世界衛(wèi)生組織全球手衛(wèi)生行動-香港經(jīng)驗(已改無錯字)
2023-03-28 03:06:39 本頁面
【正文】 rol le yRx ro om poc ke t s ize corrid or 1 pe r P t NAl o c a ti o n spercentage Placement of AHR sites01020304050Percents it e spercentage 43 33 19 3 2 Number of sites with AHR me di c a te d s oa pnon me di c a te d s oa pbot h020406080100PercentQ580 7 12 Types of soap usage No Ye s020406080100PercentQ695 5 % reporting AHR after hand washing Summary of results ?50% of surveyed reporting 30 hand hygiene performed in last shift ?Doctors has significantly lower HH performed among the 3 groups ?Significantly higher % of Doctors reported ‘a(chǎn)ble to cope’ ?Less than 20% reporting use AHR frequently ?Most reporting not using AHR because concern of skin damage ?Most agreed AHR because it is convenient ?AHR is not available at each bed side (27%) ?Majority reported placing AHR at nurses’ station and cubicles ?Only 4% reported pocket size AHR ?11 (1%) reported not available in the clinical area ?3% reported more than one bottle at each patient’s bedside ?80% of surveyed reporting using medicated soap ?Most do not use AHR after hand washing ?Self reporting on use of AHR correlate with reporting others practice Remendations ? Staff are very concern about skin damage ? It is important to choose a skin friendly AHR ? Education to convince about the skin friendlyness of AHR ? Most are convinced that AHR is more convenient ? Promote multilocation for AHR ? Promote pocket size AHR for staff convenience ? Replace medicated soap with plain soap 1. Conduct survey for (調(diào)查 ) ? present structures e. g. sink, paper towel, hand rub 設(shè)施情況 ? Compliance of hand hygiene practice 依從性 2. Initiate hand hygiene program in ALL health care settings –hospital, GP clinic, OAH, TCM.. 在所有的衛(wèi)生保健機構(gòu)中開展 3. Develop a practical protocol from the WHO guideline for local setting 當?shù)氐姆桨浮? 4. Research for alternative hand hygiene paradigms to enhance pliance in Hong Kong 研究依從性 4 prongs Strategy in Hong Kong Conscientious Approach in Hand Washing Concentrate on dirty and contaminated contacts Research potentials 正確認真的洗手方法 集中在較臟和有污染的接觸方面 可研究的內(nèi)容 清潔的或日常的護理活動： 處理靜脈導(dǎo)管 換輸液瓶 測量血壓 測量口腔溫度 扶病人坐起 靜脈注射、肌肉注射 口服藥物 便利的洗手 實 踐 和 重 點 有污染的或較臟的護理活動： 感染或未感染的傷口 污染的敷料 尿液和糞便 造瘺，氣管切開 病人較臟 皮膚接觸時間很長 粘膜 必須洗手 F i n g e rprint M o de ra t e he a vy M RS A F i n g e rprint S c a nt y M RS A T o ta l I CN s n=28 0 3 ( 11%) 3 ( 1 1 % ) W a rd s t a ff (c o nt ro l s ) n=154 33 (21 %) 21 (14%) 54 (35% ) Finger print results of Phase 1 Scanty: 50 cfu, Moderate: 50 150 cfu, Heavy 150 Fingerprint cultures of ICN and ward nurses after CCAs, (trained) ICHE CDC Dicennial 2023 CCA rounds Total + finger print Bed making 6 1 (Pseudo spp) Temp taking 4 1 (Flavo spp) BP taking 4 1 (Flavo spp) IV injections 1 Oral medication 5 1 (Pseudo spp) Total 20 * 4 * 50% of these in cubicles of MRSA patients but no fingerprints grew MRSA All were positive for skin flora and 4 mix with scanty pathogens listed Fingerprint results Phase 2 Ward nurses doing CCA rounds after training provided Modify traditional functional ‘horizontal’ model Research potentials 修
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