Use of alcohol hand sanitizer as an infection control strategy in an acute care facility
Use of alcohol hand sanitizer as an infection control strategy in an acute care facility
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DOI：
10.1067/mic.2003.15
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发表时间：
2003-04-01
影响因子：
4.9
通讯作者：
Groziak, PA
中科院分区：
文献类型：
--
作者：
Hilburn, J;Hammond, BS;Groziak, PA
背景资料：医院感染是卫生保健设施中的主要问题，导致护理持续时间延长、发病率和死亡率高以及成本过高。由于酒精凝胶洗手液联合收割机结合了高即时抗菌功效和易用性，因此进行了本研究，以确定护理人员使用酒精凝胶洗手液对急性护理机构中感染类型和感染率的影响。患者接受教育的研究，通过海报上的单位，和可教的患者被给予便携式瓶的酒精洗手凝胶床边使用，沿着的教育小册子解释如何以及为什么要实行良好的手hygien.Methods：感染率和类型的数据收集在1个单位的498张病床的急性护理设施为16个月（2000年2月至2001年5月）。提供了一种酒精凝胶洗手液，并使用的护理人员在整形外科单位的facility.Results：主要感染类型（80%以上）发现泌尿道（UTI）和手术部位（SSI）感染。使用酒精洗手液期间本单位的感染类型和感染率（干预）与不使用酒精洗手液时同一单位的感染类型和感染率进行比较（基线）;结果表明，使用洗手液的10个月期间，感染率降低了36.1%。这项研究表明，使用酒精凝胶洗手液可以降低感染率，并提供了一个额外的工具，有效的感染控制计划在急性护理设施。
Background: Nosocomial infections are a major problem in health care facilities, resulting in extended durations of care, substantial morbidity and mortality, and excess costs. Since alcohol gel hand sanitizers combine high immediate antimicrobial efficacy with ease of use, this study was carried out to determine the effect of the use of an alcohol gel hand sanitizer by caregivers on infection types and rates in an acute care facility. Patients were educated about the study through a poster on the unit, and teachable patients were given portable bottles of the alcohol hand gel for bedside use, along with an educational brochure explaining how and why to practice good hand hygiene.Methods: Infection rate and type data were collected in 1 unit of a 498-bed acute care facility for 16 months (February 2000 to May 2001). An alcohol gel hand sanitizer was provided and used by caregivers in the orthopedic surgical unit of the facility during this period.Results: The primary infection types (more than 80 %) found were urinary tract (UTI) and surgical site (SSI) infections. Infection types and rates for the unit during the period the alcohol hand sanitizer (intervention) was used were compared with the infection types and rates for the same unit when the alcohol hand sanitizer was not used (baseline); the results demonstrated a 36.1 % decrease in infection rates for the 10-month period that the hand sanitizer was used.Conclusion: This study indicates that use of an alcohol gel hand sanitizer can decrease infection rates and provide an additional tool for an effective infection control program in acute care facilities.