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