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医务人员手卫生与洗手依从性现状及管理对策

Hand hygiene and hand-washing compliance of medical staff:current status and administration strategies

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【作者】 范文黄娥段六生雷鸿斌易光明

【Author】 FAN Wen,HUANG E,DUAN Liu-sheng,LEI Hong-bin,YI Guang-ming(First Renming Hospital of Jingzhou,Jingzhou,Hubei 434000,China)

【机构】 荆州市第一人民医院检验科长江大学临床医学院

【摘要】 目的了解医务人员手卫生的现状,研究手卫生与医院感染的关系,从而制定手卫生管理对策。方法随机抽查8个临床科室部分医务人员手污染现状,研究医务人员手携带病原菌的种类及性质,分析其污染因素。结果医务人员工作过程中手细菌携带率为100.0%,洗手后细菌携带率为30.4%;携带的主要细菌为:大肠埃希菌、肺炎克雷伯菌、铜绿假单胞菌、产碱假单胞菌、变形菌属、金黄色葡萄球菌、凝固酶阴性葡萄球菌和肠球菌属等。结论医务人员手部污染是医院交叉感染的重要危险因素,必须强化医务人员医院感染理念教育,重视手卫生的监督管理,提高对洗手的认知性和依从性,才能有效预防与控制由手传播的医院内交叉感染。

【Abstract】 OBJECTIVE To understand the status of hand hygiene of medical staff and investigate the relation between hand hygiene and nosocomial infections to institute the administration strategy of hand hygiene.METHODS The random inspection of hand hygiene was performed for parts of medical staff in 8 clinical departments.The species of carrying pathogens were investigated.The reasons for contamination were analyzed.RESULTS The carrying rate of pathogenic bacteria before hand-washing was 100.0% while which after hand-washing was 30.4%.The common pathogenic were Escherichia coli,Klebsiella pneumouia,Pseudomonas aeruginosa,Pseudomonas alcaligenes,Bacillus proteus,Staphylococcus aureus,Coagulase negative Staphylococcusand Enterococci,and so on.CONCLUSION The hand contamination is the important risk factor of hospital cross infection.The hospital infections idea of medical staff should be strengthened,the supervision of hand hygiene and the enhancement of the recognition and compliance of hand-washing should be attached importance to effectively prevent and control the hospital cross infection communicated through hands.

  • 【文献出处】 中华医院感染学杂志 ,Chinese Journal of Nosocomiology , 编辑部邮箱 ,2011年09期
  • 【分类号】R197.323
  • 【被引频次】58
  • 【下载频次】564
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