Introducing alcohol-based hand rub for hand hygiene: The critical need for training
Introducing alcohol-based hand rub for hand hygiene: The critical need for training
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DOI：
10.1086/510788
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发表时间：
2007-01-01
影响因子：
4.5
通讯作者：
Stranden, Anne M.
中科院分区：
文献类型：
--
作者：
Widmer, Andreas F.;Conzelmann, Martin;Stranden, Anne M.
背景。美国疾病控制与预防中心最近建议使用含酒精的免洗洗手液洗手。然而，正确使用洗手液的技术并没有很好地描述，也没有在医院常规教授。在一项临床研究中，评估培训对正确技术的影响，这些技术是根据测试酒精基洗手液的欧洲标准（欧洲规范1500）概述的。设计，环境和病人。前瞻性研究，包括180名卫生保健工作者（HCWs）在450个床位的大学附属老年医院，酒精洗手液在20世纪70年代末引入。用含酒精的免洗洗手液进行手部卫生的结构化培训。在消毒液中加入荧光染料，对手擦技术进行了测试，并采用经过验证的目视评估方法对漏检面积进行了量化。此外，通过计算手术前后指尖细菌菌落形成单位（cfu）的对数（10）差值来估计根除的细菌数量，并报告为减少因子（RF）。主要结果测量。对数（10）在适当的搓手技巧训练前后指尖的cfu细菌计数。在基线时，只有31%的卫生保健工作者使用了适当的技术，产生了1.4 log(10) cfu细菌计数的低RF。培训将HCW依从性提高到74%，并将RF增加到2.2 log(10) cfu细菌计数，增加了近50% (P
Background. Use of an alcohol-based hand rub for hand hygiene has recently been recommended by the Centers for Disease Control and Prevention. However, the proper technique for using hand rub has not been well described and is not routinely taught in hospitals.Objective. To evaluate the impact of training on proper technique as outlined by the European Standard for testing alcohol-based hand rubs (European Norm 1500) in a clinical study.Design, setting, and patients. Prospective study including 180 healthcare workers (HCWs) in a 450-bed, university-affiliated geriatric hospital where alcohol-based hand rub was introduced in the late 1970s.Intervention. Structured training program in hand hygiene with alcohol-based hand rub. Technique for using hand rub was tested by the addition of a fluorescent dye to the disinfectant and the number of areas missed was quantified by a validated visual assessment method. In addition, the number of bacteria eradicated was estimated by calculating the difference between the log(10) number of colony-forming units (cfu) of bacteria on the fingertips before and after the procedure, and reported as reduction factor (RF). main outcome measure. Log(10) cfu bacterial counts on fingertips before and after training in the appropriate technique for using hand rub.Results. At baseline, only 31% of HCWs used proper technique, yielding a low RF of 1.4 log(10) cfu bacterial count. Training improved HCW compliance to 74% and increased the RF to 2.2 log(10) cfu bacterial count, an increase of almost 50% (P