手部卫生用于预防新生儿感染
Bankole Peter Kuti1, Tinuade A Ogunlesi2, Olabisi Oduwole3
1Department of Paediatrics and Child Health, Obafemi Awolowo University, Ile-Ife, Nigeria.
The Cochrane database of systematic reviews
|June 6, 2023
概括
关于预防新生儿感染的手卫生剂的数据有限. 虽然与酒精手洗手剂相比,2%的赫西丁葡萄酸盐 (CHG) 可能会减少感染,但由于研究的局限性,需要更多的研究.
科学领域:
- 新生儿健康 新生儿健康
- 预防传染病 预防传染病
- 公共卫生干预 公共卫生干预
背景情况:
- 新生儿感染是全球每年280万新生儿死亡中很大一部分的原因.
- 超过95%的与败血症相关的新生儿死亡发生在低收入和中等收入国家.
- 手部卫生是预防新生儿感染的经济有效干预措施,在资源有限的环境中.
研究的目的:
- 评估各种手卫生剂在预防新生儿感染方面的有效性.
- 在社区和医疗机构环境中评估这些药物.
主要方法:
- 2022年12月对多个数据库 (CENTRAL,MEDLINE,Embase,CINAHL) 和试验注册表进行了系统搜索.
- 包括的研究包括随机对照试验 (RCT),交叉试验和集群试验,涉及孕妇,母亲,照顾者,医疗保健工作者和新生儿.
- 主要结局包括疑似和细菌学证实感染的发病率,以及全因新生儿死亡率.
主要成果:
- 包括6项研究 (2个RCT,1个集群RCT,3个交叉试验),参与者数量不同.
- 与酒精手洗手剂相比,百分之二的赫西丁葡萄酸盐 (CHG) 可能会减少细菌学上确定的感染 (RR 0.79,中等确定性证据).
- 关于皮肤变化的证据和与肥或常规护理的比较的确定性非常低,死亡率的数据有限.
结论:
- 缺乏足够的数据来确定某种手卫生剂在预防新生儿感染方面的优势.
- 现有证据的确定性中等至非常低,突出了研究的重大局限性.
- 需要进一步进行高质量的研究,以建立最佳的手部卫生实践,以预防新生儿感染.
相关概念视频
Hand hygiene
3.4K
Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...
Hand washing...
3.4K
Standard Precaution
2.0K
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
2.0K
Handwashing III: During the Procedure and Post-Procedure Steps
1.5K
To wash hands properly, follow these steps:
1.5K
Healthcare Associated Infections II: Preventive Measures
2.7K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.7K
Handwashing II: Pre-procedure and Initial Procedure Steps
966
The pre-procedure steps of handwashing include removing jewelry and rolling up sleeves. However, many organizations allow staff to wear wedding rings.
The hand washing procedure itself includes the following steps. First, cover cuts, if any, on hands with a waterproof dressing. Cuts and abrasions can become contaminated with bacteria hindering the ability to clean the area thoroughly. In addition, repeated hand washing can worsen an injury. The nails must be short and clean, without nail...
The hand washing procedure itself includes the following steps. First, cover cuts, if any, on hands with a waterproof dressing. Cuts and abrasions can become contaminated with bacteria hindering the ability to clean the area thoroughly. In addition, repeated hand washing can worsen an injury. The nails must be short and clean, without nail...
966
Handwashing I: Introduction and Types of Equipment
4.2K
Handwashing is hand hygiene with plain or antimicrobial soap and water to physically remove dirt, organic material, and microorganisms. However, it may not kill all microorganisms. The handwashing procedure requires a hand wash basin, liquid soap, paper towels, a domestic waste bin, and disposable nail cleaner as optional equipment.
Hand wash basins in clinical areas should have faucets that can be turned on and off without using the hands; that is, they should be non-touch or lever-operated....
Hand wash basins in clinical areas should have faucets that can be turned on and off without using the hands; that is, they should be non-touch or lever-operated....
4.2K


