Hygienic and economic evaluation on different hand-drying materials in non-rinse surgical hand antisepsis_West China Medical Journal

Authors：

QIU Yongjie ¹ ,  XU Shilan ² , ZHU Dezhi ¹ , DENG Ai ¹ , WANG Junjian ³ , XIA Qinghong ⁴

1. Department of Infection Control, Chengdu Shangjin Nanfu Hospital, Chengdu, Sichuan 611730, P. R. China;
2. Department of Infection Control, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
3. Department of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
4. Department of Operating Room, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

XU Shilan, Email: 1245787345@qq.com

Keywords：

Surgical hand antisepsis; Paper hand towels; Hygienic evaluation

DOI：

10.7507/1002-0179.202001067

Video：

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Objective To study the feasibility of using paper hand towels instead of sterilized hand towels in non-rinse surgical hand antisepsis, and make a hygienic and economic evaluation on sterilized hand towels and paper hand towels.Methods From July to September 2016, a cluster sampling method was used to study the hand samples of all health care workers who performed surgical hand sanitization in the operating room on Thursday. According to their work contents, they were asigned into the intervention group (using paper hand towels to dry hands) and the control group (using sterilized hand towels to dry hands); further, according to the odd or even number of the staff identification number, the intervention group was divided into Group A (using Likang hand towels to dry hands) and Group B (using Qingfeng hand towels to dry hands). The packing specifications and costs of hand-drying items in the warehouse were surveyed, as well as the average number of medical workers performing an operation and the number of sheets of sterilized hand towels or paper hand towels used per person, and the cost of different hand dryers for each procedure was calculated. Finally, the hygienic and economic effects of using paper hand towels were evaluated.Results There were 30, 39, and 30 hand hygiene samples collected in the control group, Group A, and Group B, respectively. The total bacterial count of each group was less than 5 cfu/cm², which met the hygienic requirements of surgical hand disinfection in the manual hygiene standard for medical personnel (WS/T 313－2019), i.e., the passing rate of each group was 100%. According to the calculation that each operation required at least 4 medical workers, each operation consumed 8 sterilized hand towels at a cost of 15.2 yuan; if using paper hand towels, each operation consumed 16 sheets at a cost of 0.8 yuan.Conclusion The hygienic effect of surgical hand disinfection is not affected by the use of paper hand towels before applying hand sanitizer, while the operating cost of hospital operating room can be significantly reduced by using paper hand towels instead of sterilized hand towels.

Citation： QIU Yongjie, XU Shilan, ZHU Dezhi, DENG Ai, WANG Junjian, XIA Qinghong. Hygienic and economic evaluation on different hand-drying materials in non-rinse surgical hand antisepsis. West China Medical Journal, 2020, 35(3): 312-315. doi: 10.7507/1002-0179.202001067 Copy

1.	中華人民共和國衛生部. 醫務人員手衛生規范: WS/T 313－2019. 北京: 中華人民共和國衛生部, 2019.
2.	World Health Organization. WHO guidelines on hand hygiene in health care. Geneva: World Health Organization. Geneva: WHO Press, 2009: 49-53.
3.	柯雅娟, 許晨耘, 符艷芳, 等. 外科手消毒規范執行過程中存在的問題及管理對策. 中華醫院感染學雜志, 2012, 22(7): 1428-1429.
4.	中華醫學會外科學分會外科感染與重癥醫學學組, 中國醫師協會外科醫師分會腸瘺外科醫師專業委員會. 中國手術部位感染預防指南. 中華胃腸外科雜志, 2019, 22(4): 301-314.
5.	趙婧伶. 外科洗手及手消毒規范性操作調查分析與對策. 華西醫學, 2016, 31(3): 440-443.
6.	張昆, 王春怡, 劉倩, 等. 心臟介入導管室手衛生方式的優化選擇. 中華醫院感染學雜志, 2014, 24(14): 3586-3588.
7.	World Health Organization. Global guidelines for the prevention of surgical site infection. Geneva: WHO Press, 2016: 15-20.
8.	Patrick DR, Findon G, Miller TE. Residual moisture determines the level of touch-contack-associated bacterial transfer following hand washing. Epidemiol Infect, 1997, 119(3): 319-325.
9.	Harrison WA, Griffith CJ, Michaels B. Technique to determine contamination exposure routes and the economic efficiency of folded paper-towel dispensing. Am J Infect Control, 2003, 31(2): 104-108.
10.	Huang C, Ma W, Stack S. The hygienic efficacy of different hand-drying methods: a review of the evidence. Mayo Clin Proc, 2012, 87(8): 791-798.
11.	錢靜, 孔懿, 姜亦虹, 等. 兩種干手紙對外科手消毒效果的影響. 江蘇衛生事業管理, 2018(12): 1389-1390, 1408.
12.	邱洪波, 梅娜, 姬茜茜, 等. 不同類別擦手物品在外科手消毒中的效果監測及成本評價. 臨床醫學研究與實踐, 2016(6): 67.
13.	沈明霞, 郭留萍, 劉婭萍, 等. 一次性紙巾干手物品應用于免洗外科手消毒法中的效果與成本分析. 中華醫院感染學雜志, 2012, 22(20): 4564-4565.
14.	江濤. 一次性滅菌紙巾在手術室手消毒中應用效果觀察. 醫藥前沿, 2013(32): 393.
15.	高曉東, 胡必杰. 不同干手措施對手衛生效果影響的研究進展. 中華醫院感染學雜志, 2013, 23(8): 1999-2000.

1. 中華人民共和國衛生部. 醫務人員手衛生規范: WS/T 313－2019. 北京: 中華人民共和國衛生部, 2019.
2. World Health Organization. WHO guidelines on hand hygiene in health care. Geneva: World Health Organization. Geneva: WHO Press, 2009: 49-53.
3. 柯雅娟, 許晨耘, 符艷芳, 等. 外科手消毒規范執行過程中存在的問題及管理對策. 中華醫院感染學雜志, 2012, 22(7): 1428-1429.
4. 中華醫學會外科學分會外科感染與重癥醫學學組, 中國醫師協會外科醫師分會腸瘺外科醫師專業委員會. 中國手術部位感染預防指南. 中華胃腸外科雜志, 2019, 22(4): 301-314.
5. 趙婧伶. 外科洗手及手消毒規范性操作調查分析與對策. 華西醫學, 2016, 31(3): 440-443.
6. 張昆, 王春怡, 劉倩, 等. 心臟介入導管室手衛生方式的優化選擇. 中華醫院感染學雜志, 2014, 24(14): 3586-3588.
7. World Health Organization. Global guidelines for the prevention of surgical site infection. Geneva: WHO Press, 2016: 15-20.
8. Patrick DR, Findon G, Miller TE. Residual moisture determines the level of touch-contack-associated bacterial transfer following hand washing. Epidemiol Infect, 1997, 119(3): 319-325.
9. Harrison WA, Griffith CJ, Michaels B. Technique to determine contamination exposure routes and the economic efficiency of folded paper-towel dispensing. Am J Infect Control, 2003, 31(2): 104-108.
10. Huang C, Ma W, Stack S. The hygienic efficacy of different hand-drying methods: a review of the evidence. Mayo Clin Proc, 2012, 87(8): 791-798.
11. 錢靜, 孔懿, 姜亦虹, 等. 兩種干手紙對外科手消毒效果的影響. 江蘇衛生事業管理, 2018(12): 1389-1390, 1408.
12. 邱洪波, 梅娜, 姬茜茜, 等. 不同類別擦手物品在外科手消毒中的效果監測及成本評價. 臨床醫學研究與實踐, 2016(6): 67.
13. 沈明霞, 郭留萍, 劉婭萍, 等. 一次性紙巾干手物品應用于免洗外科手消毒法中的效果與成本分析. 中華醫院感染學雜志, 2012, 22(20): 4564-4565.
14. 江濤. 一次性滅菌紙巾在手術室手消毒中應用效果觀察. 醫藥前沿, 2013(32): 393.
15. 高曉東, 胡必杰. 不同干手措施對手衛生效果影響的研究進展. 中華醫院感染學雜志, 2013, 23(8): 1999-2000.

West China Medical Journal

Hygienic and economic evaluation on different hand-drying materials in non-rinse surgical hand antisepsis

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