Division of Infectious Diseases and Hospital Epidemiology, University Hospital Basel, University of Basel, Petersgraben 4, 4031, Basel, Switzerland.
Medical Director, University Hospital Basel, University of Basel, Petersgraben 4, 4031, Basel, Switzerland.
Antimicrob Resist Infect Control. 2021 Jun 16;10(1):93. doi: 10.1186/s13756-021-00949-0.
Accessibility to alcohol-based handrub (ABHR) dispenser is crucial to improve compliance to hand hygiene (HH), being offered as wall-mounted dispensers (ABHR-Ds), and/or pocket bottles. Nevertheless, information on the distribution and density of ABHR-Ds and their impact on HH have hardly been studied. Institutions such as the World Health Organisation or the Centers for Disease Control and Prevention do not provide guidance. The Robert-Koch-Institute (RKI) from Germany recommends an overall density of > 0.5 dispensers per patient bed. We aimed to investigate current conditions in hospitals to develop a standard on the minimal number of ABHR-D.
Between 07 and 09/2019, we applied a questionnaire to 178 hospitals participating in the Swissnoso National Surveillance Network to evaluate number and location of ABHR-Ds per bed in acute care hospitals, and compared the data with consumption and compliance with HH.
110 of the 178 (62%) hospitals provided data representing approximately 20,000 hospital beds. 83% hospitals provided information on both the total number of ABHR-Ds and patient beds, with a mean of 2.4 ABHR-Ds per bed (range, 0.4-22.1). While most hospitals (84%) had dispensers located at the room entrance, 47% reported also locations near or at the bed. Additionally, pocket-sized dispensers (100 mL) are available in 97% of hospitals.
Swiss hospitals provide 2.4 dispensers per bed, much more than governmental recommendation. The first study on the number of ABHR-Ds in hospitals may help to define a minimal standard for national and international recommendations.
提高手卫生（HH）依从性的关键是方便获得酒精基洗手液（ABHR）分配器，分配器有壁挂式（ABHR-D）和/或口袋瓶式。然而，关于 ABHR-D 的分布和密度及其对手卫生的影响的信息几乎没有研究过。世界卫生组织或疾病控制与预防中心等机构并未提供相关指导。德国的罗伯特·科赫研究所（RKI）建议每病床的分配器密度应>0.5 个。我们旨在调查医院的现状，以制定 ABHR-D 最小数量的标准。
在 2019 年 7 月至 9 月期间，我们向参与瑞士诺索国家监测网络的 178 家医院发放了一份问卷，以评估急症护理医院每床的 ABHR-D 数量和位置，并将数据与 HH 的消耗量和依从性进行了比较。
178 家医院中的 110 家（62%）提供了约 20000 张病床的数据。83%的医院提供了 ABHR-D 总数和患者床位数的信息，平均每床 2.4 个 ABHR-D（范围为 0.4-22.1）。虽然大多数医院（84%）在房间入口处配备了分配器，但 47%的医院报告说在床边或附近也有分配器。此外，97%的医院都有 100 毫升的袖珍型分配器。
瑞士医院为每张病床提供 2.4 个分配器，远高于政府的建议。这项关于医院 ABHR-D 数量的首次研究可能有助于为国家和国际建议确定最低标准。
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