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布基纳法索和马里针对初级卫生保健中手部卫生的整群随机对照试验的基线特征

Baseline Characteristics of a Cluster Randomized Controlled Trial Targeting Hand Hygiene in Primary Healthcare in Burkina Faso and Mali.

作者信息

Galli Anaïs, Winkler Mirko S, Hattendorf Jan, Friedrich Max N D, Bagayogo Issa, Ballo Aboubacar, Bänziger Carola, Dembélé Hassane, Keita Mamadou Sory, Peter Maryna, Tall Alimata Ousséni, Utzinger Jürg, Owen Branwen Nia

机构信息

University of Basel, Basel, Switzerland.

Swiss Tropical and Public Health Institute (Swiss TPH), Allschwil, Switzerland.

出版信息

Int J Public Health. 2025 May 21;70:1608406. doi: 10.3389/ijph.2025.1608406. eCollection 2025.

DOI:10.3389/ijph.2025.1608406
PMID:40470067
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12133522/
Abstract

OBJECTIVES

This study presents baseline characteristics of a cluster randomized controlled trial (cRCT) on hand hygiene in primary healthcare in Burkina Faso and Mali, addressing data gaps on hand hygiene practices in these settings.

METHODS

We implemented a two-arm cRCT in 48 primary healthcare facilities. Baseline data were collected (January-June 2023), followed by covariate-constrained randomization. We conducted covert hand hygiene observations, hand-rinse sampling for detection, and a survey on behavioral factors among healthcare workers. The primary outcome is observed handwashing rate.

RESULTS

Baseline data included 309 healthcare workers. Trial arms were balanced in hand hygiene adherence, behavioral factors, and contamination. Hand hygiene adherence was low (12%). contamination was very high in Burkina Faso (76%) and considerable in Mali (23%). Participants had a high intention to wash their hands (93%) but only a quarter could name all moments for hand hygiene.

CONCLUSION

Poor hand hygiene and contamination in our setting may heighten nosocomial infection risks. Interventions should address knowledge and build on high intentions to perform hand hygiene.

摘要

目的

本研究展示了布基纳法索和马里初级卫生保健中手部卫生的整群随机对照试验（cRCT）的基线特征，填补了这些环境中手部卫生实践的数据空白。

方法

我们在48个初级卫生保健机构实施了双臂cRCT。收集了基线数据（2023年1月至6月），随后进行协变量受限随机分组。我们进行了隐蔽的手部卫生观察、用于检测的洗手采样以及对医护人员行为因素的调查。主要结局是观察到的洗手率。

结果

基线数据包括309名医护人员。试验组在手部卫生依从性、行为因素和污染方面保持平衡。手部卫生依从性较低（12%）。布基纳法索的污染非常高（76%），马里的污染相当严重（23%）。参与者洗手意愿较高（93%），但只有四分之一的人能说出所有手部卫生时刻。

结论

我们环境中的手部卫生状况不佳和污染可能会增加医院感染风险。干预措施应解决知识问题，并基于执行手部卫生的高意愿。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b432/12133522/33daee9ab623/ijph-70-1608406-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b432/12133522/fa98e3a29bca/ijph-70-1608406-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b432/12133522/df7d8df92c04/ijph-70-1608406-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b432/12133522/03ecc078dab9/ijph-70-1608406-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b432/12133522/8272b3b11f5e/ijph-70-1608406-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b432/12133522/33daee9ab623/ijph-70-1608406-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b432/12133522/fa98e3a29bca/ijph-70-1608406-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b432/12133522/df7d8df92c04/ijph-70-1608406-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b432/12133522/03ecc078dab9/ijph-70-1608406-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b432/12133522/8272b3b11f5e/ijph-70-1608406-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b432/12133522/33daee9ab623/ijph-70-1608406-g005.jpg

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本文引用的文献

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JMIR Res Protoc. 2024 Apr 3;13:e52959. doi: 10.2196/52959.
2
Mapping the association between mental health and people's perceived and actual ability to practice hygiene-related behaviours in humanitarian and pandemic crises: A scoping review.在人道主义和大流行危机中，绘制心理健康与人们感知和实际实施与卫生相关行为的能力之间的关联图：范围综述。
PLoS One. 2023 Dec 14;18(12):e0286494. doi: 10.1371/journal.pone.0286494. eCollection 2023.
3
A systematic review of observational methods used to quantify personal protective behaviours among members of the public during the COVID-19 pandemic, and the concordance between observational and self-report measures in infectious disease health protection.一项系统评价观察方法，用于量化 COVID-19 大流行期间公众成员的个人防护行为，以及传染病健康保护中观察测量和自我报告测量之间的一致性。
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