速干手消毒剂对手套表面消毒效果及手卫生依从性影响的研究  

Disinfection effect of alcohol-based hand disinfectants for glove surface

作　　者：张菊[1] 叶丹[2] 陈梅[3] 彭萍[2] 李刚[4] 叶宗秀[5] 陈文君[5] 李咏梅 刘延一[1] 杨俊华[1] 

机构地区：[1]成都市龙泉驿区第一人民医院院感科,成都610100 [2]成都市龙泉驿区第一人民医院检验科,成都610100 [3]成都市龙泉驿区第一人民医院运营部,成都610100 [4]成都市龙泉驿区第一人民医院肛肠科,成都610100 [5]成都市龙泉驿区第一人民医院门诊抽血室,成都610100 [6]成都市龙泉驿区卫生执法大队,成都610100

出　　处：《华西医学》2017年第3期371-374,共4页West China Medical Journal

基　　金：四川省预防医学会医院感染预防与控制研究基金(SCGK010)

摘　　要：目的评价速干手消毒剂对戴手套进行连续诊疗操作时手套表面的消毒效果,探索提高手卫生依从性的方法。方法选择2015年3月—7月和2016年3月—7月医院中患者量大、无菌操作频繁的门诊采血室全部护士(共5名)为研究对象。以2016年3月—7月戴手套进行卫生手消毒操作为观察组。以2015年3月—7月不戴手套使用速干手消毒剂消毒双手表面的常规卫生手消毒操作为对照组。比较两组之间手卫生依从性的差异。2016年3月—7月对门诊采血室戴着手套进行连续采血操作的护士使用速干手消毒剂对手套表面进行卫生手消毒处理,采取连续使用手套操作1、2、5、10、15次后标本各50份,送检验科细菌室进行细菌学培养。结果采集的250份合格标本手套表面细菌菌落数均≤10 cfu/m L2,均未检出金黄色葡萄球菌、大肠杆菌等致病菌;但手套连续使用达到15次左右时,2位护士手表面出汗明显,导致手套浸湿,不符合手套使用要求,因此研究终止。结论连续采血过程中使用速干手消毒剂对医用手套表面进行卫生手消毒有效,可以适当提高手卫生依从性,但对使用次数有一定要求。Objective To evaluate the disinfection efficacy of alcohol-based hand disinfectants for medical glove surface in continuous operation, and explore approaches of improving hand hygiene compliance. Methods Between March and July 2015, and between March and July 2016, all the nurses （n=5） in Blood Collection Room of Outpatient Department with many patients and frequent sterile operation needed were included in this study. Nurses wearing gloves for hand hygiene and disinfection between March and July 2016 were regarded as the observation group, and those who used alcohol-based disinfectants for routine hand hygiene without gloves between March and July 2015 were designated into the control group. The hand hygiene compliance was compared between the two groups. From March to July 2016, alcohol-based hand disinfectants were used for disinfection on the glove surface during continuous blood sampling by nurses with gloves on their hands. Fifty samples were collected respectively after the gloves were used for 1, 2, 5, 10, and 15 continuous times for blood sampling. Then, the samples were sent to the bacteriology room for culture. Results All of the 250 samples were qualified, and the bacterial colonies on the surface of gloves were equal to 10 cfu/mL2 or lower. NoStaphylococcus aureus,Escherichiacoli or other pathogens were detected on the glove surface. However, after the gloves were continuously used for 15 times, the gloves of two nurses could not meet the research criteria again because of significant sweating. Conclusions In the process of continuous blood sampling, it is effective to use alcohol-based hand disinfectants to disinfect the surface of medical gloves, which can promote hand hygiene compliance to a certain extent. However, there is a certain limit on the times of usage for medical gloves.

关 键 词：速干手消毒剂 手套消毒 消毒效果 

分 类 号：R197.323[医药卫生—卫生事业管理]