ATP生物荧光检测法在观察产房工作人员手卫生与产后医院感染关系的分析

Effect of ATP bioluminescence assay on observation of relationship between hand hygiene of delivery room staff and postpartum nosocomial infection

目的探讨分析ATP生物荧光检测法在观察产房工作人员手卫生与产后医院感染关系的影响。方法选取医院的产房医师、护士、进修实习人员共90例作为研究对象,采用自身对照的方法,分为对照组与研究组。对照组实施基线调查,对医务人员的手卫生知识掌握情况以及不同工作时刻的手卫生依从性进行监测评估,研究组施以ATP生物荧光检测法干预措施,观察比较两组医务人员干预前后的主动洗手率、手卫生合格率以及干预前后院内的感染情况。结果干预前,医务人员在不同工作时刻主动洗手率与手卫生合格率无明显差异;干预后观察组主动洗手率及手卫生合格率均显著高于对照组,且两组比较差异均有统计学意义(P<0.05);干预前观察组与对照组在院内发生感染率比较无统计学意义;干预后观察组院内发生感染率显著低于对照组,两组比较差异有统计学意义(P<0.05)。结论 ATP生物荧光检测法在观察产房工作人员手卫生时进行现场的监测反馈,能显著提高医务人员的手卫生依从性与合格率,降低产后医院感染率,值得临床上推广应用。

OBJECTIVE To explore the effect of ATP bioluminescence assay on observation of the relationship between hand hygiene of delivery room staff and postpartum nosocomial infection.METHODS Totally 90 doctors,nurses and interns of delivery room were recruited as the study objects and divided into the control group and the study group by the self-controlled method.The baseline survey was conducted in the control group,the acquisition of knowledge of hand hygiene and the hand hygiene compliance at different time points were monitored and evaluated;the ATP bioluminescence assay was performed in the stud group.The rate of initiative hand washing,qualified rate of hand hygiene and incidence of nosocomial infection were observed and compared between the two groups of health care workers before and after the intervention.RESULTS Before the intervention,there were no significant differences in the rate of initiative hand washing and qualified rate of hand hygiene among the health care workers at the different time points;the rate of initiative hand washing and qualified rate of hand hygiene were significantly higher in the observation group than in the control group after the intervention（P〈0.05）;there was no significant difference in the incidence of nosocomial infection between the observation group and the control group before the intervention;the incidence of nosocomial infection of the observation group was significantly lower than that of the control group after the intervention（P〈0.05）.CONCLUSIONThe onsite monitoring and feedback of hand hygiene of the delivery room staff based on the ATP bioluminescence assay may effectively raise the hand hygiene compliance and qualified rate of hand hygiene of the health care workers and reduce the incidence of postpartum nosocomial infection,and it is worthy to be promoted in the hospital.