在COVID-19大流行后的手部卫生:它仍然处于高水平吗?
Jinqi Wang1,2, Yaofei Liu2,3, Neng Li1,2
1Department of infection prevention and control, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, P. R. China.
PloS one
|September 19, 2025
概括
在COVID-19之后,手部卫生的遵守程度下降,导致医疗保健相关感染的增加. 需要进一步的研究来了解手部卫生和感染率之间的关系.
科学领域:
- 感染控制 感染控制
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 手部卫生 (HH) 对于预防医疗相关感染 (HAI) 至关重要.
- 随着COVID-19大流行,人们对卫生保健的遵守程度有所增加,但可持续性尚不确定.
- 评估流行后的HH坚持及其与HAI的联系至关重要.
研究的目的:
- 为了评估COVID-19大流行后手部卫生遵守的变化.
- 为了确定遵守手部卫生和HAI发生率之间的相关性.
- 确定需要加强感染预防策略的需要.
主要方法:
- 一项纵向研究评估了两个阶段 (2021年10月至2023年1月和2023年2月至2024年7月) 的HH合规性和HAI.
- 观察了HH实践,并使用半自动监控软件监测HAI.
- 皮尔森相关系数 (rs) 分析了HH遵守和HAI发生率之间的关系.
主要成果:
- 在第一阶段,HH合规性从90.27%显著下降到第二阶段的82.56% (P < 0.001).
- 同时,HAI发生率从16.79‰增加到18.71‰ (P < 0.001).
- 没有发现月度HH遵守和HAI发生率之间有统计学意义的相关性 (rs = -0.296;P = 0.0897).
结论:
- 在流行病后保持高水平的手部卫生遵守是具有挑战性的,需要新的策略.
- 手部卫生和HAI之间的直接相关性需要进一步调查.
- 需要额外的干预措施来维持感染控制标准.
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