西安市市管医疗机构检验科医务人员手卫生状况监测

Monitoring of hand hygiene status of health care workers in clinical laboratories of medical institutions in Xi’an City

摘要:

目的了解西安市市管医疗机构检验科医务人员手卫生现状。方法对西安市市管所有医疗机构检验科医务人员手卫生状况进行随机现场采样监测。结果2015年共采集西安市80所医疗机构检验科医务人员手标本240份，合格127份，合格率为52.92%。医务人员手卫生合格率：市立直属医院为62.67%，职工医院为55.95%，私立医院为40.74%；综合医疗机构为67.68%，专科医疗机构为42.55%；三级医疗机构为79.63%（43份），二级及以下医疗机构为45.16%（84份），不同类别医疗机构检验科医务人员手卫生合格率比较，差异均有统计学意义（均P＜0.01）。手卫生不同项目大肠埃希菌、金黄色葡萄球菌检出率分别为0.83%、8.33%。各年龄组医务人员手卫生合格率比较，差异有统计学意义 (χ2=9.103，P<0.05)，≥50岁年龄组医务人员手卫生合格率最高（71.43%），其次为＜30岁年龄组（67.82%），40～岁组合格率最低(39.66%)。结论西安市市管医疗机构检验科医务人员手卫生合格率整体水平偏低，应提高检验科医务人员防护意识，加强手卫生质量监控，严格掌握并执行标准洗手操作规程，进一步减少医院感染的发生。

Abstract:

ObjectiveTo investigate the current status of hand hygiene(HH) among health care workers(HCWs) in clinical laboratories in medical institutions in Xi’an City. MethodsHH status of HCWs in clinical laboratories in medical institutions in Xi’an was performed random onthespot sampling and monitoring. ResultsA total of 240 HH specimens of HCWs in clinical laboratories in 80 medical institutions in Xi’an City were collected, 127 detected results were qualified, the total qualified rate was 52.92%. The qualified rates of medical institutions were as follows: municipal hospitals 62.67%，workers’ hospitals 55.95%，private hospitals 40.74%；comprehensive medical institutions 67.68%，specialized medical institutions 42.55%；tertiary medical institutions 79.63%（n=43），secondary and below medical institutions 45.16%（n=84），there were significant differences in HH qualified rate among HCWs in different types of medical institutions（all P＜0.01）. Of different HH detection items, detection rates of Escherichia coli and Staphylococcus aureus were 0.83% and 8.33% respectively. There were significant differences in HH compliance rates among HCWs of all age groups(χ2=9.103，P<0.05), HCWs aged≥50 years had the highest qualified rate of HH（71.43%）, followed by those aged＜30 years (67.82%)，HCWs in 40～ year age group had the lowest HH qualified rate (39.66%). ConclusionThe qualified rate of HH of HCWs in clinical laboratory of medical institutions in Xi’an City is low, it is necessary to enhance the procaution awareness of HCWs in clinical laboratories, strengthen quality control of HH, strictly implement standard handwashing procedures to reduce occurrence of HAI.