Wetzker W, Bunte-Schönberger K, Walter J, Pilarski G, Gastmeier P, Reichardt Ch
Institute of Hygiene and Environmental Medicine, Charité - University Medicine Berlin, Berlin, Germany.
Institute of Hygiene and Environmental Medicine, Charité - University Medicine Berlin, Berlin, Germany.
J Hosp Infect. 2016 Apr;92(4):328-31. doi: 10.1016/j.jhin.2016.01.022. Epub 2016 Feb 21.
Hand hygiene is a key measure to prevent healthcare-associated infection. To promote hand hygiene nationally the German campaign 'Aktion Saubere Hände' was launched in January 2008, based on the World Health Organization's 'Clean Care is Safer Care' initiative. We report the first results from a full year of data collection on hand hygiene compliance recorded with the help of a renewed observation tool. Data were based on submissions from 109 participating hospitals collected from 576 wards between January 1st and December 31st, 2014. The overall median compliance was 73%, ranging from 55% (10th percentile) to 89% (90th percentile). The results demonstrated only small differences between adult and non-adult intensive care units (ICUs) with neonatal ICUs and paediatric non-ICUs maintaining higher compliance than adult care units. Performance among nurses was better than physicians, and overall rates of hand hygiene performance were significantly higher after patient contact than before.
手部卫生是预防医疗保健相关感染的关键措施。为在全国范围内推广手部卫生，德国于2008年1月发起了“Aktion Saubere Hände”运动，该运动基于世界卫生组织的“清洁护理更安全”倡议。我们报告了借助更新后的观察工具记录的全年手部卫生依从性数据收集的首批结果。数据基于2014年1月1日至12月31日期间从109家参与医院的576个病房收集的提交资料。总体中位数依从率为73%，范围从55%（第10百分位数）至89%（第90百分位数）。结果表明，成人重症监护病房（ICU）与非成人ICU之间差异不大，新生儿ICU和儿科非ICU的依从性高于成人护理病房。护士的表现优于医生，患者接触后手部卫生执行的总体比率明显高于接触前。
