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目的比较5种手卫生方法对医务人员手上艰难梭菌的去除效果。方法采用棉拭涂抹采样和细菌定量检测方法,对5种不同手卫生方法清除人工污染在医务人员手上艰难梭菌的效果进行比较观察。结果分别用普通肥皂液、抗菌肥皂液、流动水、含醇快速手消毒液六步洗手操作法和季铵盐消毒湿巾擦拭法进行手卫生处理,对人工污染在医务人员手上的艰难梭菌清除对数值依次为2.73、2.64、1.01、0.25和2.13。结论 5种手卫生方法中,以两种皂液洗手法对手上艰难梭菌清除效果最好,消毒湿巾法次之。
Objective To compare the removal efficacies of Clostridium difficile by medical staff with five hand hygiene methods. Methods Cotton swab smear and bacterial quantitative detection methods were used to compare the effects of five different hand hygiene methods to remove C. difficile in the hands of medical staff. Results The hand sanitization was carried out by using ordinary soap solution, antibacterial soap solution, mobile water, six-step hand-washing method with alcohol quick hand disinfectant and quark-disinfecting wipe wiping method respectively. The difficult shuttle of artificial contamination to medical staff The bacterial clearance logarithms were 2.73, 2.64, 1.01, 0.25 and 2.13, respectively. Conclusions Among the five kinds of hand hygiene methods, the removal of C. difficile by two kinds of soapy liquid was the best, followed by disinfection wipes.