Selam Muluken Nigatu, Bayisa Regasa, Ababu Andualem, Abdella Mahdi, Diriba Edessa, Wale Minychel, Baye Assefa Mulu
Department of Pharmaceutics and Social Pharmacy, School of Pharmacy, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Pharmaceutical and Medical Equipment Directorate (PMED), Ministry of Health, Addis Ababa, Ethiopia.
Risk Manag Healthc Policy. 2020 Nov 9;13:2507-2513. doi: 10.2147/RMHP.S279957. eCollection 2020.
According to the World Health Organization (WHO), alcohol-based hand rubs (ABHRs) are regarded as the "gold standard" for hand disinfection in healthcare facilities. Local production of ABHRs in health facilities is recommended by WHO due to its availability and affordability reasons. However, fire hazard is a concern in health facilities during ABHRs production, storage, or use from dispensers.
To evaluate the preparedness of public hospitals found in Addis Ababa, Ethiopia towards potential fire hazards during ABHR production and storage practices.
A cross-sectional observational study was applied. An assessment checklist was used for evaluating public hospitals' measures taken for the potential fire hazards during ABHR production and storage practice. Statistical Package for Social Sciences (SPSS) version 23 was used for data entry and analysis.
Out of the 13 public hospitals observed in the study, fire extinguishers were not available in more than half of the hospitals' (7 hospitals) compounding premises. Also, 57.1% of the hospitals without fire extinguishers were manufacturing beyond the WHO 50 liters limit of ABHR solution at once under such unfavorable conditions. Moreover, ethanol and the oxidizing agent hydrogen peroxide were not stored separately in eight hospitals.
None of the hospitals were found to be well prepared for the potential risk of fire associated with ABHR solution production and storage practice. Generally, the practices taken by the studied hospitals for preventing the fire risk and minimizing the damage if fire hazards occurred during ABHR production and storage were not satisfactory. On the safety and precautions measures taken for the risk of fire, Tikur Anbessa Specialized Hospital (TASH), Amanuel Mental Specialized Hospital (AMSH), and Eka Kotebe General Hospital (EKGH) showed a relatively better preparedness compared to others. ABHR solutions should be manufactured and stored in a way that limits the risk of ignition and follows standard fire safety measures.
根据世界卫生组织（WHO）的说法，酒精基手部消毒剂（ABHRs）被视为医疗机构手部消毒的“黄金标准”。由于其可用性和可承受性，WHO建议医疗机构本地生产ABHRs。然而，在ABHRs生产、储存或从分配器使用过程中，火灾隐患是医疗机构关注的问题。
评估埃塞俄比亚亚的斯亚贝巴的公立医院在ABHRs生产和储存过程中对潜在火灾隐患的防范准备情况。
采用横断面观察性研究。使用一份评估清单来评估公立医院在ABHRs生产和储存过程中针对潜在火灾隐患所采取的措施。使用社会科学统计软件包（SPSS）23版进行数据录入和分析。
在该研究中观察的13家公立医院中，超过一半（7家医院）的配制场所没有灭火器。此外，在这种不利条件下，57.1%没有灭火器的医院一次性生产的ABHR溶液超过了WHO规定的50升限量。而且，8家医院的乙醇和氧化剂过氧化氢没有分开储存。
没有一家医院对与ABHR溶液生产和储存相关的潜在火灾风险做好充分准备。总体而言，所研究的医院在ABHRs生产和储存过程中为预防火灾风险以及在火灾隐患发生时将损害降至最低所采取的措施并不令人满意。在针对火灾风险采取的安全和预防措施方面，提库尔·安贝萨专科医院（TASH）、阿马努埃尔精神专科医院（AMSH）和埃卡·科泰贝综合医院（EKGH）与其他医院相比表现出相对更好的准备情况。ABHR溶液的生产和储存应以限制着火风险并遵循标准消防安全措施的方式进行。
