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加强手卫生教育在预防医院感染中的作用     被引量:19

Impact of promotion of hand hygiene on prevention of nosocomial infections

文献类型:期刊文献

中文题名:加强手卫生教育在预防医院感染中的作用

英文题名:Impact of promotion of hand hygiene on prevention of nosocomial infections

作者:洪涛[1,2];卢曙芳[3]

机构:[1]浙江省绍兴文理学院附属第一医院;[2]绍兴市人民医院科教处;[3]浙江省绍兴文理学院附属医院内科

年份:2013

卷号:23

期号:12

起止页码:2950

中文期刊名:中华医院感染学杂志

外文期刊名:Chinese Journal of Nosocomiology

收录:CSTPCD、、北大核心2011、北大核心、CSCD、CSCD2013_2014

基金:绍兴市科学技术局公益性技术应用研究计划课题(2012B70056)

语种:中文

中文关键词:手卫生;医院感染;洗手;预防

外文关键词:Hand hygiene; Nosocomial infection; Hand washing; Prevention

中文摘要:目的探讨医务人员手卫生的措施及手卫生在预防医院感染中的作用,以提高手卫生依从性。方法总结实践经验和相关文献报道,通过加强洗手设施建设、积极宣传、开展手卫生培训、将手卫生状况纳入绩效考核等措施,提高医务人员手卫生依从性,预防医院感染。结果加强手卫生管理后,手卫生用品消耗量呈逐年上升趋势,洗手液和手消毒剂使用量>20ml/床日的科室数量由2009年第一季度的3个增加至2010年第四季度的14个,而<5ml/床日的科室数由32个减少至6个;医院感染率由2008年的3.1%下降至2009年的2.2%和2010年的1.7%,呈逐年下降趋势。结论加强手卫生观念与实施力度可有效降低医院感染发生率。

外文摘要:OBJECTIVE To explore the measures of the hand hygiene of medical staff and investigate the role of hand hygiene in the prevention of nosocomial infections so as to improve the compliance of the hand hygiene. METHODS The practice experience and the related literature report were summarized, the compliance of the hand hygiene of the medical staff was improved through strengthening the construction of hand hygiene facilities, actively publicizing, developing the hand hygiene training, and incorporating the hand hygiene condition to the performance appraisal. RESULTS The consumption of hand hygiene products showed an increasing trend after strengthening the hand hygiene compliance of healthcare work, increasing from three departments with the consumption more than 20 ml per bed day in the first quarter of 2009 to fourteen departments in the fourth quarter of 2010, however, the number of the departments with the consumption less than 5 ml per bed day decreased from 32 to 6. The incidence rate of nosocomial infections decreased from 3.1% in 3008 to 2.2% in 2009 and 1.7% in 2010, showing a downward trend. CONCLUSION It is an effective way to reduce the incidence rate of nosocomial infections through strengthening the concept and the intensity of implementation of hand hygiene.

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