AJIC：手卫生依从性：2种不同配方的酒精擦手液比较
Hand hygiene compliance in the critical care setting: A comparative study of 2 different alcohol handrub formulationsBackgroundHand hygiene (HH) compliance can be affected by the accessibility of products (alcohol-based products or chlorhexidine) and by the formulations of these products. There are few published studies comparing different alcohol-based hand disinfection formulations.MethodsThis study was conducted in a 41-bed medical-surgical intensive care unit at a private tertiary care hospital. Over a 16-week period, we assessed HH compliance by direct observation of practice using iPods and measurement of the amount of product used in two 4-room pods in which an alcohol gel product was used compared with two other 4-room pods in which an alcohol-based foam formulation was used.ResultsA total of 3,895 opportunities for HH were observed, and the overall rate of HH compliance was 36.9%. No statistically significant differences were found in overall HH compliance or alcohol-based HH compliance between the alcohol foam unit and the alcohol gel unit. However, there was a statistically significant difference in chlorhexidine HH compliance between the alcohol foam unit and the alcohol gel unit (7.0% vs 3.8% ; P < .01).ConclusionsAlcohol handrub use was greater than chlorhexidine use, but HH compliance was low in both units independent of the alcohol formulation available. The similarity of use of both alcohol formulations suggests that health care workers tend to use whatever product is readily available.Key Words: Alcohol foam, Alcohol gel, Intensive care unit, Epidemiology, Controlled trial studyhttp://www.ajicjournal.org/article/S0196-6553(12)00266-0/abstract?elsca1=etoc&elsca2=email&elsca3=0196-6553_201302_41_2&elsca4=infectious_diseases
本帖最后由 rarely309 于 2013-1-31 17:36 编辑
研究的太细致了。。。。
我们还停留在方法学上。
从文章结果和结论来看，我觉得似乎没有说明什么问题。
换句话说，在现实生活中，我们用泡沫状的都不习惯，或者手感差一点，气味浓一点的，也不太喜欢，这可是与上面的研究结果不太一致啊。
而且，这个结果，是不是也说明：任何牌子、任何成分的手消毒剂，从不影响HH的角度上，都可以用呢？
direct observation of practice using iPods~~~
什么情况？MP3
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