洗手难难于上青天！！

xiaoling

麻醉医师的手卫生习惯的确难改,我们应该加大力度培训了.

川页

麻醉科医生不用洗手？这说明我们院感人的工作任重道远。

鬼才

回复 23# PYCDCXSK
光喊口号有什么用。能否拿出真正提高手卫生依从性的具体措施来。你申报了优秀会员，据我所知你还是某论坛的大版主，敬请你就如何提高手卫生的依从性发表一些高见。在这我列出一些参考文献，供你认真研读。


   [1] Pitt et D, Allegranz i B, Sax H, e t al . Evidence based model for hand transmission during patient care and the role of improved practices [J]. L ancet In fect Dis, 2007, 7(5) : 304-305.
[2] Scheithauer S，Haefner H， Schwanz T，et al．Compliance with hand hygiene on surgical， medical，and neurologic intensive care units: Direct observation versus calculated disinfectant usage［J］．Am J Infect Control,2009,37(8) : 835．
[3] McArdlea FI，Leeb RJ，Gibbc AP，et al．How much time is needed for hand hygiene in intensive care? A prospective trained observer study of rates of contact between healthcare workers and intensive care patientsJ］．Journal of Hospital Infection，2006，62(1): 304．
[4] Pittet D. Clean hands reduce the burden of disease [J]. Lancet, 2005, 366 (7):185-187.
[5] Lankford MG, Zembower TR, Triek W, et al. Influence of Role models and hospital design on
Handhygiene of healthcare Workers[J].Emerg Infect Dis, 2003,9(2):217-223.
[6]Bilski B，Kosinski B. An analysis of selected hands hygiene hab its in selected population of nursing staff[J]. Medycyna pracy,2007, 58( 4) : 291
[7] Semmelweis I. Etiolog concept, and prophylaxis of childbed fever. Carter KC, ed. 1st
ed. Madison, Wl:The University of wisconsin Press, 1983.
[8] Miehelle R Meengs, Ciles BK, ChisdmCD, et al. Handwashing frequenc in an emergeney department[J].Annals of Emergeney Medicine,1994,23(6):1307-1312.
[9] Larson E.A.Causal link between handwashing and risk of infection? Examination of the
Evidence Infect Control, 1988, 9(1):28-36.
这些论文对于一名有志于评选优秀会员的人来说应是小菜一碟。注明这些论文我都研读过，并写了一篇综述，已投《中国感染控制杂志》。望我们共同进步。

Lilatang

“只有想不到，没有做不到”，加油！

南京南京

晕倒。。。上梁不正下梁歪啊。。。我们这也有类似情况，不少麻醉师感控意识都不是很强，可能跟手术室环境相对封闭，平时对其督查不是很方便，并且他们平时很少能接触各类相关培训与宣教有关。

沙枣花

好像这种现象几年前有，现在没有了，起码不敢理直气壮的说不洗手，编出各种理由为自己找借口不洗手的大有人在。