School of Optometry and Vision Science, University of New South Wales, Kensington 2052, Australia.
Cont Lens Anterior Eye. 2012 Apr;35(2):65-70. doi: 10.1016/j.clae.2011.11.003. Epub 2011 Dec 24.
To establish guidelines for contact lens wearers' hand hygiene practices which achieve a balance between minimising risk of infection and reasonable expectations on the ability of patients to follow them.
Evidence has been obtained from publications via PubMed, Advanced Medline Search, Cochrane Reviews, Google Scholar and using the key words hand hygiene, washing and contact lens.
Guidelines for effective hand washing and the bother involved vary according to the level of hygiene required. High levels of non-compliance with hand hygiene practices, even among healthcare workers, gives an indication of how important the level of bother involved when following guidelines can be in contributing to non-compliance.
Better patient education to improve hand washing techniques as well as patient attitudes toward hand hygiene are needed to reduce high non-compliance levels. Better hand hygiene techniques and higher frequency of their application give the prospect of reduced risk of infection and of any discomfort that arises from increased lens and ocular bioburden. In order that adoption rates might be maximised, the guidelines which have been distilled from this review attempt to strike a balance between technique redundancy and the associated higher levels of hygiene achieved and the possibility that the perception of too much bother involved could reduce participation rates. The guidelines have been expanded by the inclusion of suggested explanatory information in the expectation that helping patients to understand why the recommendations are made will have the effect of increasing their adoption.
为接触镜佩戴者的手部卫生实践制定指导方针，在降低感染风险和患者遵循这些指导方针的能力之间取得平衡。
通过 PubMed、高级医学检索、Cochrane 综述、Google Scholar 以及使用关键词“手部卫生、洗手和接触镜”，从出版物中获取证据。
有效的洗手指导方针和相关的麻烦程度因所需的卫生水平而异。即使在医护人员中，手部卫生实践的高度不依从性也表明，在遵循指导方针时，相关的麻烦程度在导致不依从性方面是多么重要。
需要更好地教育患者，以改善洗手技术和患者对手部卫生的态度，从而降低高水平的不依从率。更好的手部卫生技术和更高的应用频率有望降低感染风险和因增加镜片和眼部生物负荷而引起的任何不适。为了最大限度地提高采用率，本综述提炼出的指导方针在技术冗余和实现的更高卫生水平之间取得平衡，并考虑到感知到的麻烦程度过高可能会降低参与率。通过纳入建议的解释性信息，对指南进行了扩展，期望帮助患者理解为什么提出这些建议，将提高他们的接受率。
