中国医生的感染控制实践

Derek R. Smith , Ning Wei , Yi-Jie Zhang , Rui-Sheng Wang
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引用次数: 1

摘要

虽然健全的感染控制措施在医院环境中是必不可少的,但医生的依从率可能不是最佳的,后一个问题在中国大陆很少研究。因此,我们对河北省石家庄市某大型教学医院的医生进行了完整的横断面调查。在受访者中,54.1%的人表示他们在采血时从未戴过防护手套。洗胃、气管插管、留置导尿管插拔过程中经常佩戴手套的比例分别为65.6%、63.5%和95.8%。大多数医生(61.5%)每班洗手少于10次,其中家用肥皂是最常见的洗手方法(71.1%)。64.3%的人完成了乙型肝炎病毒(HBV)疫苗接种,尽管24.1%的人根本没有接种过疫苗。总的来说,我们的研究表明,中国医生的感染控制措施可能不够理想。因此,当务之急是提高中国大陆临床治疗过程中的依从性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Infection control practices among Chinese physicians

Although sound infection control practices are essential within hospital settings, compliance rates among physicians may be suboptimal and this latter issue has rarely been studied in mainland China. Therefore, we surveyed a complete cross-section of physicians from a large teaching hospital in Shijiazhuang City, Hebei Province. Of the respondents, 54.1% said they never wore protective gloves whilst taking blood samples. Regular glove usage during gastric lavage, endotracheal intubation and indwelling urinary catheter insertion or removal was reported by 65.6%, 63.5% and 95.8% respectively. Most physicians (61.5%) washed their hands less than 10 times per work shift, with domestic soap being the most common method (71.1%). A complete course of Hepatitis B virus (HBV) vaccinations was reported by 64.3%, although 24.1% had not been vaccinated at all. Overall, our study suggests that infection control practices may be suboptimal among Chinese physicians. As such, a greater priority must be urgently directed towards improving compliance during clinical procedures in mainland China.

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