在医疗保健机构选择和使用检查手套的最佳实践的基于共识的指南
Jorge Freitas1,2,3, Alexandre Lomba4, Samuel Sousa5,6
1Oncology Medicine Service, Instituto Português de Oncologia do Porto (IPO-Porto), 4200-072 Porto, Portugal.
Nursing reports (Pavia, Italy)
|January 24, 2025
概括
新的指导方针提供了基于共识的建议,用于选择,使用和处理检查手套,以预防与医疗相关的感染 (HAI) 和抗菌素耐药性 (AMR),同时促进环境可持续性.
科学领域:
- 预防和控制感染的预防和控制.
- 医疗保健中的环境可持续性
- 公共卫生 公共卫生
背景情况:
- 医疗相关感染 (HAI) 和抗菌素耐药性 (AMR) 带来了重大风险,增加了发病率,死亡率和成本.
- 检查手套是防止医护人员和患者之间的交叉污染的关键障碍.
- 优化手套使用对于感染控制和环境责任至关重要.
研究的目的:
- 建立基于共识的指导方针,以最佳选择,使用和处置检查手套.
- 针对医疗保健机构的感染预防策略和环境可持续性.
- 将手套管理实践与国际法规和可持续性框架保持一致.
主要方法:
- 采用了多阶段的Delphi过程,涉及到一群多元化的医疗保健专家.
- 制定了建议,以确保遵守国际标准和可持续发展目标.
- 这些指导方针结合了"一个健康"方法和可持续发展目标 (SDGs) 的原则.
主要成果:
- 手套的选择应基于临床需求和符合EN 455的标准;无菌手套用于侵入性手术,非无菌手套用于例行护理.
- 强调使用前/使用后的手部卫生,不重复使用手套,以及正确的佩戴/脱落技术.
- 处置应遵循当地法规,优先考虑可回收或可生物降解材料的可持续性.
结论:
- 这些指导方针加强了感染控制,并提高了患者和医护人员的安全.
- 坚持以证据为基础的做法将环境影响降到最低.
- 医疗机构可以实施安全,可持续的手套管理系统作为全球模式.
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