遵守和坚持手部卫生实践,以有效控制感染
Abubakari Ibn Sidiki1, Aliu Moomin2, Alexandr Nikolaevich Lishchuk3
1Peoples' Friendship University of Russia, Miklukho-Maklaya Str 6, Moscow 117198, Russia.
Journal of water and health
|June 1, 2024
概括
实施行动计划显著改善了莫斯科一家医院的医护人员对手部卫生的遵守. 定期的审计和反促进了遵守世界卫生组织的指导方针,降低了感染风险.
科学领域:
- 感染控制 感染控制
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 医疗相关感染 (HAI) 构成重大威胁,手部卫生 (HH) 是主要的预防方法.
- 医疗保健人员面临着坚持世界卫生组织 (WHO) HH建议的挑战,影响患者的安全.
- 需要有效的策略来改善临床环境中的HH合规性.
研究的目的:
- 评估行动计划对卫生保健人员对手部卫生的遵守和遵守的影响.
- 在市立医院实施有针对性的干预措施后,评估HH实践的变化.
- 为了识别不同医疗保健专业中HH合规率的变化.
主要方法:
- 根据世卫组织的指导方针,在2022年6月进行了基准HH合规性审计.
- 接下来是一个为期3个月的干预期,涉及行动计划和每月重新审计.
- 分析了2,732个患者接触时刻的数据,以比较干预前后的HH遵守率.
主要成果:
- 在2022年6月至9月期间,HH总合规性显著从52.3%增加到83.3% (p < 0.05).
- 整体合规率达到75%,护士的合规率最高 (79.6%),辅助人员的合规率最低 (69.7%).
- 与"之后"的时刻相比,医疗人员更坚持"之前"的HH时刻.
结论:
- 实施的行动计划,加上每月的重新审计和反,显著改善了HH的合规性和遵守性.
- 持续的监测和反努力对于加强HH实践和减轻HAI传播至关重要.
- 有针对性的策略可能是必要的,以进一步提高特定类别的员工,如辅助人员的坚持.
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