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[转帖] 关于手卫生问的比较多的几个问题!

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发表于 2007-8-10 00:02 | 显示全部楼层 |阅读模式

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Frequently Asked Questions

(1) Why is cleaning your hands between patients important?

Many studies have shown that the bacteria that cause nosocomial (hospital-acquired) infections are most frequently spread from one patient to another on the hands of healthcare workers.


(2) What is a nosocomial infection?

It’s an infection that a patient acquires while in the hospital. An average of 7 percent to 10 percent of adult patients and as high as 30 percent of critically ill patients are infected. The most common infections are caused by staphylococci and multi-drug resistant pathogens such as MRSA, VRE and resistant gram-negative rods.


(3) How do nosocomial infections impact patients?

Nearly 20,000 patients die each year as a direct result of these infections. They contribute to the deaths of another 80,000 patients. Patients can become ill with bloodstream infections, surgical site infections or urinary tract infections, and pneumonia.


(4) How do nurses, doctors and other healthcare workers’ get exposed to bacteria?

By doing simple tasks, like pulling patients up in bed, taking a blood pressure or pulse, or touching equipment like bedside rails, over bed tables, IV pumps.


(5) Does hand washing really reduce the spread of bacteria in healthcare settings?

Yes! A scientific study performed in a hospital nursery found that when nurses did not wash their hands between patient contacts, babies acquired staphylococci bacteria much more frequently than babies cared for by nurses who washed their hands between patient contacts with an antimicrobial soap.

Several other studies also show that washing hands between patient contacts reduces the spread of bacteria in healthcare.


(6) How compliant are healthcare workers with hand washing recommendations?

Although hand washing has been proven to reduce the spread of microorganisms in healthcare facilities, healthcare workers often do not wash their hands when recommended.

In 34 studies of hand washing, workers washed their hands only 40 percent of the time.


(7) Why is compliance with recommended hand washing guidelines so poor?

There are a variety of reasons including heavy workloads, poor location of sinks, and skin irritation from soap.


(8) How can we overcome problems associated with hand washing?

Since washing hands frequently with soap and water is inconvenient, time-consuming, and often causes skin irritation and dryness experts have suggested that hospitals, extended care facilities, and home health agencies develop new strategies for improving hand hygiene among healthcare workers.

We need to make it easier for you to clean your hands quickly, with a minimum of effort and skin irritation. One way to accomplish these goals is to clean your hands with an alcohol-based hand rub (a gel, rinse or foam).


(9) Are alcohol-based hand rubsreally effective?

More than 20 published studies have shown that alcohol-based hand rubs are much more effective than either plain soap or soap that kills germs in reducing the number of live bacteria on the hands of workers.

  
(10) Won’t frequent use of alcohol dry out my skin?

No! In fact, studies have proven that nurses who routinely cleaned their hands between patients by using a modern alcohol-based hand rub had less skin irritation and dryness than nurses who washed their hands with soap and water.

Modern alcohol-based hand rubs contain skin conditioners (emollients) that help prevent drying effects

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create_qiao + 10 精品文章

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发表于 2007-8-11 22:11 | 显示全部楼层
我有种上错网站的感觉!难怪大家都不跟帖,柳版能不能翻译成中文?要向胡教授学习!;P
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发表于 2007-8-12 00:50 | 显示全部楼层
我这先简译,柳版负责校正.:)


关于手卫生问的比较多的几个问题!
为什么接触病人前后清洁双手很重要?
许多研究表明细菌常常通过医务人员的手从一个病人传播到另一个病人身上,引起医院感染。
(2)什么是医院感染?
即病人在医院内获得的感染。平均7-10%的成年病人和高达30%的危重病人被感染。感染多由葡萄球菌和多重耐药病原体如MRSA、VRE、多重耐药革兰阴性杆菌造成。
(3)医院感染对病人造成什么影响?
每年有近2万病人直接死于医院感染。此外,还有8万病人病亡与医院感染有关。病人可能发生血液感染、手术部位感染或泌尿系统感染、肺炎。
(4)护士、医生和其他医务人员怎样接触到细菌的?
通过简单的操作,如把病人扶到床上,测血压、脉搏,或触摸床栏、床桌、静脉输液泵等设备。
(5) 洗手真能减少医疗机构中细菌传播吗?
是的。一项对医院护士的科学调查发现,当护士在接触金葡菌病人后没有洗手再护理婴儿,这些婴儿感染金葡菌的机率要远高于先用抗菌皂洗手的护士所护理的婴儿。
其它一些研究也表明接触病人后洗手能减少医疗机构中病原菌的传播。
(6) 医护人员执行洗手推荐的依从性如何?
尽管洗手被证明能减少医疗机构中病原菌传播,医务人员也经常没有按照推荐要求洗手。在34个洗手调查研究中,工作人员按要求洗手只有40%。
(7) 为什么执行洗手推荐的依从率这么低?
存在多种原因,包括工作强度大,水池安装过少,肥皂刺激皮肤等原因。
(8)我们如何克服这些洗手问题?
由于经常用肥皂和水洗手不方便且费时,常刺激皮肤造成皮肤干燥,专家建议医院、疗养院、家庭病房出台新的促进手生策略改善医务人员手卫生状况。
我们要使洗手更快更方便,并且皮肤刺激和成本最小。实现这些目标的一个方法就是用醇类擦手剂(嗜哩、洗剂、泡沫)来清洁双手。
(9) 醇类擦手剂真的有效吗?
20多份发表的研究显示,醇类擦手剂远比普通肥皂和杀菌皂更能减少在医务人员手上存活的细菌数量。
(10)经常使用醇类擦手剂不会使我的皮肤干燥吗?
不,事实上,研究证明日常接触病人前后用新型醇类擦手剂洗手,比那些用肥皂和水清洁的护士,皮肤刺激和干燥要少得多。新型醇类擦手剂含有皮肤调理有分(润肤剂),有助于防止干燥发生。

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参与人数 3 +20 收起 理由
safihu + 10 就是等人来翻译滴,嘿 。。。。。
create_qiao + 5 辛苦

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发表于 2007-8-12 12:42 | 显示全部楼层
谢谢麦苗版主!辛苦啦!
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发表于 2007-8-12 12:50 | 显示全部楼层
这论坛真不错,还能学习一下英语;P
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发表于 2008-7-3 21:18 | 显示全部楼层
(9) 醇类擦手剂真的有效吗?
20多份发表的研究显示,醇类擦手剂远比普通肥皂和杀菌皂更能减少在医务人员手上存活的细菌数量。
(10)经常使用醇类擦手剂不会使我的皮肤干燥吗?
不,事实上,研究证明日常接触病人前后用新型醇类擦手剂洗手,比那些用肥皂和水清洁的护士,皮肤刺激和干燥要少得多。新型醇类擦手剂含有皮肤调理有分(润肤剂),有助于防止干燥发生。
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天啦 谢天谢地,终于有人认同醇类手消毒液了,以前我们遭受质疑。德国百年莱素芳在中国辛苦工作了几十年,现在慢慢被认同了。可惜,莱素芳在深圳是名牌,在其省市还不知晓。因为合资产品成本高,营运成本比国内几年的消毒液厂成本高,可是售价与国产产品持平或略低。
感叹,希望曙光就在前面,呵呵
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 楼主| 发表于 2008-7-3 22:45 | 显示全部楼层
原帖由 莱素芳消毒 于 2008-7-3 21:18 发表
(9) 醇类擦手剂真的有效吗?
20多份发表的研究显示,醇类擦手剂远比普通肥皂和杀菌皂更能减少在医务人员手上存活的细菌数量。
(10)经常使用醇类擦手剂不会使我的皮肤干燥吗?
不,事实上,研究证明日常接触病 ...

现在对于醇类手消毒剂并不是不认同啊,很多时候出于经济原因无法很好的使用啊。
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发表于 2008-7-16 10:06 | 显示全部楼层
同意safihu的看法!:victory:
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