Persistence of Healthcare-Associated (Nosocomial) Infections Due to Inadequate Hand Hygiene: Part 2—Human Factors  

作　　者：Robert B. Raffa Joseph V. Pergolizzi Robert Taylor Sanjib Choudhuri Robert Rodenbeck 

机构地区：[1]University of Arizona College of Pharmacy, Tucson, AZ, USA [2]Professor Emeritus, Temple University School of Pharmacy, Philadelphia, PA, USA [3]Neumentum, Inc., Palo Alto, CA, USA [4]NEMA Research, Inc., Naples, FL, USA [5]Delta Faucet Co., Indianapolis, IN, USA

出　　处：《Pharmacology & Pharmacy》2018年第8期310-323,共14页药理与制药（英文）

摘　　要：A healthcare-associated infection (defined as an infection acquired within a healthcare facility), such as due to transmission via medical equipment or by healthcare providers is the most frequent adverse event in the healthcare delivery system. But why does the problem persist, when infection control measures are known, simple, and low-cost? We reviewed some biological- and treatment-factors in Part 1, and we now review some human-factors. Healthcare-associated infections are a major public health problem even in advanced healthcare systems. They affect hundreds of millions of patients each year, and are responsible for increased morbidity, mortality, and financial burden. This is perplexing, since good-hygiene practices are known and promoted. Disinfection, sterilization, handwashing, and alcohol rubs should be more effective, but human-factors interfere. The persistent high prevalence of nosocomial infections, despite known hygienic practices, is attributable to two categories of factors: biological and inherent shortcomings of some practices (considered in Part 1), and human factors (considered here). A new approach is considered in Part 3.A healthcare-associated infection (defined as an infection acquired within a healthcare facility), such as due to transmission via medical equipment or by healthcare providers is the most frequent adverse event in the healthcare delivery system. But why does the problem persist, when infection control measures are known, simple, and low-cost? We reviewed some biological- and treatment-factors in Part 1, and we now review some human-factors. Healthcare-associated infections are a major public health problem even in advanced healthcare systems. They affect hundreds of millions of patients each year, and are responsible for increased morbidity, mortality, and financial burden. This is perplexing, since good-hygiene practices are known and promoted. Disinfection, sterilization, handwashing, and alcohol rubs should be more effective, but human-factors interfere. The persistent high prevalence of nosocomial infections, despite known hygienic practices, is attributable to two categories of factors: biological and inherent shortcomings of some practices (considered in Part 1), and human factors (considered here). A new approach is considered in Part 3.

关 键 词：Infection NOSOCOMIAL Hospital HEALTHCARE-ASSOCIATED Hygiene HANDWASHING 

分 类 号：R5[医药卫生—内科学]