Arias Ariadna V, Garcell Humberto G, Ochoa Yagdeline R, Arias Katiana F, Miranda Fernando R
Infection Control Department, TCH Hamad Medical Corporation, Doha, Qatar.
Nursing Department, TCH Hamad Medical Corporation, Doha, Qatar.
J Infect Public Health. 2016 May-Jun;9(3):366-9. doi: 10.1016/j.jiph.2015.11.006. Epub 2015 Dec 19.
The quality of hand hygiene was evaluated via direct observation for compliance with the six recommended World Health Organization steps. A total of 2497 HH opportunities, of which 1573 (63.0%) were hand rubs, were monitored over a five month period. Compliance was higher in nurses compared with physicians and auxiliaries and in steps 1 and 2 for hand rubs as well as the first three steps of hand washing, with lower rates after these steps. Rubbing of the thumbs and fingertips achieved the lowest rates of compliance in both HH types. A combination of the five recommended moments and six steps and staff education is recommended to improve the quality of hand hygiene.
通过直接观察是否遵守世界卫生组织推荐的六个步骤来评估手卫生质量。在五个月的时间里，共监测了2497次手卫生机会，其中1573次（63.0%）为使用洗手液揉搓，护士的依从性高于医生和辅助人员，使用洗手液揉搓时步骤1和2以及洗手的前三个步骤的依从性较高，在这些步骤之后依从率较低。在两种手卫生类型中，拇指和指尖的揉搓依从率最低。建议将五个推荐时机、六个步骤和人员教育相结合，以提高手卫生质量。
