Graham M
Clinical Microbiology Department, Sir Charles Gairdner Hospital, Nedlands, Western Australia.
Am J Infect Control. 1990 Apr;18(2):77-81. doi: 10.1016/0196-6553(90)90085-7.
The effects on hand decontamination of the introduction of an antiseptic handrub lotion in an intensive care unit was studied. To obtain baseline data, nursing, medical, physiotherapy, radiology, and orderly staff members were observed. Further observations were carried out after the introduction of the handrub lotion. Patient care activities were classified as high or low, according to the degree of contact with the patients or their equipment. A total of 884 patient contacts and 341 hand decontamination episodes was observed: 440 contacts and 140 handwashes in stage one (32%) and 444 contacts and 201 handwashes in stage two (45%). There was an increase of 13% in hand decontamination frequency after the introduction of the handrub lotion. The data indicate that the frequency of hand decontamination is below levels recommended by infection control authorities. Increasing the accessibility of hand decontamination facilities did result in a slight increase in handwashing compliance.
研究了在重症监护病房引入抗菌洗手液对手部消毒的影响。为获取基线数据，对护理、医疗、物理治疗、放射科和勤杂人员进行了观察。在引入洗手液后又进行了进一步观察。根据与患者或其设备的接触程度，将患者护理活动分为高或低两类。共观察到884次患者接触和341次手部消毒事件：第一阶段有440次接触和140次洗手（32%），第二阶段有444次接触和201次洗手（45%）。引入洗手液后，手部消毒频率提高了13%。数据表明，手部消毒频率低于感染控制当局建议的水平。增加手部消毒设施的可及性确实导致了洗手依从性略有提高。
