冲洗,凝和泡 - - 有没有证据表明它们在预防感染方面的有效性有所不同?
1J.M. Boyce Consulting, LLC, Hyde Park, NY, USA. jmboyce69@gmail.com.
Antimicrobial resistance and infection control
|May 10, 2024
概括
基于酒精的手部擦拭剂 (ABHRs) 的格式不会显著影响它们的抗菌疗效. 摩擦时间是主要因素,冲洗,凝和泡格式在减少与医疗相关的感染 (HAI) 中表现出相似的有效性.
科学领域:
- 感染控制 感染控制
- 公共卫生 公共卫生
- 微生物学 微生物学
背景情况:
- 关于不同酒精手 (ABHR) 格式 (冲洗,凝,泡) 的相对抗菌疗效存在争议.
- 根据世卫组织的指导方针,ABHRs在减少医疗相关感染 (HAI) 的作用正在接受审查.
研究的目的:
- 审查和比较不同ABHR格式的体内抗菌疗效.
- 评估ABHR格式对遵守手部卫生和减少HAI的影响.
主要方法:
- 对ABHR抗菌药物疗效和HAI降低研究的综合性审查.
- 分析影响ABHR有效性的因素,包括配方,体积和用户接受度.
主要成果:
- 摩擦时间是ABHR抗菌疗效的关键决定因素,而不是格式.
- 冲洗,凝和泡ABHR显示了可比的体内抗菌疗效.
- 在67项研究中,没有发现任何特定的ABHR格式在减少病原体传播或HAI方面更有效.
结论:
- 目前的证据不足以宣布一个ABHR格式在减少HAI方面优越.
- 需要进行更多的多中心随机对照试验,以最终比较ABHR格式及其对HAI减少的影响.
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