在COVID-19大流行后四年,医院工作人员在使用酒精为基础的手的变化:单中心观察时间序列研究
Filip Waligóra1, Anastazja Tobolewska-Kielar1, Maciej Kielar2
1Scientific Club of Medicover Hospital, General Surgery Clinic of Lazarski University, 02-972 Warsaw, Poland.
Healthcare (Basel, Switzerland)
|January 28, 2026
概括
在COVID-19后的手术部门,基于酒精的手消费,作为手部卫生的代理,下降,回归到大流行前的水平. 保持手部卫生需要积极的监测,而不仅仅是教育.
科学领域:
- 感染控制和医院流行病学
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 基于酒精的手 (ABHR) 消费是手部卫生实践的关键指标.
- 随着COVID-19大流行,人们越来越多地遵守手部卫生,但长期的可持续性尚不确定.
- 评估流行后的ABHR消费趋势对于了解持续的卫生行为至关重要.
研究的目的:
- 评估2022年至2024年以酒精为基础的手消费趋势.
- 为了比较当前的消费率与大流行前 (2019年) 和大流行 (2020年) 的水平.
- 确定影响手部卫生实践可持续性的因素.
主要方法:
- 一项后续的观察性研究追踪了2022年至2024年在外科部门和全医院的季度ABHR消费情况.
- 消费数据被规范化为每名患者每天的毫升.
- 使用Newey-West标准误差进行时间序列回归分析,评估时间趋势,与2019-2020年数据进行比较.
主要成果:
- 外科部门ABHR消耗量下降了27.5% (55.9至40.5毫升/患者日),恢复到2019年的水平.
- 整个医院的ABHR消费量增加了36% (36.4至49.6毫升/患者日).
- 两种趋势都没有达到统计学意义 (p > 0.05),2024年的外科手术率远低于2020年的流行病峰值.
结论:
- 在ABHR消费方面,疫情时期的收益在外科部门没有持续.
- 缺乏系统的监测和反,尽管教育基础设施,导致下降.
- 积极的监测计划对于维持危机后的手部卫生遵守是必不可少的,因为单纯的被动教育是不够的.
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