Senior Lecturer, MA Learning and Teaching, School of Health and Social Care, University of Essex, Colchester.
Br J Nurs. 2022 Sep 8;31(16):838-843. doi: 10.12968/bjon.2022.31.16.838.
Patients in intensive care units (ICUs) are at a greater risk of developing hospital-acquired infections (HCAIs). Decontamination, which usually includes a regimen of body washing with an antimicrobial skin cleanser, is used to prevent HCAIs. Approaches can be: targeted, where carriers are identified and decontaminated; or universal, where all patients undergo a decontamination regimen. Universal rather than targeted decontamination is more effective at reducing infection rates and is more cost-effective. Decontamination in the ICU can lower HCAI rates across the entire hospital. Microbial resistance to chlorhexidine, however, which is the main active agent used for decontamination is increasing, and there are also adverse effects, leading to interest in octenidine as an alternative. This article explores the use of octenidine-containing single-use wash mitts in ICUs, which have been positively evaluated regarding antimicrobial activity, and ease and effectiveness of use.
重症监护病房 (ICU) 的患者发生医院获得性感染 (HCAI) 的风险更高。为了预防 HCAI，通常会使用包括用抗菌皮肤清洁剂进行全身清洗的消毒方案。方法可以是：有针对性的，识别并对携带者进行消毒；或普遍的，对所有患者进行消毒方案。与有针对性的消毒相比，普遍的消毒更能有效降低感染率，且更具成本效益。在 ICU 进行消毒可以降低整个医院的 HCAI 发生率。然而，用于消毒的主要活性成分洗必泰的微生物耐药性正在增加，并且还存在不良反应，这导致人们对作为替代品的聚六亚甲基双胍产生了兴趣。本文探讨了在 ICU 中使用含有聚六亚甲基双胍的一次性洗涤手套，这些手套在抗菌活性、使用的简便性和有效性方面均得到了积极评价。
