Schiffers H, Zaatreh S, Mittelmeier W, Bader R
The Physician Executive MBA, University of Tennessee, USA - based in Düsseldorf, Düsseldorf, Germany.
Joint first authors.
J Infect Prev. 2016 Jan;17(1):22-28. doi: 10.1177/1757177415605658. Epub 2015 Oct 8.
Healthcare industry representatives (HCIR) visit multiple hospitals every day. Most enter hygiene sensitive areas and work in close proximity to caregivers and patients.
The objective of the present study was to evaluate the HCIRs' current status in hygiene training and vaccination.
An anonymous walking intercept study was used based on questionnaires to evaluate industry representatives in comparison to physicians and nurses (n = 311 participants, participation rate 30.2%) after their visit to the MEDICA Congress. The valid participants consisted of HCIR (n = 208), hospital nurses (n = 49) and physicians (n = 41). A total of 82.2% (n = 171) HCIR worked in varying hospitals.
They frequently request access to hygiene and data-privacy sensitive areas: Among them 51.9% (n = 108) accessed the outpatient clinic, 41.8% (n = 87) the operating room (OR), 33.7% (n = 70) the central supply and sterilisation department (CSSD), and 32.7% (n = 68) the intensive care unit. HCIR requesting access to hygiene sensitive areas showed the lowest scores in hygiene training and a significantly lower Hepatitis B vaccination status, i.e. 37.5% compared to 70.7% for physicians and 53.1% for nurses.
Status of HCIR hygiene training was inadequate - as was vaccination and contamination control. Therefore, HCIR are exposed to increased infection risk and may unknowingly act as infection vector between different hospitals.
医疗行业代表（HCIR）每天会走访多家医院。大多数人会进入对卫生要求较高的区域，并在与医护人员和患者近距离接触的环境中工作。
本研究旨在评估HCIR在卫生培训和疫苗接种方面的现状。
采用匿名拦截式调查研究，以问卷形式在医疗行业代表参观MEDICA大会后，将其与医生和护士（n = 311名参与者，参与率30.2%）进行比较。有效参与者包括HCIR（n = 208）、医院护士（n = 49）和医生（n = 41）。共有82.2%（n = 171）的HCIR在不同医院工作。
他们经常要求进入对卫生和数据隐私敏感的区域：其中51.9%（n = 108）进入门诊，41.8%（n = 87）进入手术室（OR），33.7%（n = 70）进入中央供应和消毒部门（CSSD），32.7%（n = 68）进入重症监护病房。要求进入对卫生敏感区域的HCIR在卫生培训方面得分最低，乙肝疫苗接种率也显著较低，即37.5%，而医生为70.7%，护士为53.1%。
HCIR的卫生培训状况不足，疫苗接种和污染控制情况同样如此。因此，HCIR面临的感染风险增加，可能在不知不觉中成为不同医院之间的感染媒介。
