上海市74所医疗机构ICU手卫生用品消耗量及依从性相关分析

目的 了解上海市二级及以上医疗机构重症监护病房(ICU)手卫生用品消耗量与依从性，为进一步开展医务人员手卫生监测工作提供依据。方法 通过医院感染监测系统，对2017—2021年上海市二级及以上医疗机构ICU手卫生用品消耗量及依从性监测结果进行分析。结果 共纳入74所医疗机构105个ICU,手卫生用品平均消耗量为79.24(44.88～258.63)mL/(床·日),不同类型ICU手卫生用品平均消耗量比较，差异具有统计学意义(P<0.001);手卫生用品平均消耗量从2017年的65.75 mL/(床·日)增至2021年的87.55 mL/(床·日),呈逐年增加趋势(P<0.001)。医务人员手卫生依从率为82.13%,护士手卫生依从率最高(86.59%),医技最低(48.90%),不同职业医务人员手卫生依从率比较，差异具有统计学意义(P<0.001)。手卫生实施的方式中，采取流动水洗手占39.86%,速干手消毒剂擦手占42.27%,未采取手卫生措施占13.22%,戴手套未采取手卫生措施占4.65%,不同ICU医务人员手卫生实施方式比较，差异具有统计学意义(P<0....

Correction between hand hygiene product consumption and hand hygiene compliance in intensive care units of 74 medical institutions in Shanghai

Objective To understand the consumption of hand hygiene(HH) products and HH compliance in intensive care units (ICUs) of secondary and higher grade medical institutions (MIs) in Shanghai, and provide basis for further monitoring of HH among health care workers (HCWs). Methods Through healthcare-associated infection surveillance system, the consumption of HH products and HH compliance in ICUs from secondary and higher grade MIs in Shanghai in 2017-2021 were analyzed. Results 105 ICUs from 74 MIs were included in analysis, the average consumption of HH products was 79.24 (44.88-258.63) mL/(bed·day), with statistically significant difference among different types of ICUs (P < 0.001). The average consumption of HH products increased from 65.75 mL/(bed·day) in 2017 to 87.55 mL/(bed·day) in 2021, showing an increasing trend year by year (P < 0.001). HCWs'' HH compliance rate was 82.13%, with the highest in nurses (86.59%) and the lowest (48.90%) in medical technicians, HH compliance rates of HCWs of different occupations were statistically significant different (P < 0.001). Among the implementation modes of HH, 39.86% used running water for hand washing, 42.27% used alcohol-based hand rub to wipe hands, 13.22% didn''t take HH measures, and 4.65% didn''t take HH mea-sures when wearing gloves, with statistically significant differences among different HH implementation modes of HCWs (P < 0.001). There was a positive correlation between the average consumption of HH products per bed·day and HCWs'' HH compliance rate (r=0.703, P < 0.05). Conclusion The average consumption of HH products per bed·day and HH compliance rate of HCWs in ICUs in Shanghai presents an increasing trend year by year. There are differences in the average consumption of HH products per bed· day and HH compliance rate among different types of ICUs. The implementation of HH can be evaluated by continuously surveillance on the average consumption of HH products per bed·day.