„Nic poniżej łokcia”. Część 2: znaczenie dla higieny rąk

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„NIC PONIŻEJ ŁOKCIA”. CZĘŚĆ 2: ZNACZENIE DLA HIGIENY RĄK

„BARE BELOW THE ELBOWS”. PART 2: IMPORTANCE FOR HAND HYGIENE

1 Klinika Obserwacyjno-Zakaźna Dzieci Uniwersytetu Medycznego w Białymstoku 2 Medilab Sp. z o.o. w Białymstoku

} DOROTA ROŻKIEWICZ

Klinika Obserwacyjno-Zakaźna Dzieci, Uniwersytet Medyczny w Białymstoku, Uniwersytecki Dziecięcy Szpital Kliniczny, ul. J. Waszyngtona 17, 15-274 Białystok, Tel.: 85 745 06 85,

e-mail: dorota.rozkiewicz@umb.edu.pl

Wpłynęło: 30.07.2018 Zaakceptowano: 10.08.2018 DOI: dx.doi.org/10.15374/FZ2018035

STRESZCZENIE: Proﬁlaktyka jest lepsza niż leczenie. Praktykowanie higieny rąk od dawna uwa-żane jest za złoty standard w kontroli zakażeń, który pozwala na skuteczne zapobieganie ich po-wstawaniu w opiece zdrowotnej. Wiele czynników może potencjalnie wpływać na ryzyko ska-żenia rąk, na ich mycie oraz dezynfekcję. Niemniej jednak ciągle nie ma ostatecznej odpowie-dzi na powiązanie z zakażeniami szpitalnymi wielu czynników, takich jak: pomalowane paznok-cie, sztuczne paznokpaznok-cie, długie paznokpaznok-cie, noszenie pierścionków, zegarków na rękę, branso-letek lub długich rękawów. Opublikowano wiele badań na ten temat, lecz ich wyniki były czę-ściowo sprzeczne. Niespójność dostępnych wyników znajduje odzwierciedlenie w zróżnicowa-nych zaleceniach dostępw zróżnicowa-nych w aktualw zróżnicowa-nych wytyczw zróżnicowa-nych dotyczących higieny rąk. Potrzeba za-tem więcej danych, by określić rolę czynników ryzyka (pomalowane, sztuczne, długie paznokcie, zegarki, pierścionki, bransoletki, długi rękaw) w celu optymalizacji higieny rąk wśród pracowni-ków ochrony zdrowia. Ważnym aspektem działań jest obniżenie liczby zakażeń szpitalnych oraz zidentyﬁkowanie możliwych wektorów transmisji bakterii z personelu medycznego.

SŁOWA KLUCZOWE: bransoletki, długie paznokcie, długie rękawy, higiena rąk, krawaty, pier-ścionki, pomalowane paznokcie, sztuczne paznokcie, zegarki

ABSTRACT: Prevention is better than treatment. The practice of hand hygiene has been per-ceived as a gold standard for a long time and it stood the test of time as an infection control method by effectively preventing healthcare related infections. Many factors may potentially influence the risk of hand contamination as well as hand washing and decontamination. Ne-vertheless, determining the relation of many factors, such as manicured nails, artificial or long nails, bracelets and long sleeves with nosocomial infections has not yet been done. Many stu-dies have been published concerning this issue, but their results were partially contradictory. Discrepancy of the available results is demonstrated in different recommendations regarding hand hygiene. More data is therefore needed to determine the role of risk factors (manicured, artificial and long nails, watches, rings, bracelets, long sleeves) in order to optimize hand hy-giene of healthcare workers. The reduction of the number of nosocomial infections and iden-tification of possible bacteria transmission vectors is crucial.

KEY WORDS: artiﬁcial nails, bracelets, hand hygiene, long nails, long sleeves, manicured nails, painted nails, rings, ties, wrist watches

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KONFLIKT INTERESÓW: nie zgłoszono.

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