تأثیر مقایسه‌ای محلول‌های الکلی دست و شستشوی دست با صابون آنتی‌باکتریال بر سلامت پوست، درماتیت شغلی و رعایت پروتکل‌های بهداشت دست در میان کارکنان جراحی: بهبود استراتژی‌های کنترل عفونت در محیط‌های بالینی - یک متاآنالیز
کد: G-1108
نویسندگان: Amirali Alizadeh © ℗, Erfan Rajabi, Fatemeh Davodabadi, Misagh Asadi
زمان بندی: زمان بندی نشده!
دانلود: دانلود پوستر
خلاصه مقاله:
خلاصه مقاله
Introduction and aims: Hand hygiene is a fundamental element in infection control strategies, particularly in surgical settings where healthcare-associated infections (HAIs) are common. However, adherence to hand hygiene protocols is often influenced by the method used, which can also affect skin health and occupational dermatitis among healthcare workers. Alcohol-based hand rubs (ABHRs) and antimicrobial soap handwashing are two widely recommended techniques, but their comparative effects on skin integrity, dermatitis prevalence, and compliance remain unclear. This systematic review and meta-analysis aim to evaluate the comparative impact of ABHRs versus antimicrobial soap handwashing on skin health, occupational dermatitis, and hand hygiene compliance among surgical staff to improve infection control practices. Methods and materials: A systematic search was conducted in PubMed, Cochrane Library, Web of Science, and Embase databases for studies published between 2000 and 2023. Keywords included "hand hygiene," "alcohol-based hand rubs," "antimicrobial soap," "surgical staff," "dermatitis," and "compliance." The included studies were randomized controlled trials (RCTs) and observational studies evaluating skin health, occupational dermatitis, and hand hygiene compliance among surgical staff. The risk of bias was assessed using the Cochrane Risk of Bias tool, and a random-effects model was used for data synthesis. Inclusion criteria included studies involving surgical staff, hand hygiene interventions (ABHRs or antimicrobial soap), and outcomes related to skin health and compliance. Studies not focused on surgical staff or lacking relevant outcomes were excluded. Results: A total of 32 studies with 4,560 participants were included. ABHRs were associated with a significantly lower incidence of occupational dermatitis (RR: 0.65, 95% CI: 0.52–0.79, p 0.001) compared to antimicrobial soap. Compliance with hand hygiene protocols was higher with ABHR use (RR: 1.34, 95% CI: 1.18–1.51, p = 0.002). Skin health outcomes, including moisture levels and irritation scores, were significantly better in the ABHR group. Conclusion: This meta-analysis demonstrates that ABHRs are more effective than antimicrobial soap handwashing in maintaining skin health, reducing occupational dermatitis, and improving compliance with hand hygiene protocols among surgical staff. These findings suggest that promoting ABHRs in clinical settings could improve hand hygiene practices and reduce HAIs while minimizing skin-related issues for healthcare workers.
کلمات کلیدی
Alcohol-Based Hand Rubs, Antimicrobial Soap, Dermatitis, Surgical Staff
