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Staff hand disinfection Analysis and Countermeasures

Keywords: medical staff
Abstract Objective of caregivers contaminated hands before and after hand disinfection as well as countermeasures to be taken. Method before and after disinfection of the hands of medical personnel hygiene surface the amount of testing and bacterial culture. Results staff hand disinfection was significantly higher than that of the former colonies after disinfection ( P <0.001). Conclusion staff hand hygiene awareness is weak, to develop and implement appropriate measures to improve hand hygiene conditions. Key words medical personnel; hands; cross-infection Condition analysis of medical personnel's hand disinfection and the countermeasures ; 【Abstract】 Objective To explore the condition of the germs on the hands of medical personnel before disinfection and after disinfection and its countermeasures. Methods Hygiene detection and bacteria culture of the medical personnel's hands before disinfection and after disinfection were performed. Results The amount of germs on the hands of medical personnel before disinfection were higher than that after disinfection. Conclusion The study shows that medical personnel pay insufficient attention to hand hygiene, but we believe the condition of hand hygiene would become good if we take countermeasures. 】【Key words medical staff; washing hands; cross infection medical institutions in the hands of medical personnel to carry the bacteria into the main hospital infection pathogens, and hand washing and disinfection is to prevent hospital infections one of the most important measures [1]. In recent years,[link widoczny dla zalogowanych], as people question the importance of nosocomial infection, the importance of hand disinfection once again been recognized, clinical diagnosis and medical care in the operation, the hand skin clean is directly related to hospital infection rates. According to reports, maternity nurses are not washing hands before holding the baby's infection rate was 2.56%, fell to 1.24% after washing hands. Therefore, in our hospital in November 2004 ~ October 2005 medical staff during the 120 quantity of bacteria before and after hand disinfection and pathogen species were statistics and observations are as follows. 1 Materials and methods 1.1 Source select the hospital, surgery, obstetrics and gynecology medical staff of 120,[link widoczny dla zalogowanych], its in the treatment, injections, dispensing and other health care operation in the hand skin disinfection before and after respectively sampling. 1.2 method to be seized were five fingers close together, will be soaked in sterile saline solution swab samples means in the hands of a surface back and forth from finger rubbed the root to the tip of finger 2 times (a hand rubbed area 30cm2), and subsequently turn the sampling swab, hands cut off contact with parts of the cotton swab into the loading a 10ml sample solution in vitro oscillation of 80 times, and then take 1ml placed in sterile petri dishes, the use of ordinary poured nutrient agar for culture and the incubator at 37 ℃, 24h culture observations. 1.3 hygiene standards promulgated by the Ministry of Health in accordance with the 2 results 120 health care workers hand skin disinfection before and after the results shown in table 1. The statistical analysis of variance, which resulted in P
Table 1 disinfection before and after the bacterial colonies compared

Note: The two groups, P <0.001
Table 2 disinfection before and after bacterial species comparison

3 discussions 3.1 Problems ; (1) a poor sense of health care workers wash their hands: the monitoring results show that bacterial contamination of health care personnel hand is quite serious, especially in a large number of health care every day operation, more opportunities for exposure to various types of bacteria. The Ministry of Health survey, the medical staff to wash their hands before the operation can be done only 54% do not wash their hands thoroughly, towel towels 32% failed, mostly white coat with hand wiped after [3]. Therefore, the hand skin cleansing is particularly important. (2) hands busy when the quantity of bacteria multiplying. In clinical work, a responsibility of several to ten several of nurses to patient management, treatment, treatment time to be a nurse to treat dozens of people, wash your hands before each operation is more difficult to achieve in practical work, will be busy Under normal circumstances with contaminated hands were compared, the average amount of bacteria higher than 1 times, so that the hospital significantly increased the chance of cross infection. Therefore, the hospital infection control measures, cleaning and disinfection of the hands of medical staff to reduce hospital infection the most important part. 3.2 Causes I believe that: (1) infection in hospital medical staff opponent is the main way of transmission a lack of knowledge. Most people believe that pollution is caused by medical supplies were the main reason for infection. In fact, directly handle a substantial proportion of the spread of infection. For example, diagnosis and treatment of hepatitis patients during the SARS epidemic in close contact with health care workers, the infection rate higher than other groups, its causes are infection with hand contact. Attention to the internal environment in developed countries, such as sterilization of medical devices, the survey found that 80% of nosocomial infections due to contamination by hand. At present this has not generally caused by clinical staff's attention. (2) the work of the hand carrier condition, poorly understood. Most people think that as long as no contact with the secretions, excretions, hand is clean. This time, the test results showed just before the operation and operation of our hands are unclean. Although the medical environment has taken a number of disinfection measures, but hospitals are concentrated in patients with various types of public places, pathogenic micro-organisms everywhere, hand taps frequent contact, telephone, door handles, light switches, elevator buttons and other public facilities in most of the pollution. (3) the concept of prevention is not strong. Epidemics usually no clear separation does not focus on prevention,[link widoczny dla zalogowanych], not between the need to recognize that contact with the need for hand washing. 2003 SARS pandemic, which medical personnel to prevent infection rate and the current weakness of the concept not unrelated, if usually a prevention-oriented concepts, may reduce or even avoid the cost of the lessons of life. (4) does not handle linked to health and moral practice. Most people think that hand-washing damage the skin, some people were only in their own hands clean when needed, rather than the interests of patients first, did not consider their own negligence caused the infection could have consequences for patients. In short, all the information note, health care workers to wash their hands and minds issues are directly related. 4 Strategies the medical staff Hand spread of infection in hospitals play an important role,[link widoczny dla zalogowanych], so the management of the development of hand hygiene measures are necessary. aseptic care (medium), the use of antibacterial hand soap or disinfectant and so fast. These measures worth learning from. The current flow of water, wash with soap to keep hands clean is still a convenient, economical and effective method. However, clinical medical staff wash hands with soap in the low compliance is widespread [4]. In addition to reasons related to the above analysis, but also there are some objective reasons, such as inadequate hand washing facilities, distance and busy with work, time-consuming, also affected the frequency of health care workers to wash their hands. Leading opponents of hospital health importance, to improve hand hygiene compliance rate of staff. Studies have shown a serious surgical site infection, lower respiratory tract infection or blood infection, the hospital costs to be spent for hand sanitizers may exceed the annual budget [5]. Although the medical staff on hand to carry the pathogen is not the main reason causing the infection, but the medical staff's hand-borne diseases is the most direct and most efficient way. To cut off the first transmission, the hospital medical staff leaders must pay attention to hand hygiene, and to provide convenient facilities and conditions. Such as hospital-wide hand hygiene knowledge training, posting promotional materials, installation of adequate hand-washing pool, towel or disposable paper towels to provide towels to provide alcoholic portable bedside towels pressure agents and Alcohol boxes and other measures taken, can greatly enhance the rate of compliance with hand hygiene regulations, thereby reducing the incidence of nosocomial infections [6]. Short, since it was discovered that the hand is a major pathogen in hospitals after the media for hand cleaning and disinfection of the skin increasing attention. The implementation of any health care program, requires medical staff to participate, and therapeutic purposes can be achieved,[link widoczny dla zalogowanych], then with their hands and meet the hygiene requirements are closely related. Therefore, a careful hand washing is the control of hospital infection is an important measure, is the way patients and staff an effective means of protection.