评估15秒以酒精为基础的手疗效:使用修改后的EN 1500协议进行的多实验室研究
Kira-Marie Roesch1, Jürgen Gebel1, Astrid Bolten2
1Institute for Hygiene and Public Health, University Hospital Bonn, Bonn, Germany; Association for Applied Hygiene, Bonn, Germany.
The Journal of hospital infection
|February 21, 2026
概括
将手部消毒时间缩短到15秒是可行的,但需要训练. 较短的入时间符合临床实践,但需要仔细实施才能保持有效性.
科学领域:
- 预防和控制感染的预防和控制.
- 微生物学 微生物学
- 公共卫生 公共卫生
背景情况:
- 与医疗保健相关的感染经常通过手传播.
- 目前的欧洲标准 (EN 1500) 要求使用30秒手部消毒剂.
- 医疗保健工作者经常在不到推的时间内进行手部卫生.
研究的目的:
- 评估减少15秒手部消毒方案的可行性.
- 与标准的30秒方法相比,评估微生物减少的有效性.
- 在多中心环境中分析缩短协议的可重复性.
主要方法:
- 经过修改的EN 1500协议使用15秒和3毫升60%的-2-醇进行了测试.
- 一项随机交叉试验涉及14个实验室和被大肠杆菌K12污染的志愿者.
- 测量了微生物减少,并对30秒参考方法进行了统计分析.
主要成果:
- 在大多数实验室中,15秒的协议显示微生物减少明显低于30秒的方法.
- 对于缩短的协议,观察到一致的可重复性和令人满意的实验室间性能.
- 在15秒内实现全手覆盖的困难凸显了对技术专注培训的需求.
结论:
- 一个15秒的手消毒方案在方法上是可行的,并与临床实践保持一致.
- 缩短的入时间得到了不断变化的指导方针的支持,但需要对EN 1500进行谨慎的修订.
- 确保完全覆盖手和遵守技术对于使用更短的协议的有效性至关重要.
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