J.M. Boyce Consulting, LLC, Middletown, CT.
Am J Infect Control. 2019 Jun;47S:A46-A52. doi: 10.1016/j.ajic.2019.03.024.
Although substantial improvements in hand hygiene practices have occurred in recent years, many health care facilities continue to encounter challenges in achieving and maintaining high levels of hand hygiene compliance. Issues of current interest include the optimum dose of alcohol-based handrub (ABHR) that should be applied, the impact of hand size and alcohol-based handrub dry times have on efficacy, and ideal hand hygiene technique. There is a need to determine which additional promotional activities can augment improvements in hand hygiene that are achieved by implementing the multimodal improvement strategy recommended by the World Health Organization. Monitoring hand hygiene performance and providing personnel with feedback on their performance are essential elements of successful improvement programs. Further research is needed to establish the most effective methods of providing feedback. Additional studies are needed to optimize strategies for performing direct observation of hand hygiene compliance, and to determine the role of supplementing direct observations using automated monitoring systems.
尽管近年来手部卫生操作有了实质性的改进，但许多医疗机构在实现和保持高水平手部卫生依从性方面仍然面临挑战。目前关注的问题包括：应使用的最佳酒精擦手液（ABHR）剂量、手的大小和酒精擦手液干燥时间对功效的影响，以及理想的手部卫生技术。需要确定哪些额外的宣传活动可以增强通过实施世界卫生组织推荐的多模式改进策略而实现的手部卫生改进。监测手部卫生执行情况并为员工提供有关其执行情况的反馈是成功改进计划的重要组成部分。需要进一步研究以确定提供反馈的最有效方法。需要进一步研究以优化直接观察手部卫生依从性的策略，并确定使用自动化监测系统补充直接观察的作用。
