HANDWASHING PRACTICES AND RESISTANCE AND DENSITY OF BACTERIAL HAND FLORA ON 2 PEDIATRIC UNITS IN LIMA, PERU

被引:42
作者
LARSON, EL
MCGINLEY, KJ
FOGLIA, A
LEYDEN, JJ
BOLAND, N
LARSON, J
ALTOBELLI, LC
SALAZARLINDO, E
机构
[1] Johns Hopkins University School of Nursing, Baltimore, MD
[2] the Department of Dermatology, University of Pennsylvania School of Medicine, Philadelphia, PA
[3] the Department of Pediatrics, Universidad Peruana Cayetano Heredia, Lima
关键词
D O I
10.1016/S0196-6553(05)80003-3
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The handwashing practices and bacterial hand flora of 62 pediatric staff members of a teaching hospital in Lima, Peru, were studied. Handwashing followed patient contact 29.3% of the time (204/697 contacts). Mean duration was 14.5 seconds, and significant differences in practices were found by unit (rehydration or neonatal intensive care), type of staff member (nurses or physicians), and type and duration of patient contact. Mean count of colony-forming units was log10 5.87 +/- 0.41, with significant differences in density of flora found between patient care and kitchen staffs. There was no significant effect of handwashing on counts of colony-forming units. Significant differences were also found by unit and by staff position with regard to species isolated and antimicrobial resistance of isolates. A more efficacious and cost-effective form of hand hygiene and a more prudent use of antimicrobial agents are indicated.
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页码:65 / 72
页数:8
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