的卫生环境中以最低成本实施，应在所有医疗环境中推广。
