...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Israel Journal of Health Policy Research >Performance of aseptic technique during neuraxial analgesia for labor before and after the publication of international guidelines on aseptic technique
【24h】

Performance of aseptic technique during neuraxial analgesia for labor before and after the publication of international guidelines on aseptic technique

机译：国际无菌技术指南出版前后，在人工神经痛镇痛中使用无菌技术的情况

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background Aseptic technique and handwashing have been shown to be important factors in perioperative bacterial transmission, however compliance often remains low despite guidelines and educational programs. Infectious complications of neuraxial (epidural and spinal) anesthesia are severe but fortunately rare. We conducted a survey to assess aseptic technique practices for neuraxial anesthesia in Israel before and after publication of international guidelines (which focused on handwashing, jewelry/watch removal and the wearing of a mask and cap). Methods The sampling frame was the general anesthesiology workforce in hospitals selected from each of the four medical faculties in Israel. Data was collected anonymously over one week in each hospital in two periods: April 2006 and September 2009. Most anesthesiologists received the questionnaires at departmental staff meetings and filled them out during these meetings; additionally, a local investigator approached anesthesiologists not present at these staff meetings individually. Primary endpoint questions were: handwashing, removal of wristwatch/jewelry, wearing mask, wearing hat/cap, wearing sterile gown; answering options were: "always", "usually", "rarely" or "never". Primary endpoint for analysis: respondents who both always wash their hands and always wear a mask ("handwash-mask composite") - "always" versus "any other response". We used logistic regression to perform the analysis. Time (2006, 2009) and hospital were included in the analysis as fixed effects. Results 135/160 (in 2006) and 127/164 (in 2009) anesthesiologists responded to the surveys; response rate 84% and 77% respectively. Respondents constituted 23% of the national anesthesiologist workforce. The main outcome "handwash-mask composite" was significantly increased after guideline publication (33% vs 58%; p?=?0.0003). In addition, significant increases were seen for handwashing (37% vs 63%; p?=?0.0004), wearing of mask (61% vs 78%; p?
机译：背景技术无菌技术和洗手已被证明是围手术期细菌传播的重要因素，但是尽管有指导方针和教育计划，依从性仍然很低。神经（硬膜外和脊髓）麻醉的感染性并发症很严重，但幸运的是很少见。我们进行了一项调查，以评估在国际准则发布之前和之后（针对洗手，去除珠宝/手表以及戴上口罩和帽子）在以色列进行神经麻醉的无菌技术实践。方法抽样框架是从以色列四个医学系的每一个所选择的医院的全身麻醉学工作人员。在每个星期的两个星期内，在两个星期内匿名收集了数据：2006年4月和2009年9月。大多数麻醉师在部门人员会议上收到了问卷，并在会议期间填写了问卷。此外，当地调查人员还与未参加这些员工会议的麻醉师进行了接触。主要终点问题是：洗手，摘下手表/珠宝，戴口罩，戴帽子/帽子，穿无菌服;回答选项为：“总是”，“通常”，“很少”或“从不”。分析的主要终点：既要经常洗手又要戴口罩（“洗手-口罩复合材料”）的受访者-“始终”与“其他任何响应”。我们使用逻辑回归进行分析。时间（2006年，2009年）和医院作为固定影响纳入分析。结果135/160（2006年）和127/164（2009年）的麻醉师对调查做出了回应。回应率分别为84％和77％。受访者占全国麻醉医师劳动力的23％。指南发布后，主要结果“洗手-面膜复合材料”显着增加（33％对58％; p = 0.0003）。此外，洗手，戴口罩（61％vs. 78％; p？<0.0001），戴帽子/帽子（53％vs. 76％; 61％vs 78％; p？<0.0001），显着增加。 （p ＝ 0.0011）和穿着无菌服（32％对51％; p ＜＜ 0.0001）。从2006年到2009年，在所有医院和所有医师组中，无菌技术都有明显改善。结论在国际准则发布后进行的调查中，以色列麻醉学家自我报告的无菌技术得到了改善。尽管前后研究设计不能证明因果关系，但确实显示了国际指南的发布与自我报告的无菌技术的显着改善之间的关联。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号