اهمیت بهداشت دست در بخش های مراقبت ویژه
کد: G-1165
نویسندگان: Saeed Khayat Kakhki ©, Majid Daneshfar ℗, Alireza Namaii Qasemnia, Mehrdad Yousefnezhad
زمان بندی: زمان بندی نشده!
دانلود: دانلود پوستر
خلاصه مقاله:
خلاصه مقاله
Background: Hand hygiene (HH) is a key infection control measure, particularly in ICU settings, where patients are highly vulnerable to healthcare-associated infections (HAIs). ICU environments present unique challenges, including frequent patient contact and invasive procedures, which increase the risk of infection transmission. Methodology: A systematic review was conducted on HH compliance and intervention strategies in ICUs, using data from SCOPUS, PubMed, and MEDLINE (2010–2024). Studies included randomized trials, observational studies, and meta-analyses focused on HH interventions and outcomes in critical care. Results: Research shows that adherence to HH practices in ICUs can reduce HAIs by up to 50%. Alcohol-based hand sanitizers (ABHS) are proven more effective than soap and water in routine care situations. Direct observation, automated monitoring systems, and real-time feedback improve HH compliance rates. ICU-specific interventions, such as the strategic placement of ABHS dispensers, staff education programs, and HH audits, have shown a marked decrease in infection rates, particularly for central line-associated bloodstream infections (CLABSIs) and ventilator-associated pneumonia (VAP). Conclusion: HH remains a fundamental component in preventing HAIs in ICUs. Multimodal strategies—comprising staff education, real-time monitoring, and improved access to ABHS—are essential to enhancing compliance. ICU environments benefit most from targeted HH interventions, which not only lower infection rates but also improve overall patient outcomes. Future efforts should focus on developing cost-effective, scalable HH technologies to optimize infection control in resource-limited settings.
کلمات کلیدی
hand hygiene, intensive care unit, infection, nursing
