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Influence of Handprint Culture Training on Compliance of Healthcare Workers with Hand Hygiene

机译:手印文化培训对医护人员手卫生依从性的影响

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Objective. We aimed to study the effect of visual observation of bacterial growth from handprints on healthcare workers’ (HCWs) compliance with hand hygiene (HH). Settings. Medical and postoperative cardiac surgery units. Design. Prospective cohort study. Subject. The study included 40 HCWs. Intervention. Each HCW was interviewed on 3 separate occasions. The 1st interview was held to obtain a handprint culture before and after a session demonstrating the 7 steps of HH using alcohol-based hand rub, allowing comparison of results before and after HH. A 2nd interview was held 6 weeks later to obtain handprint culture after HH. A 3rd interview was held to obtain a handprint culture before HH. One month before implementation of handprint cultures and during the 12-week study period, monitoring of HCWs for compliance with HH was observed by 2 independent observers. Main Results. There was a significant improvement in HH compliance following handprint culture interview (). The frequency of positive cultures, obtained from patients with suspected healthcare-associated infections, significantly declined (blood cultures ; wound cultures p = 0,003; sputum cultures ). Conclusion. The visual message of handprint bacterial growth before and after HH seems an effective method to improve HH compliance.
机译:目的。我们旨在研究视觉观察手印细菌生长对医护人员(HCW)遵守手部卫生(HH)的影响。设定医疗和术后心脏外科单位。设计。前瞻性队列研究。学科。该研究包括40名HCW。介入。每个HCW分别接受了3次采访。在第一次和第二次访谈之前进行了一次访谈,目的是在会议前后展示使用酒精基手擦进行HH的7个步骤,以便比较HH前后的结果。 6周后进行了第二次采访,以获取HH后的手印文化。在HH之前进行了第三次面试,以获取手印文化。在实施手印文化的前一个月以及在为期12周的研究期内,由2位独立观察员观察了对HCW是否符合HH的监测。主要结果。在手印文化采访之后,HH依从性有了显着改善()。从怀疑患有医疗保健相关感染的患者中获得阳性培养的频率显着下降(血液培养;伤口培养p = 0,003;痰培养)。结论。 HH前后手印细菌生长的视觉信息似乎是提高HH顺应性的有效方法。

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