最好的产品用于皮肤消毒剂
1J.M. Boyce Consulting, LLC, Middletown, CT.
American journal of infection control
|October 27, 2023
概括
皮肤消毒剂对于预防手术前和高风险患者感染至关重要. 虽然进展显而易见,但优化皮肤制备技术对于患者安全至关重要.
科学领域:
- 预防和控制感染.
- 手术部位感染 (SSI) 的减少.
- 管理与医疗相关的感染 (HAI).
背景情况:
- 皮肤消毒剂对于手术和降低高风险患者感染至关重要.
- 目前的做法旨在尽量减少中枢线相关的感染和其他HAI.
研究的目的:
- 审查和更新关于皮肤消毒产品和实践的证据.
- 为了确定皮肤消毒协议的改进领域.
主要方法:
- 进行了全面的PubMed搜索.
- 系统地审查了皮肤消毒产品和做法的证据.
主要成果:
- 指导方针建议进行手术前的洗,但缺乏关于时间和素酸盐 (CHG) 浸布的具体细节.
- 以酒精为基础的手部擦拭剂显示出与抗菌肥进行手术手部消毒的结果相当或优于抗菌肥.
- 每天在ICU中CHG洗减少了CLABSI,但非ICU的证据是混合的;CHG监测是有益的.
- 在中央线插入之前,含有2%CHG的酒精制品可以减少CLABSI.
结论:
- 在皮肤消毒剂产品和协议方面取得了进展.
- 在手术现场准备技术的改进仍然是必要的.
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