Relationship between healthcare worker surface contacts, care type and hand hygiene: an observational study in a single-bed hospital ward

Relationship between healthcare worker surface contacts, care type and hand hygiene: an observational study in a single-bed hospital ward
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DOI:
10.1016/j.jhin.2016.05.003
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发表时间:
2016-09-01
影响因子:
6.9
通讯作者:
Waters, L.
Waters, L.
中科院分区:
医学3区
文献类型:
--
作者:
King, M-F.;Noakes, C. J.;Waters, L.

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这项研究量化了手部卫生与医护人员 (HCW) 触摸病房表面的频率之间的关系。在英国医院的单床病房中记录了六种护理类型的表面接触和手部卫生。表面接触通常形成非随机模式,但患者接触之前或之后的卫生状况在很大程度上取决于护理类型(P = 0.001)。卫生的可能性与表面接触的次数相关(95% 置信区间 1.1-5.8,P = 0.002),但与在房间里度过的时间无关。这凸显出医护人员可能已经形成了对手部卫生的潜在潜意识需求,这可能支持并帮助重点关注未来的卫生教育计划。 (C) 2016 年作者。由爱思唯尔有限公司出版
This study quantifies the relationship between hand hygiene and the frequency with which healthcare workers (HCWs) touch surfaces in patient rooms. Surface contacts and hand hygiene were recorded in a single-bed UK hospital ward for six care types. Surface contacts often formed non-random patterns, but hygiene before or after patient contact depends significantly on care type (P = 0.001). The likelihood of hygiene correlated with the number of surface contacts (95% confidence interval 1.1-5.8, P = 0.002), but not with time spent in the room. This highlights that a potential subconscious need for hand hygiene may have developed in HCWs, which may support and help focus future hygiene education programmes. (C) 2016 The Authors. Published by Elsevier Ltd