ATP生物荧光检测法提高ICU轮科医生手卫生依从性的效果  

ATP bioluminescence assay for monitoring effectiveness of hand hygiene compliance of rotating doctors in an intensive care unit

作　　者：张辰[1] 张文静[1] 谭慧琼[1] 马玉新[1] 

机构地区：[1]阜外心血管病医院,北京100037

出　　处：《中国感染控制杂志》2014年第3期152-154,共3页Chinese Journal of Infection Control

摘　　要：目的了解ATP生物荧光检测法在短时间内提高内科重症监护室(ICU)轮科医生手卫生依从性和合格率的效果。方法首先对内科ICU轮科医生手卫生的现状进行基线摸底调查,根据结果制定监测频率和方法。然后采用ATP生物荧光检测法随机对医生的手卫生进行现场检测和结果反馈。对干预后的医生手卫生情况进行调查。结果基线摸底调查阶段共采样120人次,医生手卫生总体合格率为73.33%,手卫生依从率只有14.17%。采用ATP现场检测和反馈的干预方法后,医生手卫生合格率提高至82.24%(χ2=13.68,P=0.008);干预中洗手依从率最高,达到69.44%。结论 ATP生物荧光检测法现场监测医生手卫生情况并及时反馈,可以提高医生手卫生的依从性和合格率。Objective To investigate the efficacy of ATP bioluminescence assay on improving the compliance and qualifying rate of hand hygiene of rotating doctors in an intensive care unit. Methods Baseline status of hand hy- giene of doctors were investigated firstly, then the frequency and methods of monitor according to the results were made, hand hygiene were monitored by ATP bioluminescence assay, results were performed feedback, the status of hand hygiene after intervention were investigated. Results A total of 120 doctors participated in the baseline investi- gation, the total qualified rate of hand hygiene was 73. 33%, hand hygiene compliance rate was only 14. 17%. After field detection by ATP and feedback intervention, the qualified rate of hand hygiene increased to 82. 24% （x2 = 13.68,P = 0. 008）; hand-washing compliance rate increased most during the intervention process （69. 44%）. Conclusion ATP bioluminescence assay on the field detection and timely feedback of doctors; hand hygiene status can improve the hand hygiene compliance and qualified rate.

关 键 词：ATP生物荧光检测 手卫生 依从性 医生 医院感染 监测 重症监护室 

分 类 号：R181.32[医药卫生—流行病学]