饭前患者的手部卫生:一项系统性审查
Ariel Kamen1, Rebecca Clark, Michelle B Bass
1Author Affiliations: Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania (Miss Kamen and Dr Clark); Center for Evidence-based Practice, University of Pennsylvania Health System, Philadelphia, Pennsylvania (Miss Kamen, Drs Clark, Mull, and Mitchell); Pennsylvania Hospital, University of Pennsylvania Hospital System, Philadelphia, Pennsylvania (Drs Clark, Bass, Ms Fonshell); Division of Hospital Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania (Drs Holland and Mull); Penn Presbyterian Medical Center, University of Pennsylvania Health System, Philadelphia, Pennsylvania (Dr O'Donnell); Division of Infectious Diseases, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania (Dr O'Donnell) .
饭前患者手部卫生 (PHH) 的研究不足. 目前的证据不足以将PHH干预与减少医疗相关感染 (HAI) 联系起来,这表明需要更多的研究.
科学领域:
- 预防和控制感染的预防和控制.
- 患者安全 患者安全
- 医疗卫生流行病学 医疗卫生流行病学
背景情况:
- 手部卫生对于预防医疗相关感染至关重要.
- 患者手部卫生 (PHH) 得到了有限的研究重点.
- 了解PHH对于全面的感染控制策略至关重要.
研究的目的:
- 系统地审查有关在餐前进行的患者手部卫生 (PHH) 的现有证据.
- 识别和分类促进PHH的干预措施.
- 总结与PHH干预相关的报告结果.
主要方法:
- 在四个数据库中进行了系统的文献搜索.
- 该审查涵盖了1999年至2024年的出版物.
- 建议评级,评估,发展和证据 (GRADE) 框架评估了证据的强度.
主要成果:
- 十份报告符合审查的纳入标准.
- 对PHH的干预包括直接观察,提醒,教育,政策变化和捆绑方法.
- 目前还没有足够的证据来证实餐前PHH和减少HAI之间的直接因果关系.
结论:
- 关于患者手部卫生 (PHH) 的知识差距很大.
- 目前PHH的证据基础仅限于中度.
- 进一步的研究对于确定PHH对住院患者的HAI的临床疗效和影响至关重要.
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