手卫生整合管理对手术切口感染率的影响

目的了解针对手术人员实施手卫生整合管理后,对手术切口感染发生率的影响。方法自2009年1月起对手术医护人员实施以手术间内实行手消毒剂干洗手法、外科手消毒揉搓、无触式戴无菌手套方法及戴双层手套等为主要措施的规范化手卫生整合管理,并回顾性分析实施前后手术切口感染发生率的变化情况。结果通过对参加手术人员手卫生进行整合管理方法后,手术人员的手卫生清洁消毒合格率和洗手依从性得到提高,手术切口感染发生率由2007-2008年的0.87%降至2009-2010年的0.18%,差异有统计学意义(χ2=12.463,P<0.01)。结论规范的手卫生整合管理措施有利于提高消毒隔离质量,减少外源性接触感染,对降低手术切口感染率具有重要意义。

Impact of integrated hand management on incidence of surgical site infections

OBJECTIVE To explore the integrated hand management on the incidence of surgical site infections.METHODS Integrated hand management mainly including the surgical hand-disinfectants in the operating room,none-contacting gloves wearing,and double gloves wearing were performed since Jan 2009,the change of the incidence of surgical site infections before and after the implementation was retrospectively analyzed.RESULTS The qualified rates of hand cleaning and disinfection and the compliance of the operation staff have been significantly improved after the implementation of integrated hand management,and the incidence of surgical site infections significantly decreased from 0.87% during 2007-2007 to 0.18% during 2009-2010,the difference was statistically significant(χ2=12.463,P<0.01).CONCLUSION Integrated hand management is helpful in improving the quality of disinfection and isolation and reducing exogenous contacting infections,resulting in minimizing the surgical site infections.