[重症监护专业人员对手卫生五个时刻的依从性]
[Adherence to the five moments for hand hygiene among intensive care professionals].
作者信息
de Souza Luccas Melo, Ramos Maríndia Fernandes, Santos da Silva Becker Evelin, da Silva Meirelles Lisiani Celina, Monteiro Suzana Aparecida Oliveira
机构信息
Universidade Luterana do Brasil, Gravataí, Rio Grande do Sul, Brasil.
Hospital Dom João Becker, Gravataí, Rio Grande do Sul, Brasil.
出版信息
Rev Gaucha Enferm. 2015 Dec;36(4):21-8. doi: 10.1590/1983-1447.2015.04.49090.
OBJECTIVE
To identify the adherence of health professionals of an intensive care unit to the five moments for hand hygiene.
METHOD
Cross-sectional analytical study with a quantitative approach, based on secondary data from a database of a hospital infection control service at an institution in southern Brazil. A total of 793 observations were analyzed from July to December 2012.
RESULTS
Hand washing was not performed in 446 (56.2%) of the observations, and the adherence rate was 43.7%. The greatest adherence to hand hygiene was among the physiotherapists (53.5%) and the lowest adherence was among the nursing staff (29.2%). The indications with the lowest adherence rates to hand hygiene were "before touching the patient" (18.4%) and "before aseptic procedure" (20.9%).
CONCLUSION
We conclude that adherence to hand washing does not comply with the national and international guidelines, especially when we consider the current scenario of growing infections caused by multidrug-resistant microorganisms.
目的
确定重症监护病房医护人员对五个手卫生时刻的依从性。
方法
采用横断面分析研究，定量研究方法，基于巴西南部一家机构医院感染控制服务数据库中的二手数据。2012年7月至12月共分析了793条观察数据。
结果
446条（56.2%）观察数据中未进行洗手，依从率为43.7%。手卫生依从性最高的是物理治疗师（53.5%），最低的是护理人员（29.2%）。手卫生依从率最低的指征是“接触患者前”（18.4%）和“无菌操作前”（20.9%）。
结论
我们得出结论，洗手依从性不符合国家和国际指南，尤其是考虑到当前由多重耐药微生物引起的感染不断增加的情况。
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