在荷兰的全科医院办公室使用电子消毒器遵守和执行手部卫生
Nataliya Hilt1, Matthijs S Berends1,2, Mariëtte Lokate1
1Department of Medical Microbiology and Infection Prevention, University of Groningen, University Medical Centre Groningen, The Netherlands.
荷兰全科医院的手部卫生遵守率为41%,在医疗保健专业人员中存在显著差异. 电子监测提供了一种新的方法来测量和改进手部卫生实践,以预防感染.
科学领域:
- 与医疗保健相关的感染 (HAI)
- 预防和控制感染的预防和控制.
- 一般实践管理的管理.
背景情况:
- 手部卫生 (HH) 对于减少医疗相关感染 (HAI) 至关重要.
- 在一般实践办公室 (GPOs) 中直接观察HH是具有挑战性的.
- 电子监控是评估产品使用和合规性的公认方法.
研究的目的:
- 为了评估荷兰通用诊所对手部卫生的遵守.
- 评估在这种情况下对HH电子监测的可行性.
主要方法:
- 在2019-2021年期间,在4个荷兰GPOs进行了观察性研究.
- 带有电子计数器的基于酒精的手部摩擦器 (ABHR) 分配器监测了HH事件 (HHE).
- 根据"五个手部卫生时刻"和电子病人的病历,计算出了HH机会.
主要成果:
- 总体而言,HH合规率为41% (1786/4322个机会).
- 合规程度各不相同:全科医生38%,实践助理51%和护士43%
- 卫生保健合规性从大流行前的42%增加到大流行期间的56%.
结论:
- 荷兰GPOs的HH遵守率低于最佳,为41%,其中GP的遵守率最低.
- 电子监控提供了有关HH性能和ABHR使用的宝贵数据.
- 为了提高荷兰一般实践中的HH合规性,需要进行多模式干预.
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