非无菌手套:要戴还是不戴,什么是最佳做法?
Diccon R Westworth1, Ian Battersby2, Danielle Banks3
11VCA Animal Care Center of Sonoma County, Rohnert Park, CA.
Journal of the American Veterinary Medical Association
|October 22, 2025
概括
非无菌医疗手套 (NSG) 可以阻碍感染控制,并在过度使用时增加成本. 将NSG替换为适当的手部卫生,为患者安全和资源管理带来了显著的好处.
科学领域:
- 预防和控制感染的预防和控制.
- 医疗保健管理的管理
- 环境健康 环境健康
背景情况:
- 非无菌医疗手套 (NSG) 经常在临床环境中使用.
- 人们对过度使用和不适当应用NSG存在担忧.
- 潜在的负面影响包括感染控制受损,员工健康风险,成本增加,废物产生和环境损害.
研究的目的:
- 审查NSG在临床实践中的适当和不适当的用途.
- 找出用手卫生取代NSG使用的机会.
- 在适用情况下,强调用手部卫生代替NSG的好处.
主要方法:
- 在临床实践中使用NSG的文献综述.
- 对适当和不适当的NSG应用场景的分析.
- 评估手部卫生作为NSG的替代品.
主要成果:
- 过度和不适当的NSG使用可能会破坏预防感染的努力.
- 过度使用NSG对医疗保健工作者健康构成风险.
- 通过优化NSG使用和促进手部卫生,可以实现显著的成本节约,废物减少和环境效益.
结论:
- 优化NSG的使用对于有效的感染控制至关重要.
- 在许多临床情况下,手部卫生是NSG的可行和有益的替代品.
- 减少对NSG的依赖可以提高患者安全,降低医疗保健成本,并对环境产生积极影响.
相关概念视频
PPE Use in Healthcare Settings I: Donning
1.6K
Donning PPE must be completed before contact with the patient. This process protects from infectious agents. The sequence and action included in each donning are critical, and the steps must be systematic to avoid exposure to pathogens. The institutional policy also needs to be followed while donning PPE. The pre-donning preparations are gathering equipment, inspecting the PPE equipment for tears, holes, or damage, removing jewelry, removing any garments below the elbows, and tying the hair...
1.6K
PPE Use in Healthcare Settings II: Doffing
1.5K
The sequence of removing or doffing PPE starts with the gloves, as they are the most contaminated. Next is removal of the face shield or goggles, as they would interfere with removing other PPE. Then remove the gown, followed by the mask or respirator. Perform hand hygiene between steps if hands become contaminated and immediately after removing all PPE. Generally, the outside front and sleeves of the isolation gown, the goggles or the mask, the respirator, and the face shield are contaminated.
1.5K
Handwashing III: During the Procedure and Post-Procedure Steps
2.2K
To wash hands properly, follow these steps:
2.2K
Standard Precaution
2.7K
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
2.7K
Handwashing II: Pre-procedure and Initial Procedure Steps
1.5K
The pre-procedure steps of handwashing include removing jewelry and rolling up sleeves. However, many organizations allow staff to wear wedding rings.
The hand washing procedure itself includes the following steps. First, cover cuts, if any, on hands with a waterproof dressing. Cuts and abrasions can become contaminated with bacteria hindering the ability to clean the area thoroughly. In addition, repeated hand washing can worsen an injury. The nails must be short and clean, without nail...
The hand washing procedure itself includes the following steps. First, cover cuts, if any, on hands with a waterproof dressing. Cuts and abrasions can become contaminated with bacteria hindering the ability to clean the area thoroughly. In addition, repeated hand washing can worsen an injury. The nails must be short and clean, without nail...
1.5K
Hand hygiene
5.6K
Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...
Hand washing...
5.6K


