Research, Development and Engineering, Ecolab, Eagan, MN.
Research, Development and Engineering, Ecolab, Eagan, MN.
Am J Infect Control. 2018 Oct;46(10):1104-1109. doi: 10.1016/j.ajic.2018.04.205. Epub 2018 May 18.
Healthcare workers perform hand hygiene much more frequently than workers in other fields. As a result, healthcare workers have a higher exposure to topical antiseptic products.
Five tertiary care facilities were equipped with an electronic hand hygiene compliance monitoring system. Alcohol-based handrub (ABHR) and handwash use was recorded on a worker-specific basis for 6 months. Total hand hygiene product use and total hours worked were calculated for each worker to determine use frequency.
A detailed, descriptive analysis of hand hygiene practices was performed. All facilities demonstrated high hand hygiene compliance rates (>85%). ABHR use was more frequent (9.1 uses/hour, 95 percentile) than handwashing (2.1 uses/hour, 95 percentile). This study identified a relationship between hand hygiene frequency and job function. Nursing and nonclinical support staff demonstrated higher usage rates than other healthcare workers. For these workers with high hand hygiene frequency, 95 percentile usage rates for ABHR use and handwashing were 9.6 and 2.2 uses/hour, respectively.
This extensive dataset, monitoring nearly 4000 healthcare workers and more than 6 million data points, provides a detailed description of current hand hygiene practices of hospital staff. ABHR was used more frequently than handwashing. Job function was found to affect hand hygiene frequency, with nonclinical staff and nursing staff demonstrating elevated rates of hand hygiene.
医护人员的手部卫生清洁频率远高于其他行业的工作人员。因此，医护人员接触局部抗菌产品的频率更高。
五家三级保健机构配备了电子手部卫生依从性监测系统。在 6 个月的时间里，以工作人员为单位记录酒精基洗手液（ABHR）和洗手的使用情况。为每位工作人员计算手部卫生产品总使用量和总工作时间，以确定使用频率。
对手部卫生实践进行了详细的描述性分析。所有机构的手部卫生依从率均>85%。ABHR 的使用频率更高（9.1 次/小时，95%分位值），而洗手的使用频率较低（2.1 次/小时，95%分位值）。本研究确定了手部卫生频率与工作职能之间的关系。护理和非临床支持人员的使用率高于其他医护人员。对于这些手部卫生频率较高的工作人员，ABHR 和洗手的 95%分位值使用率分别为 9.6 次/小时和 2.2 次/小时。
本研究数据集广泛，监测了近 4000 名医护人员和超过 600 万的数据点，详细描述了医院工作人员当前的手部卫生实践情况。ABHR 的使用频率高于洗手。工作职能被发现会影响手部卫生频率，非临床工作人员和护理人员的手部卫生频率更高。
