儿科医务人员全面使用手套后院感防控效果—Pediatrics上的一篇论文
BACKGROUND: To prevent transmission, some pediatric units requireclinicians to wear gloves for all patient contacts during RSV season. We
sought to assess whether a mandatory gloving policy reduced the risk
of other health care–acquired infections (HAIs).
METHODS: This retrospective cohort study included all patients admitted
to pediatric units of a tertiary care center between 2002 and 2010.
Poisson regression models were used to measure the association between
mandatory gloving and HAI incidence. Autoregressive models
were used to adjust for time correlation.
RESULTS: During the study period, 686 HAIs occurred during 363 782
patient-days. The risk of any HAI was 25% lower during mandatory
gloving periods compared with during nongloving periods (relative
risk : 0.75; 95% confidence interval : 0.69–0.93; P = .01), after
adjusting for long-term trends and seasonal effect. Mandatory gloving
was associated with lower risks of bloodstream infections (RR: 0.63; 95%
CI: 0.49–0.81; P , .001), central line–associated bloodstream infections
(RR: 0.61; 95% CI: 0.44–0.84; P = 0.003), and hospital-acquired pneumonia
(RR: 0.20; 95% CI: 0.03–1.25; P= 0.09). The reduction was significant in the
PICU (RR: 0.63; 95% CI: 0.42–0.93; P = .02), the NICU (RR: 0.62; 95% CI: 0.39–
0.98; P = .04), and the Pediatric Bone Marrow Transplant Unit (RR: 0.52;
95% CI: 0.29–0.91, P = .02).
CONCLUSIONS: Universal gloving during RSV season was associated
with significantly lower rates of bacteremia and central line–associated
bloodstream infections, particularly in the ICUs and the Pediatric Bone
Marrow Transplant Unit.
{:1_2:}{:1_2:}{:1_2:}! 蓝鱼版主莫意思咧？呵呵
这个文章中，将时间分为呼吸道合胞病毒流行期间，按照要求全部医务人员接触患儿时强制性戴手套，其他时间就不需要了。文章中就比较了两个时期中，医院感染发生率，以及不同病室、不同部位感染高低情况。发现强制性戴手套期间，各类医院感染疾病发生率均有降低！ 江边一碗水 发表于 2013-11-7 10:23 static/image/common/back.gif
蓝鱼版主莫意思咧？呵呵
这个文章中，将时间分为呼吸道合胞病毒流行期间，按照要求全部医务人员接触患儿时 ...
这个和我们常规的洗手有什么借鉴？是不是用戴手套来代替洗手呢？？ 多谢老师分享，下来看看，学习学习
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