Ranger Mathilde, Dumartin Catherine, Nasso Raymond, Péfau Muriel, Parneix Pierre, Venier Anne-Gaëlle
Center for Prevention of Healthcare Associated Infections, CPias Nouvelle Aquitaine, CHU de Bordeaux, Bordeaux, France.
Center for Prevention of Healthcare Associated Infections, CPias Îles de Guadeloupe, CHU de Guadeloupe, Pointe-à-Pitre, France.
J Infect Prev. 2023 Nov;24(6):252-258. doi: 10.1177/17571774231208305. Epub 2023 Oct 22.
The application of alcohol-based hand rub on hands (ABHR) can prevent the transmission of microorganisms. But, in some situations the practices remain perfectible.
The aim of this study was to assess the self-reported ABHR practices of healthcare workers (HCWs) and to identify the factors associated with better ABHR compliance.
A cross-sectional study was conducted using the French national "Pulpe'friction" audit, from 1st January 2020 to 31st December 2020, in healthcare facilities and social welfare facilities in France. Data were analyzed using descriptive statistics and multivariate logistic regression models.
Of the 6769 HCWs, the average ABHR compliance was 75% "before patient contact," 95% "before an invasive technique," 86% "after patient contact," and 79% "after contact with patient surroundings." The main reported barriers were the availability, the discomfort and the harmfulness of the product. The factors significantly associated with a better compliance were the individual importance given to hand hygiene (HH); working in a healthcare facility, except in the situation "before an invasive technique"; medical profession "after patient contact"; paramedical profession "after contact with patient surroundings."
These results call for national actions to fight the most reported barriers and raise awareness on the importance of HH, especially before touching the patient.
使用含酒精的手部擦除剂（ABHR）对手部进行擦拭可预防微生物传播。但是，在某些情况下，相关做法仍有待完善。
本研究旨在评估医护人员（HCWs）自我报告的ABHR使用情况，并确定与更好的ABHR依从性相关的因素。
采用法国国家“Pulpe'friction”审计进行横断面研究，研究时间为2020年1月1日至2020年12月31日，研究对象为法国的医疗机构和社会福利机构。使用描述性统计和多变量逻辑回归模型对数据进行分析。
在6769名医护人员中，“接触患者前”ABHR的平均依从率为75%，“侵入性操作前”为95%，“接触患者后”为86%，“接触患者周围环境后”为79%。报告的主要障碍是产品的可用性、不适感和有害性。与更好的依从性显著相关的因素是对手部卫生（HH）的个人重视程度；在医疗机构工作，但“侵入性操作前”的情况除外；“接触患者后”的医学专业；“接触患者周围环境后”的辅助医疗专业。
这些结果呼吁采取国家行动，消除报告最多的障碍，并提高对手部卫生重要性的认识，尤其是在接触患者之前。
