ZHANG Ju 1 , YANG Junhua 1 , YE Dan 2 , PENG Ping 2 , ZENG Fengmei 1 , LIU Yumiao 1 , LI Gang 3
  • 1. Nosocomial Infection Management Department, the First People’s Hospital of Longquanyi District of Chengdu, West China Longquan Hospitital, Sichuan University, Chengdu, Sichuan 610100, P. R. China;
  • 2. Department of Clinical Laboratory, the First People’s Hospital of Longquanyi District of Chengdu, West China Longquan Hospitital, Sichuan University, Chengdu, Sichuan 610100, P. R. China;
  • 3. Department of Proctology, the First People’s Hospital of Longquanyi District of Chengdu, West China Longquan Hospitital, Sichuan University, Chengdu, Sichuan 610100, P. R. China;
LI Gang, Email: 45139119@qq.com
Hygienic hand disinfection; Alcohol-based handrub; Gloves; Disinfection effect; Cost
10.7507/1002-0179.201812110
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Objective To explore a better hygienic hand disinfection method to improve hand hygiene compliance, by evaluating and comparing the disinfection effects and the economic and time cost expenditures of three different types of hygienic hand disinfection methods.Methods From March to July 2016, patients undergoing blood collection were randomly divided into three groups, and five blood collection nurses used one different type of hygienic hand disinfection method in each group when performing blood collection operation on the patients, including: direct hygienic hand disinfection (group A); wearing gloves, and doing hygienic hand disinfection without putting off gloves (group B); and changing gloves for each patient, and doing hygienic hand disinfection after putting off gloves (group C). Two hundred and ten specimens of the nurses’ hands or gloves surface after hand hygiene were collected from each group for the comparison of hygienic hand disinfection effect, and the differences in economic cost and time cost were compared.Results The passing rates of the disinfection effect of the three different types of sanitary hand disinfection methods were all 100%. The economic cost of group A, B, and C was 9.66, 21.98, and 185.66 yuan, respectively, and the time cost of group A, B, and C was 5 250, 6 860, and 14 700 seconds, respectively. No sharp injury occurred.Conclusion Since direct hygienic hand disinfection does not implement the standard prevention principle, the method of wearing gloves and doing hygienic hand disinfection without putting off gloves is the best in the three different hygienic hand disinfection methods, which not only has the same disinfection effect, but also can save economic cost and time cost, which may improve the medical personnel’s hand hygiene compliance.

Citation： ZHANG Ju, YANG Junhua, YE Dan, PENG Ping, ZENG Fengmei, LIU Yumiao, LI Gang. Disinfection effect and cost analysis of three different sanitary hand disinfection methods. West China Medical Journal, 2019, 34(3): 276-279. doi: 10.7507/1002-0179.201812110 Copy

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