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三甲医院医务人员手卫生行为、致病菌分布及其耐药情况

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目的 掌握三甲医院医务人员手卫生行为、致病菌分布及其耐药情况.方法 调查某三甲医院1 274名医务人员手卫生行为,抽取450名医务人员对其手部致病菌及其耐药情况进行采样与检测.结果 研究对象中手卫生行为较好者占48.12%;性别、岗位、职称、手卫生培训次数、手卫生目的、手卫生设施是否方便使用、手卫生知识综合得分7个因素不同分组手卫生行为差异有统计学意义(P<0.05),洗手前、后手部致病菌携带率分别为9.11%和2.66%,差异有统计学意义(P<0.01),洗手前致病菌携带风险是洗手后的3.66倍;手部最主要的致病菌为金黄色葡萄球菌和大肠埃希菌;革兰阳性菌耐药率较高的抗菌药物主要为哌拉西林和复方新诺明,革兰阴性菌耐药率较高的抗菌药物主要为头孢唑林和氨苄西林.结论 三甲医院医务人员总体手卫生行为仍不理想,手部带有多种致病菌,且部分细菌耐药严重.
Hygiene behavior, bacteria contamination and their antibiotic resistance on hands among medical workers in a three-A hospital
Objective To investigate hand hygiene(HH) behavior,pathogen distribution and their antibiotic resistance on hands among medical workers in a three-A hospital.Methods Investigate the HH behavior of 1 274 medical workers in a three-A hospital,and pathogens were sampled from the hands of 450 medical workers for drug resistance test.Results 48.12% of the research objects implemented HH well.There was statistical significance on the difference in genders,position,technical tittles,number of HH training,HH purposes,convenience of HH facilities and HH behavior among different groups (P < 0.05).The carrying rate of pathogenic bacteria was 9.11% before hand washing,and 2.66% after hand washing,the differences were statistically significant(P < 0.01).The risk of pathogen carrying before washing hands was 3.66 times of that after washing hands;the main pathogens were Staphylococcus aureus and Escherichia coli on the hands of medical staff.Gram-positive bacteria were mainly resistant to piperacillin and sulfamethoxazole,gram-negative bacteria were mainly resistant to cefazolin and ampicillin.Conclusion The overall HH behavior of the medical workers in the three-A military hospital was unsatisfactory,and the medical workers' hands carry various pathogens,some bacteria are high resistant to antibiotics.

Medical workersHand hygieneBehaviorPathogensDrug resistance

张许艳、金素琴、崔彩芬

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浙江省武警总队嘉兴医院,浙江嘉兴314000

医务人员 手卫生 行为 致病菌 耐药

2017

中国卫生检验杂志
中华预防医学会

中国卫生检验杂志

影响因子:0.771
ISSN:1004-8685
年,卷(期):2017.27(20)
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