Department of Medical Microbiology, Radboud University Medical Center, Nijmegen, The Netherlands; Department of Medical Microbiology and Infection Prevention, University Medical Center Groningen, Groningen, The Netherlands.
Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands.
Am J Infect Control. 2019 Jun;47(6):643-647. doi: 10.1016/j.ajic.2018.11.010. Epub 2019 Jan 5.
Good infection prevention is an important aspect of quality of medical care. The aim was to evaluate infection prevention and control (IPC) performance among Dutch general practitioners (GPs).
Based on the current national IPC guidelines for GPs, a self-administered anonymous online questionnaire was developed and sent to GPs in the Nijmegen region of the Netherlands. Thirty-two questions were constructed to survey characteristics of GPs' offices and assess current performance of IPC measures.
One hundred questionnaires were included in our analysis. The preferred method of hand hygiene was soap and water (56%) versus alcohol-based handrub (44%). The cleaning of nondisposable, noncritical, semicritical, and critical instruments was consistent with national guideline recommendations or superior to them in 100%, 49%, and 97% of cases, respectively. An average of 57% of GPs reported environmental cleaning frequencies that were compliant with the national guidelines or superior to them. Personal protective equipment was available in 62% of GPs' practices but used in only 25% of home visits to patients.
Not all national IPC guidelines seem to be followed to the fullest extent. The current situation indicates there is room for potential improvement regarding implementation of IPC measures in GPs' offices. Area-specific guidelines and continuous medical education regarding IPC may help improve the situation.
良好的感染预防是医疗质量的重要方面。目的是评估荷兰全科医生（GP）的感染预防和控制（IPC）绩效。
基于当前针对全科医生的国家 IPC 指南，开发了一份自我管理的匿名在线问卷，并发送给荷兰奈梅亨地区的全科医生。构建了 32 个问题来调查 GP 办公室的特征，并评估当前 IPC 措施的执行情况。
我们的分析包括了 100 份问卷。首选的手部卫生方法是肥皂和水（56%）而非酒精基洗手液（44%）。非一次性、非关键、半关键和关键器械的清洁符合国家指南建议或优于国家指南建议，分别占 100%、49%和 97%。平均有 57%的 GP 报告其环境清洁频率符合国家指南或优于国家指南。在 62%的 GP 诊所中提供了个人防护设备，但仅在 25%的家访中用于患者。
并非所有国家 IPC 指南都得到了充分遵守。目前的情况表明，在 GP 办公室实施 IPC 措施方面有改进的空间。针对特定地区的指南和持续的 IPC 医学教育可能有助于改善这种情况。
