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本文引用的文献

1
[Compliance with hand hygiene guidelines on intensive care units at a university medical centre with surgical focus].[一所专注于外科的大学医学中心重症监护病房对手卫生指南的依从性]
Dtsch Med Wochenschr. 2014 Jun;139(25-26):1341-5. doi: 10.1055/s-0034-1370143. Epub 2014 Jun 10.
2
Implementation of the world health organization hand hygiene improvement strategy in critical care units.世界卫生组织手部卫生改善策略在重症监护病房中的实施。
Antimicrob Resist Infect Control. 2013 May 14;2(1):15. doi: 10.1186/2047-2994-2-15.
3
Hand disinfection in a neonatal intensive care unit: continuous electronic monitoring over a one-year period.新生儿重症监护病房的手部消毒：一年连续电子监测。
BMC Infect Dis. 2012 Oct 8;12:248. doi: 10.1186/1471-2334-12-248.
4
Hand hygiene in pediatric and neonatal intensive care unit patients: daily opportunities and indication- and profession-specific analyses of compliance.儿科和新生儿重症监护病房患者的手部卫生：日常机会以及依从性的指征和专业分析。
Am J Infect Control. 2011 Nov;39(9):732-7. doi: 10.1016/j.ajic.2010.12.020. Epub 2011 Jun 25.
5
Hand hygiene practices in a neonatal intensive care unit in Ghana.加纳一家新生儿重症监护病房的手部卫生习惯
J Infect Dev Ctries. 2009 Jun 1;3(5):352-6. doi: 10.3855/jidc.242.
6
Measurement of compliance with hand hygiene.手部卫生依从性的测量。
J Hosp Infect. 2007 May;66(1):6-14. doi: 10.1016/j.jhin.2006.11.013. Epub 2007 Feb 5.
7
Poor hospital infection control practice in hand hygiene, glove utilization, and usage of tourniquets.医院在手部卫生、手套使用和止血带使用方面的感染控制措施不力。
Am J Infect Control. 2006 Nov;34(9):606-9. doi: 10.1016/j.ajic.2006.02.006.
8
Evidence-based model for hand transmission during patient care and the role of improved practices.患者护理期间手部传播的循证模型及改进措施的作用。
Lancet Infect Dis. 2006 Oct;6(10):641-52. doi: 10.1016/S1473-3099(06)70600-4.
9
An examination of covert observation and solution audit as tools to measure the success of hand hygiene interventions.将隐蔽观察和解决方案审核作为衡量手部卫生干预措施成功与否的工具进行考察。
Am J Infect Control. 2006 Apr;34(3):95-9. doi: 10.1016/j.ajic.2005.07.006.
10
Hand hygiene: simple and complex.手部卫生：简单而复杂。
Int J Infect Dis. 2005 Jan;9(1):3-14. doi: 10.1016/j.ijid.2004.05.005.

新生儿和儿科重症监护病房医护人员手部卫生规范的依从性：直接观察法

Compliance of healthcare workers with hand hygiene practices in neonatal and pediatric intensive care units: overt observation.

作者信息

Karaaslan Ayşe, Kepenekli Kadayifci Eda, Atıcı Serkan, Sili Uluhan, Soysal Ahmet, Çulha Gülcan, Pekru Yasemin, Bakır Mustafa

机构信息

Department of Pediatrics, Division of Pediatric Infectious Diseases, Marmara University Medical Faculty, Istanbul, Turkey.

Department of Infectious Diseases, Marmara University Medical Faculty, Istanbul, Turkey.

出版信息

Interdiscip Perspect Infect Dis. 2014;2014:306478. doi: 10.1155/2014/306478. Epub 2014 Nov 25.

DOI:10.1155/2014/306478
PMID:25525428
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4262750/
Abstract

Background. The objective of this study was to assess the compliance of hand hygiene (HH) of healthcare workers (HCWs) in the neonatal and pediatric intensive care unit in a tertiary university hospital in Istanbul. Methods. An observational study was conducted on the compliance of HH for the five World Health Organization (WHO) indications. HCWs were observed during routine patient care in day shift. The authors also measured the technique of HH through hand washing or hand hygiene with alcohol-based disinfectant. Results. A total of 704 HH opportunities were identified during the observation period. Overall compliance was 37.0% (261/704). Compliance differed by role: nurses (41.4%) and doctors (31.9%) [P = 0.02, OR: 1.504, CI 95%: 1.058-2.137]. HCWs were more likely to use soap and water (63.6%) compared to waterless-alcohol-based hand hygiene (36.3%) [P < 0.05]. Conclusion. Adherence to hand hygiene practice and use of alcohol-based disinfectant was found to be very low. Effective education programs that improve adherence to hand hygiene and use of disinfectants may be helpful to increase compliance.

摘要

背景。本研究的目的是评估伊斯坦布尔一所三级大学医院新生儿及儿科重症监护病房医护人员的手卫生（HH）依从性。方法。针对世界卫生组织（WHO）规定的五项指征对手卫生依从性开展了一项观察性研究。在日班常规患者护理期间对医护人员进行观察。作者还通过洗手或使用含酒精消毒剂进行手卫生来测定手卫生技术。结果。在观察期内共识别出704次手卫生时机。总体依从率为37.0%（261/704）。依从性因角色而异：护士为41.4%，医生为31.9%[P = 0.02，比值比：1.504，95%置信区间：1.058 - 2.137]。与使用无水酒精类手卫生产品相比，医护人员更倾向于使用肥皂和水（63.6%）[P < 0.05]。结论。发现手卫生实践的依从性以及含酒精消毒剂的使用非常低。开展有效的教育项目以提高手卫生依从性和消毒剂使用可能有助于提高依从率。