免刷洗与刷洗两种不同外科手消毒效果监测及评价

发布时间：2019-02-21 13:02

【摘要】：目的比较免刷洗与刷洗两种不同外科洗手消毒方法效果,提高医护人员洗手依从性。方法随机抽取200名手术人员,将其分为刷手消毒法组100名、免刷手消毒法组100名;消毒后手术前用生物检测法进行手指采样送微生物室培养检测培养,并进行问卷调查,对手消毒效果进行监测及评价。结果免刷洗与刷洗手两组外科洗手人员手指皮肤细菌培养均获得同样的消毒效果,两组对照检测方法结果显示,差异无统计学意义,但手揉搓消毒剂由于含护肤成分和免刷手的消毒方法,对皮肤的损伤比需要刷手的消毒剂更小,两组对照检测方法结果显示,差异有统计学意义(P0.05)。结论免刷洗手消毒具有一定的优势,既保证外科手消毒效果,又保证了手术人员的皮肤屏障的完整性,提高医护人员洗手依从性,因此免刷洗手是一种高效、安全、快捷的消毒方法,值得临床推广使用。
[Abstract]:Objective to compare the efficacy of two different methods of washing hands without washing and washing, and to improve the compliance of medical staff. Methods 200 surgical personnel were randomly selected and divided into brush-hand disinfection group (n = 100) and no-brush hand disinfection group (n = 100). Biological detection method was used to detect and culture finger sampling and microorganism room culture before disinfection, and questionnaire survey was carried out to monitor and evaluate the efficacy of hand disinfection. Results the bacteriological culture of the finger skin of the surgical hand washing workers obtained the same disinfection effect in the two groups. The results showed that there was no significant difference between the two groups. But the hand rub disinfectant because contains the skin care ingredient and does not brush the hand disinfection method, the skin injury is smaller than the need to brush the hand disinfectant, the two groups control test method result shows, the difference has the statistical significance (P0.05). Conclusion Brush-free hand-washing disinfection has some advantages, which not only ensures the efficacy of surgical hand disinfection, but also ensures the integrity of the skin barrier of surgical staff, and improves the compliance of medical staff. Therefore, brush-free hand-washing is an effective and safe method. The quick disinfection method is worth popularizing in clinic.
【作者单位】：杭州市第一人民医院手术室;
【基金】：浙江省自然科学基金项目(Ly13H190003)
【分类号】：R187

【共引文献】