在社区环境中对手部卫生的建议:对当前国际指南的范围审查
Clara MacLeod1, Laura Braun2, Bethany A Caruso3
1Department of Disease Control, London School of Hygiene and Tropical Medicine Faculty of Infectious and Tropical Diseases, London, UK clara.macleod@lshtm.ac.uk.
BMJ open
|June 21, 2023
概括
国际指导方针始终建议用肥洗手,以便在社区中有效地保持手部卫生. 然而,水质,行为改变和政府措施的基于证据的建议存在差距,阻碍了政策制定.
科学领域:
- 公共卫生 公共卫生
- 预防传染病 预防传染病
- 全球卫生政策 全球卫生政策
背景情况:
- 手部卫生是预防疾病传播的关键公共卫生措施.
- 国际指导方针旨在在社区环境中标准化有效的手部卫生做法.
研究的目的:
- 总结和评估社区环境的国际手部卫生指南的一致性和证据基础.
- 发现现行建议中的缺口,以有效地实施手部卫生.
主要方法:
- 在家庭,公共和机构社区环境中对手部卫生的国际指导方针进行系统审查.
- 分析与有效的手部卫生,最低要求,行为改变和政府措施相关的建议.
- 评估建议的一致性,一致性和证据支持.
主要成果:
- 在1999-2021年间发布的51条指导方针中,包含了923条建议.
- 始终建议用肥和水洗手至少20秒;以酒精为基础的手 (ABHR) 是一个补充的选择.
- 在水质,肥/ABHR的替代品和洗手站设计方面存在不一致;在行为改变和政府措施方面发现了重大差距;不到10%的建议引用了证据.
结论:
- 目前的国际指导方针强烈提倡社区用肥洗手.
- 需要基于证据的指导来解决发现的差距,特别是关于行为改变和政府支持,以加强手部卫生政策和投资.
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