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hand hygiene among Anesthesiologists and Microorganisms Contamination in Anesthesia Environments:A Single-Center Observational Study

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Biomedical and Environmental Sciences 2022年第11期35卷 992-1000页

作者： LIU Hong Lei LIU Ya Li SUN Fang Yan LI Zong Chao TAN Hong Yu XU Ying Chun Key Laboratory of Carcinogenesis and Translational Research(Ministry of Education Beijing)Department of AnesthesiologyPeking University Cancer Hospital&InstituteBeijing 100142China Graduate School Capital Medical UniversityBeijing 100069China Department of Laboratory Medicine Peking Union Medical College HospitalPeking Union Medical CollegeBeijing 100730China Graduate School Peking Union Medical CollegeChinese Academy of Medical SciencesBeijing 100730China Beijing Key Laboratory for Mechanisms Research and Precision Diagnosis of Invasive Fungal Diseases(BZ0447) Beijing 100730China Infection Control Department Peking Union Medical College HospitalPeking Union Medical CollegeBeijing 100730China

Objective To investigate the baseline levels of microorganisms’growth on the hands of anesthesiologists and in the anesthesia environment at a cancer *** This study performed in nine operating rooms and among 25 anesthesiologists at a cancer *** of the hands of anesthesiologists and the anesthesia environment was performed at a ready-to-use operating room before patient contact began and after *** Microorganisms’growth results showed that 20%(5/25)of anesthesiologists’hands carried microorganisms(>10 CFU/cm^(2))before patient contact *** anesthesiologists performed hand hygiene better than did their male counterparts,with fewer CFUs(P=0.0069)and fewer species(P=0.0202).Our study also found that 55.6%(5/9)of ready-to-use operating rooms carried microorganisms(>5 CFU/cm^(2)).Microorganisms regrowth began quickly(1 hour)after disinfection,and increased gradually over time,reaching the threshold at 4 hours after *** aureus was isolated from the hands of 20%(5/25)of anesthesiologists and 33.3%(3/9)of operating *** Our study indicates that male anesthesiologists need to pay more attention to the standard operating procedures and effect evaluation of hand hygiene,daily cleaning rate of the operating room may be insufficient,and we would suggest that there should be a repeat cleaning every four hours.

关键词： hand hygiene Anesthesiologists Contamination Anesthesia environments

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Effect of hand hygiene intervention on the absenteeism of pre-school children in Klang Valley,Malaysia:a quasi-experimental study

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World Journal of Pediatrics 2020年第4期16卷 416-421页

作者： Nurul Azmawati Mohamed Mohd Dzulkhairi Mohd Rani Tengku Zetty Maztura Tengku Jamaluddin Zarini Ismail Shalinawati Ramli Habibah Faroque Farisha Nur Abd Samad Abdul Rashid Ariffien Aisyah Ar Redha Che Amir FaridIlina Isahak Faculty of Medicine and Health Sciences Universiti Sains Islam MalaysiaPandan Indah55100Kuala LumpurMalaysia Faculty of Medicine and Health Sciences Universiti Putra Malaysia43400SerdangSelangorMalaysia

Background Absenteeism amongst pre-school children is often due to illnesses such as hand,foot,and mouth disease,acute gastroenteritis,cold and flu,which are easily spread amongst *** is because of weak immunity and lack of knowledge on proper hand *** quasi-experimental study assessed the efficacy of an intervention consisting of a hand hygiene education programme,along with digital tools in bringing about a change in behaviour and health conditions amongst pre-school children in Klang Valley,*** A total of 377 school children,male and female,aged 5–6 years old,participated and were assigned to either the intervention or a control *** the 2 months intervention period,children in the test group were trained on proper hand hygiene practices and techniques with the aid of the interactive android-based *** numbers of absent days of all the children were recorded for 2 months before the intervention and during the *** In the test group,there was a 25%increase in the total number of absent days from the pre-intervention period to the intervention period,a much lesser increment observed as compared to that of control group in which the increase was much higher at 89%.Results showed a significant difference(Phand hygiene compliance,which may help decrease school absenteeism due to illness;however,a longer study duration may be necessary to evaluate the benefit further.

关键词： Absenteeism hand hygiene Povidone-iodine Pre-school children

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Application of PDCA in improving hand hygiene compliance and nosocomial infection quality in orthopedics

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Frontiers of Nursing 2024年第3期11卷 327-336页

作者： Ya-Ping Su Rui-Ling Li Yuan-Yuan Wang Yu-Rui Zhang Ya-Jie Ji Nursing Teaching and Research Department School of Nursing and HealthHenan UniversityKaifengHenan 475004China Department of Continuing Education The First Affiliated Hospital of Henan UniversityKaifengHenan 475000China

Objective:To explore the effect of the Plan-Do-Check-Action(PDCA)cycle on hand hygiene and nosocomial infection quality of or thopedic medical ***:The whole year of 2021 was selected to monitor the quality of hand hygiene and ***-up monitoring and real-time recording during the period of morning shift and medical operation concentration time,and compare the compliance of hand hygiene before and after implementation,and evaluate the quality of nosocomial ***:The hand hygiene compliance of doctors and nurses in stage P was 82%.The compliance of medical staff in stage D was 93%.The compliance of stage C was 94%and that of stage A was 95%.The quality score of hospital self-examination nosocomial infection was also significantly ***:The PDCA management cycle can effectively improve the compliance of hand hygiene and the nosocomial infection quality,which is wor thy of circulatory application in or thopedic nosocomial infection quality control,especially improving the quality of hand hygiene.

关键词： hand hygiene quality improvement PDCA nosocomial infection infection control nursing management

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hand hygiene in Pediatric Emergency Care Unit in a Teaching Hospital in Benin

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Open Journal of Pediatrics 2020年第4期10卷 678-687页

作者： L. Zohoun C. Degbey C. Lajoumo M. D’Almeida Pediatrics and Medical Genetics Clinic Cotonou National Teaching Hospital (CNHU) Cotonou Benin Regional Institute of Public Health Ouidah Ouidah Benin

Introduction: Appropriate hand hygiene reduces healthcare associated infections (HCAI). The present study was an attempt to determine the real knowledge and practices of healthcare professionals of pediatric emergency care unit in Benin. Methods: This was a three-month observational study. First a trained interviewer observed both the premises and the healthcare professionals during their administering treatment, without their knowledge. Second, their level of knowledge about HCAI was examined using a self-administered questionnaire. Finally, bacteria were cultured/measured from their hands before and after hand-washing through swab samples. Outcome: The modes of microorganism transmission were poorly known (21.6%), but knowledge about the 5 moments for hand hygiene was satisfactory (84.1%). Hand hygiene adherence rate was 6.9% in the study population. Simple hand-washing was prevalent (82%). The healthcare professionals did not adhere to the recommended duration for hand-washing. The required hand-washing equipment was inadequate, and alcohol-based handrub dispenser was unavailable. Microorganism isolated from healthcare professionals before hand-washing included Klebsiella pneumonia and Enterobacter Cloacae

关键词： hand hygiene Healthcare Associated Infections Adherence Pediatrics

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hand hygiene by Ward Staff at Dapaong Regional Hospital in Togo

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Open Journal of Nursing 2023年第2期13卷 95-112页

作者： Essohanam Tabana Mouzou Sarakawabalo Assenouwe Eyram Yoan Makafui Amekoudi Tchaa Hodabalo Towoezim Tchetike Pikabalo School of Health Sciences University of Kara Kara Togo Anesthesia and Intensive Care Service University Hospital of Kara Kara Togo Medical Intensive Care Service University Hospital of Kara Kara Togo Traumatology and orthopedic Service University Hospital of Kara Kara Togo Anesthesia and Intensive Care Service Sylvanus Olympio University Hospital of Lomé Lomé Togo

Introduction: hand hygiene (HH) is an effective way to fight infections in healthcare settings. The general purpose of our study was to explore the knowledge, attitudes and practices of health care providers on HH at Dapaong regional hospital (DRH). Methodology: This was a prospective, descriptive cross-sectional study conducted from March to June 2022 in the DRH wards. Data were collected using a questionnaire and observation grid. Results: 90 care providers were surveyed. Males and non-physician personnel predominated with 57.8%, and 94.4% respectively. The survey on staff’s knowledge reported: 31.1% of practitioners did not wash their hands on arrival and departure in services. 24% did not know the difference between simple hand washing (SHW) and hygienic hand washing (HHW). 23.3% did not know the type of soap to use for HHW. The caregivers did not know the type of hand washing (HW) required after a septic and non-septic procedure in respectively 41.6%, and 37.8%. They did not know that there are two types of hand antiseptics (45.4%), nor the amount of antiseptic for HW (78.9%). The survey on staff’s attitude regarding HW found that: 70% did not remove all jewels prior HW, and 51.1% did not know that wearing gloves cannot replace the HW. For HW Staff Practice: 62.2% did not wash their hands before treatment. 91.1% did not spread the soap on their hands and forearms after wetting them. 65.55% did not rinse hands from nails to elbows. Conclusion: The HH was poorly known, the attitude of the staff was dangerous in relation to the HH and the practice of HH was very inadequate at the RHC-Dapaong. As a result, there is a need to retrain staff to increase their capacity to prevent care-related infections and enhance patient safety in the hospital.

关键词： hand hygiene Care Providers hand Washing Antiseptics Dapaong Regional Hospital

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hand hygiene Knowledge, Practices and Attitudes among Nurses and Physicians

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Health 2016年第5期8卷 456-462页

作者： Mu’taz M. Dreidi Intima Alrimawi Ahmad R. Saifan Abdul-Monim Batiha School of Nursing Birzeit University Ramallah Palestine School of Nursing Applied Science Private University Amman Jordan School of Nursing Philadelphia University Amman Jordan

Background: hand hygiene is one of the most effective ways to control health care related infection. Nurses and physicians are the main health care workers contacting with patients, representing the vector in the chain of infection. Thus, assessing their knowledge, practice and attitudes regarding hand hygiene is very important to decrease the incidence of health care related infection and to improve quality of care. Aims: The aim is to assess the knowledge, practice and attitude of Palestinian physicians and nurses regarding hand hygiene in hospitals. Methods: The study adopted a cross-sectional, quantitative design. Nurses and doctors who worked in the major governmental and private hospitals in the West Bank (Palestine) were targeted. Data was collected using hand hygiene Questionnaire. Results: 200 nurses and physicians participated in this study. The results showed that the participants had a moderate knowledge regarding the hand hygiene (m = 6, SD = 1.7). They had a better attitude score than practice with a mean of 82.5 ± 8.8. There was a significant difference between male and female only in practice score (p = 0.015). Older participants had better attitudes, and private hospitals had significantly higher scores for compliance, importance of hand hygiene and practice than governmental hospitals (p hand hygiene by continuous education for both Palestinian nurses and physicians.

关键词： Health Care Infection hand hygiene Palestine

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Analysis of hand hygiene Knowledge,Compliance,and Influencing Factors Among Psychiatric Healthcare Workers

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Journal of Clinical and Nursing Research 2024年第7期8卷 134-139页

作者： Weidong Liu Li Xiang Guangzhou Municipal Civil Affairs Bureau Psychiatric Hospital Guangzhou 510430Guangdong ProvinceChina

Objective:To evaluate the knowledge,compliance,and influencing factors of hand hygiene among psychiatric healthcare ***:68 healthcare workers who worked in the Department of Psychiatry between September 2023 and May 2024 were selected to assess their knowledge of hand hygiene and compliance by questionnaire as well as to analyze their influencing ***:Knowledge of hand hygiene among healthcare workers was less than 90%,and doctors’knowledge was lower than that of nurses(Phand hygiene was lower than 80%,and the adherence of doctors was lower than that of nurses(Phand washing,skin irritation from disinfectants/cleaning agents,and busy work schedules with time constraints are the main factors affecting healthcare workers’compliance with hand hygiene,with Phand hygiene as well as compliance with it is low,and there are various factors affecting it,so targeted training is required to strengthen their hand hygiene implementation.

关键词： Psychiatry Healthcare workers hand hygiene Knowledge Compliance

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Compliance with hand hygiene among Health Professionals in the Medical-Surgical Emergency Department of the Donka National Hospital

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Open Journal of Internal Medicine 2022年第1期12卷 29-37页

作者： Sylla Djibril Kaké Amadou Camara Toumin Diakhaby Mamadou Keita Mory Filany Sako Fodé Bangaly Medical and Surgical Emergency Department of the Donka National Hospital Conakry Guinea Internal Medicine Department of the Donka National Hospital Conakry Guinea Department of Infectious and Tropical Diseases of the Donka National Hospital Conakry Guinea

Introduction: The transmission of infectious agents through the hands of nursing staff during care is the main cause of nosocomial infections. hand hygiene has been recognized for over a century as an effective measure to prevent healthcare associated infections in healthcare settings, the objective of this study was to appreciate the practice of hand hygiene during care by health professionals in the medical-surgical emergency department of the Donka National Hospital. Methods: It was a cross-sectional, analytical study. Data collection took place from March 1 to April 30, 2021. The study covered all health professionals, namely doctors, nurses, laboratory technicians, radiography technicians, pharmacists, students, stretcher bearers, surfactants who were present at the time of the study period. Results: During the study period, out of a total of 104 registered health professionals, we surveyed 99, which is a rate of 95%. The most represented age group was [30 - 39 years] with an average of 37.17 ± 10.34 years, and extremes of 22 years to 65 years. The male sex was the most dominant or 59.60% compared to the female sex or 40.40% with a sex ratio of 1.47. The hand hygiene compliance rate was low at 21%. The practice of hand hygiene during care for 100% of health professionals was very low, at 8.08%. No factors influence the observance of the practice of hand hygiene and the socio-professional characteristics of the conditions of provision of care activities. Conclusion: hand hygiene during care is an essential aspect that must be considered as an essential measure in the prevention of infections in this period of the COVID-19 pandemic.

关键词： hand hygiene Compliance Health Professionals Donka Emergencies

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An investigation on hand hygiene cognition status and influencing factors of nursing workers in a third - grade a hospital during COVID - 19 epidemic

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TMR Integrative Nursing 2021年第2期5卷 56-62页

作者： Hong Chen Su-Na Li Xing-Tong Bao Ling Tang Second breast surgery Dongfang Hospital Beijing University of Chinese MedicineBeijingChina School of Nursing Beijing University of Chinese MedicineBeijingChina Nursing Department Dongfang Hospital Beijing University of Chinese MedicineBeijingChina

Objective:During the COVID-19 epidemic,the hand hygiene of nursing workers in a third-grade a traditional Chinese medicine hospital was in vestigated to find out existing problems and put forward management ***:A cross-sectional questionnaire survey was conducted to investigate the hand hygiene cognitive status and influencing factors of 78 nurses in the *** s:Through the early training,the nursing workers had a good grasp of the hand hygiene signs and related *** the factors affecting hand hygiene,there are some problems in facilities and management *** cognitive factors of different categories of nursing workers have different influences on hand hygiene,especially the influence of length of service on hand hygiene is significantly different(Phand ***:hand hyg iene of nursing workers is of great significance for the prevention and control of hospital *** institutions at all levels and of various types should,in light of their own actual conditions,formulate operational and feasible hand hygiene management systems for various groups of people in hospitals,strengthen training and supervision,and improve compliance with hand hygiene,so as to prevent hospital infections and fight the battle against COVID-19.

关键词： Nursing worker hand hygiene COVID-19 Hospital infection

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The role of isolation rooms, facemasks and intensified hand hygiene in the prevention of nosocomial COVID-19 transmission in a pulmonary clinical setting

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Infectious Diseases of Poverty 2020年第4期9卷 171-171页

作者： Gu-Qin Zhang Hua-Qin Pan Xing-Xing Hu Shao-Jun He Yi-Fei Chen Chao-Jie Wei Lan Ni Li-Ping Zhang Zhen-Shun Cheng Jiong Yang Department of Respiratory and Critical Care Medicine Zhongnan Hospital of Wuhan University169 Eastlake RoadWuhan430071China Department of Critical Care Medicine Zhongnan Hospital of Wuhan UniversityWuhan430071China Department of Social Medical Development Zhongnan Hospital of Wuhan UniversityWuhan430071China

From December 25,2019 to January 31,2020,33 cases of the coronavirus disease 2019(COVID-19)were identified in the Department of Respiratory and Critical Care Medicine of Zhongnan Hospital of Wuhan University,China,yet none of the affiliated HCWs was *** we analyzed the infection control measures used in three different departments in the Zhongnan Hospital of Wuhan University and correlated the measures with the corresponding infection data of HCWs affiliated with these *** found that three infection control measures,namely the isolation of the presumed positive patients,the use of facemasks and intensified hand hygiene play important roles in preventing nosocomial transmission of COVID-19.

关键词： COVID-19 SARS-CoV-2 Isolation room Facemask hand hygiene

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