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简单粗暴:不正确使用手套会增加感染风险并产生全球性后果。

Quick and dirty: improper glove use increases infection risk and has global consequences.

作者信息

Peters Alexandra, Močenić Martina, Spitilli Alberto, Bloomfield Sally, Bhutta Mahmood F

机构信息

Institute of Global Health, University of Geneva, Geneva, Switzerland.

Clean Hospitals, Geneva, Switzerland.

出版信息

Antimicrob Resist Infect Control. 2025 May 15;14(1):52. doi: 10.1186/s13756-025-01563-0.

DOI:10.1186/s13756-025-01563-0
PMID:40375327
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12082975/
Abstract

The development of disposable gloves and the discovery that good hand hygiene are essential for protecting patients are among the most important developments in the history of infection prevention and control, and are both essential for protecting patients and healthcare workers. Although there are international-level guidelines for glove use and hand hygiene during patient care, there are major issues concerning compliance. The overuse of gloving does not only contribute to reduced patient safety and increased healthcare-associated infections, but leads directly to environmental degradation and labor rights abuses.

摘要

一次性手套的发展以及认识到良好的手部卫生对于保护患者至关重要,这是感染预防与控制史上最重要的进展之一,对于保护患者和医护人员都必不可少。尽管在患者护理期间有关于手套使用和手部卫生的国际层面指南,但在依从性方面存在重大问题。过度使用手套不仅会降低患者安全性并增加医疗相关感染,还会直接导致环境恶化和侵犯劳工权利。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8151/12082975/b561deb267ef/13756_2025_1563_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8151/12082975/b561deb267ef/13756_2025_1563_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8151/12082975/b561deb267ef/13756_2025_1563_Fig1_HTML.jpg

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本文引用的文献

1
Survey of disinfection of gloved hands in Germany in 2016 and 2022: Change of attitude but persistent problems with glove use.2016年和2022年德国戴手套手部消毒情况调查:态度转变但手套使用仍存在持续问题。
J Infect Prev. 2023 Nov;24(6):278-280. doi: 10.1177/17571774231203389. Epub 2023 Sep 19.
2
Impact of a training strategy on improving compliance of hand hygiene and gloving during the placement of a short peripheral venous catheter: the multicentre study CleanHand4.培训策略对改善外周短导管置管过程中手部卫生和手套佩戴依从性的影响:多中心研究 CleanHand4。
BMC Med Educ. 2023 Oct 6;23(1):731. doi: 10.1186/s12909-023-04727-x.
3
Healthcare Personnel Hand Hygiene Compliance: Are We There Yet?
医护人员手部卫生依从性:我们做到了吗?
Curr Infect Dis Rep. 2023 May 26:1-7. doi: 10.1007/s11908-023-00806-8.
4
Developing better understanding of hygiene is key to developing hygiene behaviour change in home and everyday life settings.更好地理解卫生知识是在家庭和日常生活环境中改变卫生行为的关键。
Perspect Public Health. 2024 Nov;144(6):354-362. doi: 10.1177/17579139231163734. Epub 2023 Apr 22.
5
Hand hygiene compliance in the intensive care unit: Hand hygiene and glove changes.重症监护病房的手卫生依从性:手卫生和手套更换。
Am J Infect Control. 2023 Oct;51(10):1167-1171. doi: 10.1016/j.ajic.2023.04.007. Epub 2023 Apr 11.
6
Rubber gloves in orthopaedic surgery (part II): Cooke and Goodyear; Halsted and Caroline's gloves of love; from cotton to rubber after Perthes' experiments; double glove technique with Urist.骨科手术中的橡胶手套(第二部分):库克与固特异;霍尔斯特德与卡罗琳的爱情手套;继佩尔特斯的实验后从棉质手套到橡胶手套的转变;与尤里斯一起采用的双层手套技术
Int Orthop. 2023 Apr;47(4):1115-1123. doi: 10.1007/s00264-022-05666-w. Epub 2022 Dec 24.
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