Znaczenie higieny rąk w profilaktyce zakażeń związanych z opieką zdrowotną

The importance of hand hygiene in prevention of health care infections

Beata Denisiewicz

Stobrawskie Centrum Medyczne Sp. z o.o. z siedzibą w Kup

Beata Denisiewicz
Stobrawskie Centrum Medyczne Sp. z o.o. z siedzibą w Kup,
ul. Karola Miarki 14, 46-082 Kup,
epidemiolog@szpital-kup.eu

Wpłynęło: 17.02.2020 \ Zaakceptowano: 18.03.2020 \ Opublikowano on-line: 23.03.2020

Cytowanie / Citation

Denisiewicz B. Znaczenie higieny rąk w profilaktyce zakażeń związanych z opieką zdrowotną.
Zakażenia XXI wieku 2020;3(1):23-29
doi: 10.31350/zakazenia/2020/1/Z2020003

Wersja elektroniczna / Article ePDF

Streszczenie:
Ręce personelu skażone bakteriami są przyczyną endemicznych zakażeń pacjentów. Czystość mikrobiologiczna rąk personelu zależy od wielu czynników, m.in. od właściwej techniki ich mycia i dezynfekcji, stosowania preparatów wykazujących skuteczność co najmniej przeciw bakteriom, drożdżom i wirusom oraz od stopnia kontaminacji środowiska szpitalnego, a także od przestrzegania trzech podstawowych zasad higieny rąk. Pierwsza zasada mówi, że dezynfekcja rąk powinna być ostatnim etapem higieny rąk przed przyjściem do pacjenta i pierwszym po odejściu od niego, druga odnosi się do sposobu dozowania preparatów dezynfekcyjnych, trzecia zaś dotyczy zwracania szczególnej uwagi podczas dezynfekcji na miejsca na dłoni najczęściej pomijane.

Słowa kluczowe: dezynfekcja rąk, drobnoustroje, preparaty dezynfekcyjne, zakażenia

Abstract:
Staff hands contaminated with bacteria are the cause of endemic infections in patients. The microbiological purity of the hands of staff depends on many factors, including proper hand washing and disinfection technique, using appropriate preparations, demonstrating effectiveness at least against bacteria, yeast and viruses, the degree of contamination of the hospital environment and adherence to the three basic principles of hand hygiene. The first rule is that hand disinfection should be the last stage of hand hygiene before coming to the patient and the first after leaving the patient. The second one relates to the method of dispensing disinfectants. The third concerns paying special attention during disinfection to the places on the palm that are most often overlooked.

Key words: hand disinfection, microorganisms, disinfectants, infections

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Konflikt interesów: nie zgłoszono.
Potential conflicts of interest: no conflicts.