改良脱手套技术,防止常规抽血中的手部污染。

IF 1.5 4区 医学 Q4 ENVIRONMENTAL SCIENCES
Pongsatorn Buabungkhung, Piyada Srisamranrungruang, Jiraporn Bhucharoen, Katesophon Singhasuvich, Busadee Pratumvinit, Gerald J Kost, Panutsaya Tientadakul
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引用次数: 0

摘要

世界卫生组织(WHO)和美国疾病控制与预防中心(CDC)制定了指导方针,建议医护人员在脱下手套后执行手部卫生程序。然而,频繁地完成卫生程序可能会引起过敏和不良皮肤反应。这项双盲随机研究旨在通过开发和评估一种改良的手套脱除技术来解决这一问题,该技术可将常规抽血过程中的污染风险降至最低。此外,这项研究还使用荧光检测技术来比较疾病预防控制中心推荐的技术和使用荧光检测技术的改良技术的污染频率。100 名医护人员参加了这项研究,并被分为两组:一组采用疾病预防控制中心推荐的技术,另一组采用改进后的技术。参与者收到了教学视频,并在指导下进行了练习。随后,他们使用涂有荧光膏作为污染标记的模拟手臂进行采血。脱下手套后,在黑光灯下对手部污染情况进行评估。改良组摘除手套所需的中位时间比采用 CDC 技术组多 4 秒(p p ≥ 0.05)。采用 CDC 技术的小组和采用改良脱手套技术的小组都证明了在抽血过程中防止污染的潜力,从而减少了手部卫生的需要,降低了污染和皮肤不良反应的发生率。这些发现促使人们进一步探索正确脱手套是否能减少每次脱手套后完成手卫生例行工作的频率,特别是在抽血过程中。不过,必须指出的是,仍建议在脱下手套后进行手部卫生,以防止污染。还需要进一步研究来验证这些发现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Modified glove removal technique to prevent hand contamination in routine phlebotomy.

The World Health Organization and the Centers for Disease Control and Prevention (CDC) have established guidelines recommending the performance of hand hygiene routines for healthcare workers following glove removal. However, the completion of frequent hygiene routines can cause allergic and adverse skin reactions. This double-blind, randomized study aimed to address this concern by developing and evaluating a modified glove removal technique that minimizes contamination risk during routine phlebotomy procedures. Furthermore, this study used fluorescent detection to compare the frequency of contamination associated with the CDC-recommended technique and the modified technique using fluorescent detection. One hundred healthcare personnel were enrolled and divided into two groups: one group followed the CDC technique, while the other group implemented the modified technique. Participants received instructional videos and practiced under supervision. They subsequently performed blood collection using a simulation arm covered with fluorescent cream as a contamination marker. After removing gloves, hand contamination was assessed under a black light. The median time required for glove removal in the modified group was four seconds longer than that in the group that followed the CDC technique (p < 0.001). Contamination was observed in 2% (1/50) of subjects using the CDC-recommended technique, while no contamination was detected with the modified technique (p ≥ 0.05). Both the group that followed the CDC technique and the group that used modified glove removal techniques demonstrated the potential to prevent contamination during phlebotomy, thereby reducing the need for hand hygiene and the occurrence of contamination and adverse skin reactions. These findings prompt further exploration into whether proper glove removal can reduce the frequency of completing a hand hygiene routine after each glove removal, specifically within the context of phlebotomy. However, it is essential to note that hand hygiene following glove removal is still recommended to prevent contamination. Further research is warranted to validate these findings.

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来源期刊
Journal of Occupational and Environmental Hygiene
Journal of Occupational and Environmental Hygiene 环境科学-公共卫生、环境卫生与职业卫生
CiteScore
3.30
自引率
10.00%
发文量
81
审稿时长
12-24 weeks
期刊介绍: The Journal of Occupational and Environmental Hygiene ( JOEH ) is a joint publication of the American Industrial Hygiene Association (AIHA®) and ACGIH®. The JOEH is a peer-reviewed journal devoted to enhancing the knowledge and practice of occupational and environmental hygiene and safety by widely disseminating research articles and applied studies of the highest quality. The JOEH provides a written medium for the communication of ideas, methods, processes, and research in core and emerging areas of occupational and environmental hygiene. Core domains include, but are not limited to: exposure assessment, control strategies, ergonomics, and risk analysis. Emerging domains include, but are not limited to: sensor technology, emergency preparedness and response, changing workforce, and management and analysis of "big" data.
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