Hand hygiene status and effect of handdrying measures on handwashing of health care workers in an intensive care unit
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R181.3+2

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    Abstract:

    ObjectiveTo realize hand hygiene status and effect of handdrying measures on handwashing of health care workers(HCWs) in an intensive care unit(ICU). MethodsFrom February to April 2013, 210 HCWs in an ICU were selected and randomly divided into three groups, group A dried hands with paper towel, group B with hand drier,and group C with personal towel,specimens from hands before handwashing, after handwashing, and after handdrying were taken and performed detection.ResultsHand microorganism count in group A,B and C before washing hands after contacting patients was (29.10±15.08)CFU/cm2,(31.42±14.76)CFU/cm2 and (30.36±15.52)CFU/cm2 respectively, the difference was not statistically different(F=0.048,P>0.05); After sixstep handwashing, hand microorganism count before hand drying in group A,B and C was (3.26±0.61)CFU/cm2, (2.98±0.59)CFU/cm2  and (3.87±0.67)CFU/cm2 respectively,compared with hand microorganism count before handwashing,  the difference was statistically different(all P<0.01). After adopting different  handdrying methods, microorganism count in three groups was statistically different(F=1.892,P<0.05), group A ([1.29±0.58]CFU/cm2 )was significantly lower than group B and C, group B ([9.51±0.73]CFU/cm2 )was significantly lower than group C([22.76±4.11]CFU/cm2); the qualified rate in group A (90.00%)was significantly higher than group B and C, group B (68.57%)was significantly higher than group C (47.14%).The top 5 pathogens isolated from HCWs’ hands were Pseudomonas aeruginosa, Acinetobacter baumannii, Klebsiella pneumoniae,Escherichia coli,and  Coagulase negative Staphylococcus, these strains were highly consistent with the top 5 multidrugresistant organisms (MDROs) isolated from ICU patients in this hospital in 2013. ConclusionHCWs’ hands  are seriously contaminated after all kinds of medical performance; if hands are improperly dried,secondary contamination may occur; pathogens isolated from HCWs’ hands are highly consistent with MOROs from patients,timely and correct handwashing and  handdrying is the key link to ensure the quality of hand hygiene,and  is of great significance to reduce the occurrence of MDROs infection in ICU patients.

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李光香,陈金之,包惠荣,等.重症监护室医务人员手卫生状况及干手措施对洗手效果的影响[J].中国感染控制杂志英文版,2014,13(9):552-555. DOI:10.3969/j. issn.1671-9638.2014.09.010.
LI Guangxiang, CHEN Jinzhi, BAO Huirong, et al. Hand hygiene status and effect of handdrying measures on handwashing of health care workers in an intensive care unit[J]. Chin J Infect Control, 2014,13(9):552-555. DOI:10.3969/j. issn.1671-9638.2014.09.010.

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  • Received:February 12,2014
  • Revised:May 26,2014
  • Adopted:
  • Online: September 30,2014
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