阿根廷四个城市重症监护病房中INICC多维度手卫生方法的影响
Impact of INICC Multidimensional Hand Hygiene Approach in ICUs in Four Cities in Argentina.
作者信息
Rosenthal Victor D, Viegas Mónica, Sztokhamer Daniel, Benchetrit Guillermo, Santoro Beatriz, Lastra Carlos Esteban, Romani Adriana, Di Núbila Beatriz Marta Alicia, Lanzetta Diana, Fernández Leonardo J, Rossetti María Adelaida, Migazzi Claudia, Barolin Clarisa, Martínez Estela, Bonaventura Claudio, Caridi Maria de Los Ángeles, Messina Adriana, Ricci Beatriz, Soroka Luisa C, Frías María Laura
机构信息
International Nosocomial Infection Control Consortium (INICC), Buenos Aires, Argentina (Dr Rosenthal); Centro Médico Bernal, Bernal, Argentina (Dr Rosenthal); Centro Médico Colegiales, Buenos Aires, Argentina (Dr Rosenthal); Hospital Interzonal General de Agudos Presidente Perón, Avellaneda, Argentina (Drs Viegas, Romani, Di Núbila, Lanzetta, Rossetti, Migazzi, Barolin, and Fernández, and Ms Martínez); Clínica Estrada, Buenos Aires, Argentina (Dr Sztokhamer), Centro Gallego de Buenos Aires, Buenos Aires, Argentina (Drs Benchetrit, de los Ángeles Caridi, Messina, and Ricci, and Mr Bonaventura); Hospital Interzonal General de Agudos Evita, Lanús, Argentina (Drs Santoro and Soroka); Hospital Narciso López, Lanús, Argentina (Mr Lastra); and Clínica Modelo de Lanús, Lanús, Argentina (Drs Romani and Frías).
出版信息
J Nurs Care Qual. 2015 Oct-Dec;30(4):E17-25. doi: 10.1097/NCQ.0000000000000134.
We evaluated the impact of the International Nosocomial Infection Control Consortium multidimensional approach to hand hygiene in 11 intensive care units in 4 cities in Argentina and analyzed predictors of poor hand hygiene compliance. We had a baseline period and a follow-up period. We observed 21 100 hand hygiene opportunities. Hand hygiene compliance increased from 28.3% to 64.8% (P = .0001). Males versus females (56.8% vs 66.4%; P < .001) and physicians versus nurses (46.6% vs 67.8%; P < .001) were significantly associated with poor hand hygiene compliance.
我们评估了国际医院感染控制联盟的多维度手卫生方法对阿根廷4个城市11个重症监护病房的影响，并分析了手卫生依从性差的预测因素。我们设有基线期和随访期。我们观察了21100次手卫生时机。手卫生依从性从28.3%提高到了64.8%（P = .0001）。男性与女性（56.8%对66.4%；P < .001）以及医生与护士（46.6%对67.8%；P < .001）与手卫生依从性差显著相关。
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