十多年来已经过去了，以促进医疗保健提供者中的手卫生的依从性。
这个活动旨在减少罹患卫生保健相关。病infection (HCAI) globally, since HCAIs are still among the major problems for patient safety. This year, the improvements of hand hygiene practices in all surgical services have been focused on. The Intensive Care Unit (ICU) is one of the most critical areas of the surgical services.
Why is hand hygiene important?
这prevalence of hospitalized patients who acquired at least one HCAI ranged from3.6％至12％in high-income countries. The incidence of HCAIs in developing countries may be高得多嗯。
Hands are the main pathways of invisible micro-organism transmission and multi drug-resistant pathogens.
不安全的患者护理最常导致HCAI。五巨头HCAI的主要原因包括从患者或医院环境到患者清洁部位，导管轮毂或插入部位，尿道导管或手术部位的微生物传播。
Hands are the main pathways of invisible micro-organism transmission and multi drug-resistant pathogens. Therefore, for all healthcare workers, proper hand hygiene is the most important, simplest and least expensive means of preventing HCAIs.
ICU是医疗保健相关感染最危险的地方之一
这risk of HCAIs is significantly higher in ICU, withapproximately 30%受HCAI至少发作影响的患者。HCAI的发生率与使用侵入性装置（例如中央线，呼吸机和尿导管）或重症患者的免疫状态有关。
尽管重症患者患HCAI的风险很高，但在ICU中，手动卫生的依从性通常较低。
尽管重症患者患HCAI的风险很高，但在ICU中，手动卫生的依从性通常较低。几项研究一般来说，已经证明医生对手工卫生的依从性不佳。所有医疗保健工作者，尤其是ICU医生，都应在手术过程中检查其手卫生。
医疗保健提供者缺乏合规性
手卫生应在正确的时机和程序中进行。世卫组织将至少有五个指示的手卫生指定为'My 5 moments’, as follows:
1) before touching a patient;
2) before a cleaning/aseptic procedure (like inserting catheters or administering intravenous medication);
3）在体液暴露风险之后（例如血液，唾液或汗水）；
4）接触患者；和
5) after touching patient surroundings (furniture, doorknobs, infusion pumps or any surface close to the patient).
However, ‘My 5 moments’ is hard to remember and sometimes confusing. The important thing is not memorizing the ‘My 5 moments’ but understanding the reasons for hand hygiene.
As surgeons strictly distinguish between clean and dirty sites, we should distinguish three areas (healthcare area, patient surroundings, and patients) and two sites (clean site and body fluid site).
‘My 5 moments’ consist of two ‘before’ for prohibiting micro-organisms to carry on and three ‘after’ for prohibiting micro-organisms to spread. Furthermore, we wonder if all health care workers are able to执行正确的手卫生程序s。
整个过程的最小持续时间为20秒，通过用酒精基制剂摩擦手。当双手明显脏或用体液弄脏时，我们应该用肥皂和水洗手（整个过程的最小持续时间为40秒）。
Obviously, we are ready to perform hand hygiene if our hands are dirty. However, all the micro-organisms including multiple drug resistance bacteria are invisible, so we should perform hand hygiene frequently.
我们现在应该做什么
在20多年的时间里，许多研究表明了改善手动卫生依从性的干预措施。
今天，这是所有医疗保健工人对手卫生的自我反思的日子。如果只有一个人不遵守手动卫生，则可能发生HCAI。手卫生应该是“ shitsuke”的主题，这意味着日语中的“维持”，并习惯每个人都遵循设定的规则和程序。
在20多年的时间里，许多研究表明了改善手动卫生依从性的干预措施。促进手卫生的实用方法包括轻松获得手擦，教育，审计，绩效反馈，海报和提醒。
谁也提供the hand hygiene improvement toolkit免费为任何环境中的任何一个免费支持。多学科的计划以促进正确使用酒精含量的方法可以提高手动卫生的依从性。手动卫生是预防HCAI的一个简单简单的程序，尽管应该不断努力改善手动卫生的依从性。
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