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A Method to Test the Efficacy of Handwashing for the Removal of Emerging Infectious Pathogens
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直接戴手套与戴手套之前的手部卫生,遵守医院感染控制实践:一个集群随机临床试验

Kerri A Thom1, Clare Rock2, Gwen L Robinson1

  • 1Department of Epidemiology, University of Maryland School of Medicine, Baltimore, Maryland.

JAMA network open
|October 26, 2023
PubMed
概括

直接穿戴手套而没有手部卫生,增加了医院对感染预防实践的遵守. 医疗机构应该考虑这一策略,以提高患者安全,减少与医疗相关的感染.

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Hand hygiene

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Hand washing...
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PPE Use in Healthcare Settings I: Donning

Donning PPE must be completed before contact with the patient. This process protects from infectious agents. The sequence and action included in each donning are critical, and the steps must be systematic to avoid exposure to pathogens. The institutional policy also needs to be followed while donning PPE. The pre-donning preparations are gathering equipment, inspecting the PPE equipment for tears, holes, or damage, removing jewelry, removing any garments below the elbows, and tying the hair...
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Standard Precaution01:26

Standard Precaution

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.
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PPE Use in Healthcare Settings II: Doffing

The sequence of removing or doffing PPE starts with the gloves, as they are the most contaminated. Next is removal of the face shield or goggles, as they would interfere with removing other PPE. Then remove the gown, followed by the mask or respirator. Perform hand hygiene between steps if hands become contaminated and immediately after removing all PPE. Generally, the outside front and sleeves of the isolation gown, the goggles or the mask, the respirator, and the face shield are contaminated.
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Handwashing III: During the Procedure and Post-Procedure Steps

To wash hands properly, follow these steps:
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Handwashing II: Pre-procedure and Initial Procedure Steps

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...
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