Bibbolino C, Pittalis S, Schininà V, Busi Rizzi E, Puro V
Unità Operativa Complessa di Radiologia e Diagnostica per Immagine, Dipartimento di Epidemiologia e Ricerce Pre-Clinica, Istituto Nazionale per le Malattie Infettive Lazzaro Spallanzani IRCCS, Via Portuense 292, 00149, Roma, Italy.
Radiol Med. 2009 Feb;114(1):111-20. doi: 10.1007/s11547-009-0363-0. Epub 2009 Jan 29.
Healthcare-associated infections are a critical challenge for the public health sector. Most are acquired through contact, predominantly with the hands of health care personnel. Hand hygiene, therefore, is the single most effective measure for preventing and controlling infectious diseases. Recently, cases of acute hepatitis C occurred in patients who had undergone contrast-enhanced computed tomography. This was probably related to inadequate handling by health care staff. Rigorous compliance with standard precautions is therefore compulsory even in radiology, a setting traditionally considered at low risk for the transmission of pathogens. Adherence to standard precautions is still poor and the persistence of inappropriate practices responsible for preventable incidents is very common in radiology, often owing to underestimation of risk. Radiology units must promote compliance with correct hand hygiene through appropriate education programmes and provision of adequate areas and hand hygiene products. The evidence base to support the use of alcohol-based hand rub is demonstrating that these formulations are effective in improving hand hygiene compliance and preventing infections.
医疗保健相关感染是公共卫生部门面临的一项严峻挑战。大多数感染是通过接触传播的，主要是与医护人员的手接触。因此，手部卫生是预防和控制传染病的最有效措施。最近，接受过对比增强计算机断层扫描的患者中出现了急性丙型肝炎病例。这可能与医护人员处理不当有关。因此，即使在传统上被认为病原体传播风险较低的放射科，严格遵守标准预防措施也是必不可少的。在放射科，对标准预防措施的遵守情况仍然很差，导致可预防事件的不当操作持续存在的情况非常普遍，这往往是由于对风险的低估。放射科必须通过适当的教育计划以及提供足够的区域和手部卫生用品来促进正确的手部卫生遵守情况。支持使用酒精类擦手液的证据表明，这些制剂在提高手部卫生遵守情况和预防感染方面是有效的。
