Hygienic and economic evaluation on different hand-drying materials in non-rinse surgical hand antisepsis_West China Medical Journal

Authors：

QIU Yongjie ¹ ,  XU Shilan ² , ZHU Dezhi ¹ , DENG Ai ¹ , WANG Junjian ³ , XIA Qinghong ⁴

1. Department of Infection Control, Chengdu Shangjin Nanfu Hospital, Chengdu, Sichuan 611730, P. R. China;
2. Department of Infection Control, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
3. Department of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
4. Department of Operating Room, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

XU Shilan, Email: 1245787345@qq.com

Keywords：

Surgical hand antisepsis; Paper hand towels; Hygienic evaluation

DOI：

10.7507/1002-0179.202001067

Video：

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Objective To study the feasibility of using paper hand towels instead of sterilized hand towels in non-rinse surgical hand antisepsis, and make a hygienic and economic evaluation on sterilized hand towels and paper hand towels.Methods From July to September 2016, a cluster sampling method was used to study the hand samples of all health care workers who performed surgical hand sanitization in the operating room on Thursday. According to their work contents, they were asigned into the intervention group (using paper hand towels to dry hands) and the control group (using sterilized hand towels to dry hands); further, according to the odd or even number of the staff identification number, the intervention group was divided into Group A (using Likang hand towels to dry hands) and Group B (using Qingfeng hand towels to dry hands). The packing specifications and costs of hand-drying items in the warehouse were surveyed, as well as the average number of medical workers performing an operation and the number of sheets of sterilized hand towels or paper hand towels used per person, and the cost of different hand dryers for each procedure was calculated. Finally, the hygienic and economic effects of using paper hand towels were evaluated.Results There were 30, 39, and 30 hand hygiene samples collected in the control group, Group A, and Group B, respectively. The total bacterial count of each group was less than 5 cfu/cm², which met the hygienic requirements of surgical hand disinfection in the manual hygiene standard for medical personnel (WS/T 313－2019), i.e., the passing rate of each group was 100%. According to the calculation that each operation required at least 4 medical workers, each operation consumed 8 sterilized hand towels at a cost of 15.2 yuan; if using paper hand towels, each operation consumed 16 sheets at a cost of 0.8 yuan.Conclusion The hygienic effect of surgical hand disinfection is not affected by the use of paper hand towels before applying hand sanitizer, while the operating cost of hospital operating room can be significantly reduced by using paper hand towels instead of sterilized hand towels.

Citation： QIU Yongjie, XU Shilan, ZHU Dezhi, DENG Ai, WANG Junjian, XIA Qinghong. Hygienic and economic evaluation on different hand-drying materials in non-rinse surgical hand antisepsis. West China Medical Journal, 2020, 35(3): 312-315. doi: 10.7507/1002-0179.202001067 Copy

1.	中华人民共和国卫生部. 医务人员手卫生规范: WS/T 313－2019. 北京: 中华人民共和国卫生部, 2019.
2.	World Health Organization. WHO guidelines on hand hygiene in health care. Geneva: World Health Organization. Geneva: WHO Press, 2009: 49-53.
3.	柯雅娟, 许晨耘, 符艳芳, 等. 外科手消毒规范执行过程中存在的问题及管理对策. 中华医院感染学杂志, 2012, 22(7): 1428-1429.
4.	中华医学会外科学分会外科感染与重症医学学组, 中国医师协会外科医师分会肠瘘外科医师专业委员会. 中国手术部位感染预防指南. 中华胃肠外科杂志, 2019, 22(4): 301-314.
5.	赵婧伶. 外科洗手及手消毒规范性操作调查分析与对策. 华西医学, 2016, 31(3): 440-443.
6.	张昆, 王春怡, 刘倩, 等. 心脏介入导管室手卫生方式的优化选择. 中华医院感染学杂志, 2014, 24(14): 3586-3588.
7.	World Health Organization. Global guidelines for the prevention of surgical site infection. Geneva: WHO Press, 2016: 15-20.
8.	Patrick DR, Findon G, Miller TE. Residual moisture determines the level of touch-contack-associated bacterial transfer following hand washing. Epidemiol Infect, 1997, 119(3): 319-325.
9.	Harrison WA, Griffith CJ, Michaels B. Technique to determine contamination exposure routes and the economic efficiency of folded paper-towel dispensing. Am J Infect Control, 2003, 31(2): 104-108.
10.	Huang C, Ma W, Stack S. The hygienic efficacy of different hand-drying methods: a review of the evidence. Mayo Clin Proc, 2012, 87(8): 791-798.
11.	钱静, 孔懿, 姜亦虹, 等. 两种干手纸对外科手消毒效果的影响. 江苏卫生事业管理, 2018(12): 1389-1390, 1408.
12.	邱洪波, 梅娜, 姬茜茜, 等. 不同类别擦手物品在外科手消毒中的效果监测及成本评价. 临床医学研究与实践, 2016(6): 67.
13.	沈明霞, 郭留萍, 刘娅萍, 等. 一次性纸巾干手物品应用于免洗外科手消毒法中的效果与成本分析. 中华医院感染学杂志, 2012, 22(20): 4564-4565.
14.	江涛. 一次性灭菌纸巾在手术室手消毒中应用效果观察. 医药前沿, 2013(32): 393.
15.	高晓东, 胡必杰. 不同干手措施对手卫生效果影响的研究进展. 中华医院感染学杂志, 2013, 23(8): 1999-2000.

1. 中华人民共和国卫生部. 医务人员手卫生规范: WS/T 313－2019. 北京: 中华人民共和国卫生部, 2019.
2. World Health Organization. WHO guidelines on hand hygiene in health care. Geneva: World Health Organization. Geneva: WHO Press, 2009: 49-53.
3. 柯雅娟, 许晨耘, 符艳芳, 等. 外科手消毒规范执行过程中存在的问题及管理对策. 中华医院感染学杂志, 2012, 22(7): 1428-1429.
4. 中华医学会外科学分会外科感染与重症医学学组, 中国医师协会外科医师分会肠瘘外科医师专业委员会. 中国手术部位感染预防指南. 中华胃肠外科杂志, 2019, 22(4): 301-314.
5. 赵婧伶. 外科洗手及手消毒规范性操作调查分析与对策. 华西医学, 2016, 31(3): 440-443.
6. 张昆, 王春怡, 刘倩, 等. 心脏介入导管室手卫生方式的优化选择. 中华医院感染学杂志, 2014, 24(14): 3586-3588.
7. World Health Organization. Global guidelines for the prevention of surgical site infection. Geneva: WHO Press, 2016: 15-20.
8. Patrick DR, Findon G, Miller TE. Residual moisture determines the level of touch-contack-associated bacterial transfer following hand washing. Epidemiol Infect, 1997, 119(3): 319-325.
9. Harrison WA, Griffith CJ, Michaels B. Technique to determine contamination exposure routes and the economic efficiency of folded paper-towel dispensing. Am J Infect Control, 2003, 31(2): 104-108.
10. Huang C, Ma W, Stack S. The hygienic efficacy of different hand-drying methods: a review of the evidence. Mayo Clin Proc, 2012, 87(8): 791-798.
11. 钱静, 孔懿, 姜亦虹, 等. 两种干手纸对外科手消毒效果的影响. 江苏卫生事业管理, 2018(12): 1389-1390, 1408.
12. 邱洪波, 梅娜, 姬茜茜, 等. 不同类别擦手物品在外科手消毒中的效果监测及成本评价. 临床医学研究与实践, 2016(6): 67.
13. 沈明霞, 郭留萍, 刘娅萍, 等. 一次性纸巾干手物品应用于免洗外科手消毒法中的效果与成本分析. 中华医院感染学杂志, 2012, 22(20): 4564-4565.
14. 江涛. 一次性灭菌纸巾在手术室手消毒中应用效果观察. 医药前沿, 2013(32): 393.
15. 高晓东, 胡必杰. 不同干手措施对手卫生效果影响的研究进展. 中华医院感染学杂志, 2013, 23(8): 1999-2000.

West China Medical Journal

Hygienic and economic evaluation on different hand-drying materials in non-rinse surgical hand antisepsis

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