Atlanta Veterans' Affairs Medical Center, Atlanta, GA, USA.
Am J Infect Control. 2010 Sep;38(7):515-7. doi: 10.1016/j.ajic.2009.11.005. Epub 2010 Mar 2.
Hand hygiene compliance rates among health care workers (HCW) rarely exceed 50%. Contact precautions are thought to increase HCWs' hand hygiene awareness. We sought to determine any differences in hand hygiene compliance rates for HCW between patients in contact precaution and those not in any isolation.
In a hospital's medical (MICU) and surgical (SICU) intensive care units, a trained observer directly observed hand hygiene by the type of room (contact precaution or noncontact precaution) and the type of HCW (nurse or doctor).
The SICU had similar compliance rates (36/75 [50.7%] in contact precaution rooms vs 223/431 [51.7%] compliance in noncontact precaution rooms, P > .5); the MICU also had similar hand hygiene compliance rates (67/132 [45.1%] in contact precaution rooms vs 96/213 [50.8%] in noncontact precaution rooms, P > .10). Hand hygiene compliance rates stratified by HCW were similar with 1 exception. The MICU nurses had a higher rate of hand hygiene compliance in contact precaution rooms than in rooms with noncontact precautions (66.7% vs 51.6%, respectively).
Compliance with hand hygiene among HCWs did not differ between contact precaution rooms and rooms with noncontact precautions with the exception of the nurses in the MICU.
医护人员（HCW）的手卫生合格率很少超过 50%。接触预防措施被认为可以提高 HCW 的手卫生意识。我们试图确定接触预防患者与非隔离患者之间 HCW 的手卫生合格率是否存在差异。
在医院的医疗（MICU）和外科（SICU）重症监护病房中，经过培训的观察员根据房间类型（接触预防或非接触预防）和 HCW 类型（护士或医生）直接观察手卫生情况。
SICU 的合格率相似（接触预防室为 36/75[50.7%]，非接触预防室为 223/431[51.7%]，P>.5）；MICU 的手卫生合格率也相似（接触预防室为 67/132[45.1%]，非接触预防室为 96/213[50.8%]，P>.10）。除了一个例外，HCW 的手卫生合格率分层比较相似。MICU 的护士在接触预防室的手卫生合格率高于非接触预防室（分别为 66.7%和 51.6%）。
接触预防室和非接触预防室的 HCW 手卫生合格率除了 MICU 的护士外没有差异。
