Charité - University Medicine Berlin, Institute for Hygiene, Berlin, Germany.
Charité - University Medicine Berlin, Institute for Hygiene, Berlin, Germany.
Clin Microbiol Infect. 2015 Dec;21(12):1047-51. doi: 10.1016/j.cmi.2015.09.019. Epub 2015 Sep 28.
Hand hygiene is considered to be the most effective way of preventing microbial transmission and healthcare-associated infections. The use of alcohol-based hand rubs (AHRs) is the reference standard for effective hand hygiene. AHR consumption is a valuable surrogate parameter for hand hygiene performance, and it can be easily tracked in the healthcare setting. AHR availability at the point of care ensures access to optimal agents, and makes hand hygiene easier by overcoming barriers such as lack of AHRs or inconvenient dispenser locations. Data on AHR consumption and availability at the point of care in European hospitals were obtained as part of the Prevention of Hospital Infections by Intervention and Training (PROHIBIT) study, a framework 7 project funded by the European Commission. Data on AHR consumption were provided by 232 hospitals, and showed median usage of 21 mL (interquartile range (IQR) 9-37 mL) per patient-day (PD) at the hospital level, 66 mL/PD (IQR 33-103 mL/PD) at the intensive-care unit (ICU) level, and 13 mL/PD (IQR 6-25 mL/PD) at the non-ICU level. Consumption varied by country and hospital type. Most ICUs (86%) had AHRs available at 76-100% of points of care, but only approximately two-thirds (65%) of non-ICUs did. The availability of wall-mounted and bed-mounted AHR dispensers was significantly associated with AHR consumption in both ICUs and non-ICUs. The data show that further improvement in hand hygiene behaviour is needed in Europe. To what extent factors at the national, hospital and ward levels influence AHR consumption must be explored further.
手卫生被认为是预防微生物传播和医院感染的最有效方法。使用醇基手部消毒剂（AHR）是有效手卫生的参考标准。AHR 的消耗量是手卫生效果的一个有价值的替代参数，可以在医疗机构中轻松跟踪。在护理点提供 AHR 可以确保使用最佳的消毒剂，并通过克服缺乏 AHR 或分配器位置不便等障碍，使手卫生更加容易。欧洲医院 AHR 在护理点的消耗和供应数据是作为预防医院感染干预和培训（PROHIBIT）研究的一部分获得的，该研究是欧盟委员会资助的框架 7 项目。232 家医院提供了 AHR 消耗数据，显示医院层面每个患者日（PD）的中位数使用率为 21 毫升（四分位间距（IQR）9-37 毫升），重症监护病房（ICU）层面为 66 毫升/PD（IQR 33-103 毫升/PD），非 ICU 层面为 13 毫升/PD（IQR 6-25 毫升/PD）。消耗量因国家和医院类型而异。大多数 ICU（86%）在 76-100%的护理点都有 AHR，但只有大约三分之二（65%）的非 ICU 有。壁挂式和床旁式 AHR 分配器的供应情况与 ICU 和非 ICU 中的 AHR 消耗显著相关。数据显示，欧洲需要进一步改善手卫生行为。必须进一步探讨国家、医院和病房各级因素对 AHR 消耗的影响程度。
