Improving hand-washing performance - a crossover study of hand-washing in the orthopaedic department
Improving hand-washing performance - a crossover study of hand-washing in the orthopaedic department
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DOI：
10.1308/003588406x98577
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发表时间：
2006-05-01
影响因子：
1.4
通讯作者：
Gray, Alastair Jr
中科院分区：
文献类型：
--
作者：
Macdonald, Duncan J. M.;Mckillop, Elisabeth C. A.;Gray, Alastair Jr
有效的洗手对于减少医院感染的传播至关重要。我们的目的是评估洗手性能的医院工作人员，并确定这是否可以改善教育。材料和方法共55名工作人员在骨科被要求清洁他们的手使用酒精凝胶含有明确的荧光物质。他们不知道考核的方法。通过在紫外线下检查他们的手来评估表现，以确定被忽视的区域。受试者可以看到哪些领域，他们错过了，然后教育洗手技术和重新测试后7 days.Results的55名受试者，53完成了研究。个人表现差异很大。在简单的教育干预后，53名受试者中有49人的洗手面积从平均7.8%提高到2.3%（P < 0.001）。结论我们认为洗手效果需要提高，简单的教育干预是有效的。
Introduction Effective hand-washing is essential for reducing the spread of infection in hospitals. We aimed to evaluate hand-washing performance of hospital personnel and to determine if this could be improved by education.Materials and Methods A total of 55 personnel working in the orthopaedic department were asked to clean their hands using an alcohol gel containing a clear fluorescent substance. They were unaware of the assessment method. Performance was assessed by examining their hands under UV light to identify areas that had been neglected. Subjects could visualise which areas they had missed and were then educated regarding hand-washing technique and retested after 7 days.Results Of the 55 subjects, 53 completed the study. Individual performance varied widely. Following a simple educational intervention, 49 out of 53 subjects improved from an average of 7.8% to 2.3% area missed (P < 0.001).Conclusions We suggest that hand-washing effectiveness needs to be improved and that a simple educational intervention can be effective.