發(fā)布時間：2018-02-28 01:05

  本文關鍵詞： 新生兒重癥監(jiān)護病房 洗手消毒 免洗手消毒 Meta分析　出處：《現(xiàn)代預防醫(yī)學》2016年19期 　論文類型：期刊論文

【摘要】：目的探索兩種手消毒方法的效果及推薦性,以期更準確、有效地指導臨床手衛(wèi)生實踐,為構建新生兒重癥監(jiān)護病房感染控制臨床實踐指南提供證據(jù)支持。方法計算機檢索Cochrane圖書館、Pub Med、JBI、CNKI等數(shù)據(jù)庫中關于洗手消毒和免洗手消毒液在新生兒重癥監(jiān)護醫(yī)護人員手衛(wèi)生應用論文,對論文進行評價,采用Revman軟件分析。結果本研究共納入4項RCT及3項類實驗性研究,洗手消毒組和免洗手消毒液組總采集標本數(shù)各為1 447個和1503個。分析結果顯示:免洗手消毒液殺菌效果優(yōu)于洗手消毒效果(SMD=-0.672,95%CI:-1.291~-0.052,I~2=98%,P=0.040),進一步進行亞組分析,以免洗手消毒液/劑醇類濃度60%分組,醇類濃度大于60%,免洗手消毒液組殺菌效果優(yōu)于洗手消毒組(SMD=-1.052,95%CI:-1.702~-0.391,I2=97%,P0.001);醇類濃度小于60%免洗手消毒液組殺菌效果低于于洗手消毒組(SMD=0.721,95%CI:0.542~0.913,I2=0%,P0.001)。結論采用免洗手消毒液/劑對新生兒重癥監(jiān)護人員手消毒,可更顯著減少手中細菌菌落計數(shù),有助于降低醫(yī)院感染率,但在使用中應注意手消液濃度應大于60%。
[Abstract]:Objective to explore the effect and recommendation of two hand disinfection methods in order to guide clinical hand hygiene practice more accurately and effectively. To provide evidence support for the establishment of clinical practice guide for infection control in neonatal intensive care unit. Methods to search the Cochrane Library's database of Pub Medn JBI and CNKI on hand-washing disinfection and hand-free disinfectant in neonatal intensive care care. Staff hand hygiene application paper, The paper was evaluated and analyzed by Revman software. Results four RCT and three kinds of experimental studies were included in this study. The total number of samples collected in the hand-washing disinfection group and the no-hand-washing disinfection solution group were 1,447 and 1503 respectively. The results showed that the bactericidal effect of the hand-free disinfectant solution was superior to that of the hand-washing disinfection solution. The results showed that the bactericidal effect of the disinfectant solution was better than that of the hand-washing disinfection solution. The results showed that the bactericidal efficacy of the disinfectant solution was better than that of the hand-washing disinfection solution. To avoid 60% groups of alcohol concentration of hand sanitizer / agent, The sterilizing effect of alcohol group was better than that of SMD-1.052C95CI-1.702U -0.391U I297and P0.001N group, and the sterilizing effect of alcohol less than 60% group was lower than that of SMD0.72195CIW 0.542wo 0.91313I2KT P0.0010.Conclusion No hand-washing disinfectant / agent can be used to prevent neonatal weight. Hand disinfection of disease warden, It can significantly reduce the number of bacterial colonies in the hands and help to reduce the nosocomial infection rate, but we should pay attention to the concentration of hand solution more than 60 in use.
【作者單位】： 新疆石河子大學醫(yī)學院;新疆石河子大學醫(yī)學院第一附屬醫(yī)院;
【分類號】：R473.72

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