摘要
目的观察3种不同手卫生处置方法的效果,为医务人员提供便利、可靠的手卫生方法。方法选择临床医护人员90名,随机分为3组,设肥皂洗手组30人,卫生手消毒组30人,先洗手后卫生手消毒组30人;洗手组使用肥皂,卫生手消毒组使用速干手消毒剂,先洗手后卫生手消毒组是先用肥皂再用速干手消毒剂洗手,干后立即用含相应中和剂的无菌洗脱液的无菌棉拭子采样双手标本送检,37℃培养48h,观察3组人员手部细菌菌落数。结果肥皂洗手、卫生手消毒、先洗手后卫生手消毒合格率分别为76.7%、93.3%、100.0%,均未检出致病菌;肥皂洗手与卫生手消毒比较、卫生手消毒与先洗手后卫生手消毒比较差异无统计学意义,肥皂洗手与先洗手后卫生手消毒比较差异有统计学意义(P<0.05)。结论 3种手卫生方法均可用于临床医务人员的手部清洗除菌,先洗手后卫生手消毒效果最佳,卫生手消毒效果优于肥皂洗手。
OBJECTIVE To observe the effects of three kinds of ways to wash hands,including washing hands with soap,hands disinfection,washing hands plus hands disinfection so as to develop convenient and reliable way for medical staff to wash hands.METHODS A total of 90 clinical medical staff were selected and randomly divided into three groups with 30 persons in each：the group of washing hands with soap,group of hands disinfection using quick-drying hand disinfectants,and group of washing hands plus hands disinfection using soap plus quick-drying hand disinfectants.After all the hands were dried,the specimens sampled by sterile cotton swabs soaked in sterile eluent containing neutralizer were submitted for the culture under 37 centigrade for 48h.The bacterial colonies on the medical staff＇s hands of the 3 groups were observed.RESULTS The qualification rates of group of washing hands with soap,group of hands disinfection,and group of washing hands plus hands disinfection were 76.7%,93.3%,and 100.0%,respectively.No strains of pathogenic bacteria were detected;the difference between the group of hands disinfection and the group of washing hands plus hands disinfection was not statistically significant,and the difference between the group of washing hands with soap and the group of washing hands plus hands disinfection was statistically significant（P0.05）.CONCLUSION All of the three hand hygiene methods can be applied in hands disinfection for clinical medical staff.Washing hands plus hands disinfection can achieve the best efficacy in hand disinfection,which is superior to other two methods.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2012年第5期999-1000,共2页
Chinese Journal of Nosocomiology
关键词
手卫生
方法
效果观察
Hands hygiene
Methods
Effect observation
