Instituto Israelita de Ensino e Pesquisa Albert Einstein, Hospital Israelita Albert Einstein - 3rd floor, Av. Albert Einstein, 627/701, Morumbi, São Paulo, Brazil, 05651-901,
Curr Infect Dis Rep. 2012 Dec;14(6):585-91. doi: 10.1007/s11908-012-0288-y.
Hand hygiene (HH) is an important measure in infection prevention to decrease transmission of microbial pathogens; however, HH compliance by health-care workers (HCWs) remains suboptimal. One of the principal recommendations of current guidelines is that waterless, alcohol-based hand rubs are the preferred method for HH in most situations, due to the superior efficacy of these agents in rapidly reducing bacterial counts on hands and their ease of use. Improving HH compliance is a good quality indicator for hospital patient safety programs. Observers can follow HCWs to perform direct HH observations; however, HCWs may be prompted to clean their hands when observers are nearby, which does not represent real-world conditions. Moreover, having observers walk into patient rooms violates patient privacy and is time consuming. HH strategies using indirect metrics for surveillance (e.g., measuring the volume of HH products consumed) and the use of new technologies (e.g., electronic dispenser counters, radiofrequency, alcohol sensors, and video recording) will also be discussed.
手卫生（HH）是预防感染的重要措施，可以降低微生物病原体的传播；然而，医护人员（HCWs）的 HH 依从性仍然不理想。目前指南的主要建议之一是，在大多数情况下，无水、含酒精的手部搓手液是 HH 的首选方法，因为这些制剂在快速减少手上细菌数量方面具有更好的效果，而且使用起来也更加方便。提高 HH 依从性是医院患者安全计划的一个良好质量指标。观察者可以跟随 HCWs 进行直接 HH 观察；然而，当观察者在附近时，HCWs 可能会被提示清洁双手，这并不能代表实际情况。此外，让观察者走进患者房间会侵犯患者的隐私，而且费时费力。还将讨论使用间接指标进行 HH 监测的策略（例如，测量 HH 产品的消耗量）和新技术的使用（例如，电子分配器计数器、射频、酒精传感器和视频记录）。
