Higiene de manos y pandemia. Controversias

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2022-09-01 DOI:10.1016/j.enfi.2022.06.003

I. Fernández-Moreno RN , R. García-Díez RN , M. Vázquez-Calatayud PhD , Comité Asesor del Programa de Seguridad de los Proyectos Zero

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Abstract

During the COVID-19 pandemic, the world's healthcare systems were extremely strained. Intensive care units were stretched to capacity and healthcare facilities were forced to set up spaces to care for critically ill patients. Professionals were required to work in strenuous conditions, completely disrupting their work routines.

In this scenario, hand hygiene and the use of gloves by healthcare professionals became a critical point of transmission risk.

The results of the ENVIN study in 2020 and 2021, corresponding to the pandemic period, showed worrying data on the increase in infection rates, with rates rising by 250% at the worst moments of the pandemic. This suggested that excessive risk situations were occurring for the patient. Any preventive strategy must place correct hand hygiene and proper use of gloves among its priority objectives. For this reason, the Project Zero Advisory Board made a series of adaptations and recommendations based on available evidence and expert opinion related to hand hygiene and glove use during the pandemic situation to promote best practice in extreme situations. This article reviews the key aspects of hand hygiene as part of the WHO safety strategy, the main barriers to compliance and the main adaptations proposed by the Advisory Board of the Zero projects.

Abstract Image

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手卫生和流行病。争端

在2019冠状病毒病大流行期间，世界卫生保健系统极度紧张。重症监护室已达到负荷，医疗机构被迫设立收治危重病人的空间。专业人员被要求在艰苦的条件下工作，完全打乱了他们的日常工作。在这种情况下，卫生保健专业人员的手部卫生和手套的使用成为传播风险的关键点。ENVIN在与大流行时期相对应的2020年和2021年进行的研究结果显示，感染率上升的数据令人担忧，在大流行最严重的时候，感染率上升了250%。这表明，过度的风险情况正在发生的病人。任何预防战略都必须将正确的手部卫生和正确使用手套作为其优先目标。为此，零项目咨询委员会根据现有证据和专家意见，就大流行期间的手部卫生和手套使用问题提出了一系列调整和建议，以促进极端情况下的最佳做法。本文回顾了作为世卫组织安全战略一部分的手卫生的关键方面、遵守规定的主要障碍以及零项目咨询委员会提出的主要适应措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.