感染伤口换药后操作者手污染的监测与手卫生的管理

Monitoring of Medical Staff's Hand Contamination after Change for Infected Wound and Managing Hand Hygiene

目的监测感染伤口换药后操作者手污染情况,寻找有效的手卫生方法。方法对98例患者的感染伤口换药后,监测换药人员未洗手、常规洗手、六步洗手法洗手后手部病原菌,比较两种手卫生的效果。结果感染伤口换药后操作者手部带菌率100.0%,常规洗手合格率仅47.9%;六步洗手法合格率达97.9%。结论伤口换药后六步洗手法效果好,加强手卫生行为规范的管理,有利于预防与控制医院感染。

OBJECTIVE To monitor the hand contamination after dressing change for the infected wound and to explore an effective way for hand hygiene. METHODS Caregivers were divided into three groups after applying dressing on infected wound：group 1（no hand-washing）, group 2 （regular hand-washing）, and group 3 （standard hand- washing）, the pathogens in hands were monitored and the effects of two ways of hand-washing were compared. RESULTS The rate of hand-carrying pathogens after dressing change for the infected wound was 100. 0%, the qualified rate of regular hand-washing was only 47.9 % and that of standard hand-washing （six-steps method）was 97.9%. CONCLUSIONS The standard hand-washing is more effective than regular hand-washing. Correct hand hygiene should he emphasized to prevent and control nosocomial infection.