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通过在香港患者中全面实施直接观察下的手部卫生,成功控制了新出现的耐万古霉素肠球菌。

Successful control of emerging vancomycin-resistant enterococci by territory-wide implementation of directly observed hand hygiene in patients in Hong Kong.

作者信息

Cheng Vincent C C, Tai Josepha W M, Chau P H, Lai Christopher K C, Chuang Vivien W M, So Simon Y C, Wong Sally C Y, Chen Jonathan H K, Ho P L, Tsang Dominic N C, Yuen K Y

机构信息

Department of Microbiology, Queen Mary Hospital, HKSAR, China; Infection Control Team, Queen Mary Hospital, HKSAR, China.

Infection Control Team, Queen Mary Hospital, HKSAR, China.

出版信息

Am J Infect Control. 2016 Oct 1;44(10):1168-1171. doi: 10.1016/j.ajic.2016.03.050. Epub 2016 Jun 10.

Abstract

With the emergence of vancomycin-resistant enterococci (VRE) in our public hospitals, territory-wide implementation of directly observed hand hygiene before meals and medications for all conscious hospitalized patients reverted the rising VRE incidence of 16.5% per month (P < .001) to a reduction of -9.8% per month (P < .001). The outbreak rate reverted from an increasing trend of 10.5% per month (P < .001) to a decreasing trend of -13.3% per month (P < .001) between January 2011 and October 2015.

摘要

随着我们公立医院中耐万古霉素肠球菌(VRE)的出现,对所有意识清醒的住院患者在饭前和用药前实施全港范围的直接观察下的手部卫生措施,使VRE发病率每月上升16.5%(P < .001)的趋势逆转,变为每月下降-9.8%(P < .001)。在2011年1月至2015年10月期间,暴发率从每月上升10.5%(P < .001)的趋势逆转,变为每月下降-13.3%(P < .001)的趋势。

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