Disinfection effect and cost analysis of three different sanitary hand disinfection methods_West China Medical Journal

Authors：

ZHANG Ju ¹ , YANG Junhua ¹ , YE Dan ² , PENG Ping ² , ZENG Fengmei ¹ , LIU Yumiao ¹ ,  LI Gang ³

1. Nosocomial Infection Management Department, the First People’s Hospital of Longquanyi District of Chengdu, West China Longquan Hospitital, Sichuan University, Chengdu, Sichuan 610100, P. R. China;
2. Department of Clinical Laboratory, the First People’s Hospital of Longquanyi District of Chengdu, West China Longquan Hospitital, Sichuan University, Chengdu, Sichuan 610100, P. R. China;
3. Department of Proctology, the First People’s Hospital of Longquanyi District of Chengdu, West China Longquan Hospitital, Sichuan University, Chengdu, Sichuan 610100, P. R. China;

Corresponding?author：

LI Gang, Email: 45139119@qq.com

Keywords：

Hygienic hand disinfection; Alcohol-based handrub; Gloves; Disinfection effect; Cost

DOI：

10.7507/1002-0179.201812110

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To explore a better hygienic hand disinfection method to improve hand hygiene compliance, by evaluating and comparing the disinfection effects and the economic and time cost expenditures of three different types of hygienic hand disinfection methods.Methods From March to July 2016, patients undergoing blood collection were randomly divided into three groups, and five blood collection nurses used one different type of hygienic hand disinfection method in each group when performing blood collection operation on the patients, including: direct hygienic hand disinfection (group A); wearing gloves, and doing hygienic hand disinfection without putting off gloves (group B); and changing gloves for each patient, and doing hygienic hand disinfection after putting off gloves (group C). Two hundred and ten specimens of the nurses’ hands or gloves surface after hand hygiene were collected from each group for the comparison of hygienic hand disinfection effect, and the differences in economic cost and time cost were compared.Results The passing rates of the disinfection effect of the three different types of sanitary hand disinfection methods were all 100%. The economic cost of group A, B, and C was 9.66, 21.98, and 185.66 yuan, respectively, and the time cost of group A, B, and C was 5 250, 6 860, and 14 700 seconds, respectively. No sharp injury occurred.Conclusion Since direct hygienic hand disinfection does not implement the standard prevention principle, the method of wearing gloves and doing hygienic hand disinfection without putting off gloves is the best in the three different hygienic hand disinfection methods, which not only has the same disinfection effect, but also can save economic cost and time cost, which may improve the medical personnel’s hand hygiene compliance.

Citation： ZHANG Ju, YANG Junhua, YE Dan, PENG Ping, ZENG Fengmei, LIU Yumiao, LI Gang. Disinfection effect and cost analysis of three different sanitary hand disinfection methods. West China Medical Journal, 2019, 34(3): 276-279. doi: 10.7507/1002-0179.201812110 Copy

1.	Chou DT, Achan P, Ramachandran M. The world Health Organization " 5 moments of hand hygiene”: the scientific foundation. J Bone Joint Surg Br, 2012, 94(4): 441-445.
2.	孫家苓. 醫護人員手衛生狀況的研究進展. 當代護士 (學術版), 2014(4): 18-20.
3.	董全芳. 護理干預對于提高醫護人員手衛生依從性的臨床研究. 中華實驗和臨床感染病雜志 (電子版), 2015, 9(3): 366-369.
4.	潘虹, 柯云楠, 韓碩, 等. 基于 WHO 手衛生評估框架的醫院手衛生現狀分析. 中國醫院管理, 2016, 36(5): 61-63.
5.	張菊, 葉丹, 陳梅, 等. 速干手消毒劑對手套表面消毒效果及手衛生依從性影響的研究. 華西醫學, 2017, 32(3): 371-374.
6.	中華人民共和國衛生部. 醫務人員手衛生規范: WS/T 313－2009, 2009.
7.	中華人民共和國國家質量監督檢驗檢疫總局, 中國國家標準化管理委員會. 醫院消毒衛生標準: GB 15982－2012, 2012.
8.	廖素英, 陳麗勤. 門診采血室護理人員對手衛生依從性的調查與對策. 現代醫藥衛生, 2016, 32(24): 3894-3895.
9.	徐丹慧, 侯鐵英, 李衛光, 等. 中國醫院手衛生知識知曉及依從性現狀調查. 中國感染控制雜志, 2016, 15(9): 654-658, 664.
10.	王學玲. 醫務人員洗手現狀及其影響因素. 醫學理論與實踐, 2013, 26(1): 33-35.
11.	陳寧, 余紅梅. 醫院手衛生依從性提高干預措施研究進展. 中國預防醫學雜志, 2016, 17(8): 617-620.
12.	趙延慧, 鄒琴, 李曉玲. 手衛生依從性及其管理對策的研究進展. 護理學報, 2016, 23(6): 38-40.
13.	畢娜, 王建榮, 蔡永琴. 靜脈輸液護士手衛生依從性的質性研究. 解放軍護理雜志, 2013, 30(12): 21-23.
14.	盧春娟, 陳佳新, 劉潔瓊, 等. 大型醫療機構連續靜脈采血人員手衛生策略的探討. 中華醫院感染學雜志, 2017, 27(18): 4277-4281.
15.	饒思友, 鄧瓊, 周蕓, 等. 手套外速干手消毒效果評價. 實用臨床醫學, 2016, 17(5): 4-5, 29.
16.	賴藝嵐, 李順好, 溫玉嬋, 等. 一次性普通乳膠手套使用延時更換干預的效果研究. 中國實用醫藥, 2014, 9(22): 272-273.
17.	中國醫師協會檢驗醫師分會, 兒科疾病檢驗醫學專家委員會, 世界華人檢驗與病理醫師協會. 中國末梢采血操作共識. 中華醫學雜志, 2018, 98(22): 1752-1760.

1. Chou DT, Achan P, Ramachandran M. The world Health Organization " 5 moments of hand hygiene”: the scientific foundation. J Bone Joint Surg Br, 2012, 94(4): 441-445.
2. 孫家苓. 醫護人員手衛生狀況的研究進展. 當代護士 (學術版), 2014(4): 18-20.
3. 董全芳. 護理干預對于提高醫護人員手衛生依從性的臨床研究. 中華實驗和臨床感染病雜志 (電子版), 2015, 9(3): 366-369.
4. 潘虹, 柯云楠, 韓碩, 等. 基于 WHO 手衛生評估框架的醫院手衛生現狀分析. 中國醫院管理, 2016, 36(5): 61-63.
5. 張菊, 葉丹, 陳梅, 等. 速干手消毒劑對手套表面消毒效果及手衛生依從性影響的研究. 華西醫學, 2017, 32(3): 371-374.
6. 中華人民共和國衛生部. 醫務人員手衛生規范: WS/T 313－2009, 2009.
7. 中華人民共和國國家質量監督檢驗檢疫總局, 中國國家標準化管理委員會. 醫院消毒衛生標準: GB 15982－2012, 2012.
8. 廖素英, 陳麗勤. 門診采血室護理人員對手衛生依從性的調查與對策. 現代醫藥衛生, 2016, 32(24): 3894-3895.
9. 徐丹慧, 侯鐵英, 李衛光, 等. 中國醫院手衛生知識知曉及依從性現狀調查. 中國感染控制雜志, 2016, 15(9): 654-658, 664.
10. 王學玲. 醫務人員洗手現狀及其影響因素. 醫學理論與實踐, 2013, 26(1): 33-35.
11. 陳寧, 余紅梅. 醫院手衛生依從性提高干預措施研究進展. 中國預防醫學雜志, 2016, 17(8): 617-620.
12. 趙延慧, 鄒琴, 李曉玲. 手衛生依從性及其管理對策的研究進展. 護理學報, 2016, 23(6): 38-40.
13. 畢娜, 王建榮, 蔡永琴. 靜脈輸液護士手衛生依從性的質性研究. 解放軍護理雜志, 2013, 30(12): 21-23.
14. 盧春娟, 陳佳新, 劉潔瓊, 等. 大型醫療機構連續靜脈采血人員手衛生策略的探討. 中華醫院感染學雜志, 2017, 27(18): 4277-4281.
15. 饒思友, 鄧瓊, 周蕓, 等. 手套外速干手消毒效果評價. 實用臨床醫學, 2016, 17(5): 4-5, 29.
16. 賴藝嵐, 李順好, 溫玉嬋, 等. 一次性普通乳膠手套使用延時更換干預的效果研究. 中國實用醫藥, 2014, 9(22): 272-273.
17. 中國醫師協會檢驗醫師分會, 兒科疾病檢驗醫學專家委員會, 世界華人檢驗與病理醫師協會. 中國末梢采血操作共識. 中華醫學雜志, 2018, 98(22): 1752-1760.

West China Medical Journal

Disinfection effect and cost analysis of three different sanitary hand disinfection methods

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content