Leventhal Douglas D, Lavasani Leela, Reiter David
Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
Arch Facial Plast Surg. 2009 Jul-Aug;11(4):230-4. doi: 10.1001/archfacial.2009.7.
(1) To define and characterize knowledge of effective hand hygiene and its scientific basis among practicing facial plastic surgeons; (2) to review the existing literature of, basis for, and guidelines on hand washing in clinical practice; and (3) to motivate and facilitate optimum hand hygiene among facial plastic surgeons.
National Web-based physician survey and literature review.
We conducted a national Web-based survey of members of the American Academy of Facial Plastic and Reconstructive Surgery regarding general patient safety practices. A subset of the survey assessed physicians' knowledge of hand hygiene, including supporting rationale and actual practices. One hundred and twenty-two facial plastic surgeons of various demographics replied to the online survey. Of these, 65 (53%) correctly knew which hand washing agents are most effective at killing microorganisms, 88 (74%) knew the preferred hand-washing method for visibly soiled hands, and 51 (42%) correctly identified the indications for hand washing.
Adherence to hand hygiene practices is suboptimal among facial plastic surgeons. There seems to be a lack of knowledge regarding indications, methods, and appropriate agents for hand hygiene. Promotion of Centers for Disease Control and Prevention guidelines is an important step in increasing hand hygiene compliance among facial plastic surgeons.
（1）界定并描述执业面部整形外科医生对有效手部卫生的认识及其科学依据；（2）回顾临床实践中洗手的现有文献、依据和指南；（3）激励并促进面部整形外科医生保持最佳手部卫生。
基于网络的全国医生调查和文献回顾。
我们针对美国面部整形与重建外科学会会员开展了一项关于一般患者安全实践的全国性网络调查。该调查的一个子部分评估了医生对手部卫生的认识，包括支持理由和实际做法。122名不同人口统计学特征的面部整形外科医生回复了在线调查。其中，65名（53%）正确知晓哪种洗手剂在杀灭微生物方面最有效，88名（74%）知道针对明显脏污的手首选的洗手方法，51名（42%）正确识别了洗手的指征。
面部整形外科医生对手部卫生实践的依从性欠佳。在洗手的指征、方法和合适的洗手剂方面似乎存在知识欠缺。推广疾病控制与预防中心的指南是提高面部整形外科医生手部卫生依从性的重要一步。
