Crofton C C, Foley S J
Radiography & Diagnostic Imaging, School of Medicine, University College Dublin, Belfield, Dublin 4, Ireland.
Radiography (Lond). 2018 Feb;24(1):57-63. doi: 10.1016/j.radi.2017.08.004. Epub 2017 Sep 1.
Mobile phone use by healthcare workers (HCWs) is widespread. Studies have shown that HCW's mobile phones can harbour pathogens associated with nosocomial infections. This study investigated whether an awareness campaign will result in an improvement in radiographers' phone and hand hygiene practices.
Radiographers working in the general department of two university hospitals were invited to participate. One hospital was assigned as the experiment hospital and the other as a control. In the experiment hospital, adenosine triphosphate (ATP) testing of each participant's mobile phone determined the cleanliness of its surface. A corresponding survey was completed to determine their current practices and level of awareness. Subsequently, an infection control poster campaign took place for a one-month period, followed by re-testing. In the control hospital, the ATP testing and survey were also completed before and after a one-month period, but without a poster campaign.
Radiographers were generally unaware of the infection risks associated with mobile phone use with 44% of all participants never cleaning their phone. The campaign successfully improved phone hygiene frequency and method in the experiment hospital. However, it did not improve hand hygiene practices and actual phone cleanliness (mean ATP count reductions of 10% (experiment hospital) and 20% (control)). The ATP testing as a less direct form of intervention showed similar levels of success in comparison to the poster campaign.
A multifaceted educational approach is likely to be most effective in raising awareness and changing radiographers' phone and hand hygiene practices.
医护人员使用手机的现象很普遍。研究表明,医护人员的手机可能携带与医院感染相关的病原体。本研究调查了开展一场宣传活动是否会改善放射技师的手机及手部卫生习惯。
邀请在两家大学医院普通科室工作的放射技师参与研究。一家医院被指定为实验医院,另一家为对照医院。在实验医院,对每位参与者的手机进行三磷酸腺苷(ATP)检测,以确定其表面清洁程度。同时完成一项相应调查,以确定他们当前的习惯和认知水平。随后,开展了为期一个月的感染控制海报宣传活动,之后再次进行检测。在对照医院,同样在一个月前后完成了ATP检测和调查,但未开展海报宣传活动。
放射技师普遍未意识到使用手机带来的感染风险,所有参与者中有44%从未清洁过手机。该宣传活动成功提高了实验医院手机卫生的频率和方法。然而,它并未改善手部卫生习惯以及手机的实际清洁程度(实验医院平均ATP计数降低了10%,对照医院降低了20%)。作为一种不太直接的干预形式,ATP检测与海报宣传活动显示出相似的成功水平。
多方面的教育方法可能最有效地提高认知并改变放射技师的手机及手部卫生习惯。