The impact of alcohol hand sanitizer use on infection rates in an extended care facility
The impact of alcohol hand sanitizer use on infection rates in an extended care facility
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DOI：
10.1067/mic.2002.120129
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发表时间：
2002-06-01
影响因子：
4.9
通讯作者：
Vowell, NA
中科院分区：
文献类型：
--
作者：
Fendler, EJ;Ali, Y;Vowell, NA
背景：医院感染是卫生保健机构的一个主要问题，导致护理时间延长和相当大的发病率。鉴于酒精凝胶洗手液具有即刻抗菌效果好和使用方便的特点，本研究旨在了解护理人员使用酒精凝胶洗手液对延伸护理机构感染类型和感染率的影响。方法：收集1997年7月至2000年5月在一家拥有275张床位的延伸护理机构中护理人员使用酒精凝胶洗手液34个月的感染率和类型数据，期间护理人员使用酒精凝胶洗手液。比较使用洗手液的单位和未使用洗手液的对照单位的感染类型和感染率，发现使用洗手液的单位34个月的感染率下降了30.4%。结论：本研究表明使用酒精凝胶洗手液可以降低感染率，为有效的感染控制方案提供了额外的工具。
Background: Nosocomial infections are a major problem in health care facilities, resulting in extended durations of care and substantial morbidity. 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 alcohol gel hand sanitizer by caregivers on infection types and rates in an extended care facility.Method Infection rate and type data were collected in a 275-bed extended care facility for 34 months (July 1997 to May 2000), during which an alcohol gel hand sanitizer was used by the caregivers in 2 units of the facility.Results: The primary infection types found were urinary tract with Foley catheter, respiratory tract, and wound infections. Comparison of the infection types and rates for the units where hand sanitizer was used with those for the control units where the hand sanitizer was not used showed a 30.4% decrease in infection rates for the 34-month period in the units where 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.