医院放弃水和肥皂(英文)
Hospitals Abandoning Soap and Water
水和肥皂也许可以洗干净所有东西，但现在许多医院已经转向应用一种速干酒精凝胶剂以保持手的清洁，据证实这种速干酒精凝胶剂可以更快更有效地阻止有害的微生物的生长。
SAN DIEGO - Soap and water may be all washed up. Many hospitals are switching to quick-drying alcohol gels to keep hands clean as evidence builds they stop dangerous germs faster and better.
The spread of microbes in hospitals is a huge health problem, making sick people sicker and resulting in an estimated 20,000 deaths in the United States each year. One of the chief ways germs spread is on the hands of nurses, doctors, technicians and others who move from patient to patient.
, 百拇医药
While hospital workers are routinely urged to wash up between patients, a thorough job can take a full minute, results in dry skin and is often skipped to save time, especially in hectic intensive care wards where the risk can be greatest.
The latest research, presented Saturday at a meeting of the American Society for Microbiology, suggests the alcohol-based rinses are surprisingly effective at cutting hospital germs, since they are much quicker, require no water or sink and kill more microbes.
, http://www.100md.com
"You go up to a dispenser, go "click!" and it's there. The time saving is amazing. It's something people actually do use rather than walking by the sink," said Dr. Barbara Murray of the University of Texas at Houston.
Over the past two years, some hospitals have installed alcohol gel dispensers beside every bed, and many more are planning to switch. New guidelines from the Centers for Disease Control and Prevention ( news - web sites), to be released later this fall, are expected to recommend hospitals use the alcohol gels exclusively except when workers hands are visibly soiled.
, http://www.100md.com
"This will represent a revolution in hand hygiene," said nurse Elaine Larson, associate dean for research at Columbia University. "No longer is the best way to clean your hands washing them. Can you imagine telling surgeons you no longer need to scrub? This is news, and it's very exciting."
The alcohol rinses, available as foam, gel or lotion, are simple to use: Pour a dime-size blob on one palm, then rub the hands together until it dries, which takes about 15 seconds. The solutions also contain moisturizers, so they do not dry the skin. Identical products are available in grocery stores.
, http://www.100md.com
"One of the real barriers to hand hygiene is how busy health care workers are," said Dr. David Hooper of Massachusetts General Hospital. "The ability to very rapidly kill bacteria on your hands is a great advantage."
Researchers at the Veterans Administration Medical Center in Washington D.C. measured the effects of switching to the alcohol rinses two years ago. Dispensers were put in all patient rooms and outpatient clinics.
, http://www.100md.com New cases of drug-resistant staph infections decreased 21 percent, while resistant enterococcus dropped 43 percent. Both of these are serious, hospital-acquired infections.
Among the first to study the gel's advantages was Dr. Didier Pittet of the University of Geneva Hospitals in Switzerland. Four years of use there cut hospital-spread infections in half.
Some hospitals have been reluctant to adopt the new cleaners because they cost more than soap. However, a new analysis by Pittet suggests they actually save money because they reduce infections, which are expensive to treat.
, http://www.100md.com
At his hospital, he found the gels cost an extra $1.62 for each patient admitted, or $82,000 per year. But between 1999 and 2001, they save more than $12 million in treatment costs.
Many brands are available. The solutions contain between 60 percent and 90 percent alcohol and are thought to be equally effective in killing viruses and bacteria. They are also being tested in school bathrooms and child care centers, among other places.
Larson said she does not recommend replacing ordinary soap in the home. However, the alcohol rubs could be helpful if people are traveling and cannot wash, have sick children or care for people with weakened immune systems., 百拇医药
水和肥皂也许可以洗干净所有东西，但现在许多医院已经转向应用一种速干酒精凝胶剂以保持手的清洁，据证实这种速干酒精凝胶剂可以更快更有效地阻止有害的微生物的生长。
SAN DIEGO - Soap and water may be all washed up. Many hospitals are switching to quick-drying alcohol gels to keep hands clean as evidence builds they stop dangerous germs faster and better.
The spread of microbes in hospitals is a huge health problem, making sick people sicker and resulting in an estimated 20,000 deaths in the United States each year. One of the chief ways germs spread is on the hands of nurses, doctors, technicians and others who move from patient to patient.
, 百拇医药
While hospital workers are routinely urged to wash up between patients, a thorough job can take a full minute, results in dry skin and is often skipped to save time, especially in hectic intensive care wards where the risk can be greatest.
The latest research, presented Saturday at a meeting of the American Society for Microbiology, suggests the alcohol-based rinses are surprisingly effective at cutting hospital germs, since they are much quicker, require no water or sink and kill more microbes.
, http://www.100md.com
"You go up to a dispenser, go "click!" and it's there. The time saving is amazing. It's something people actually do use rather than walking by the sink," said Dr. Barbara Murray of the University of Texas at Houston.
Over the past two years, some hospitals have installed alcohol gel dispensers beside every bed, and many more are planning to switch. New guidelines from the Centers for Disease Control and Prevention ( news - web sites), to be released later this fall, are expected to recommend hospitals use the alcohol gels exclusively except when workers hands are visibly soiled.
, http://www.100md.com
"This will represent a revolution in hand hygiene," said nurse Elaine Larson, associate dean for research at Columbia University. "No longer is the best way to clean your hands washing them. Can you imagine telling surgeons you no longer need to scrub? This is news, and it's very exciting."
The alcohol rinses, available as foam, gel or lotion, are simple to use: Pour a dime-size blob on one palm, then rub the hands together until it dries, which takes about 15 seconds. The solutions also contain moisturizers, so they do not dry the skin. Identical products are available in grocery stores.
, http://www.100md.com
"One of the real barriers to hand hygiene is how busy health care workers are," said Dr. David Hooper of Massachusetts General Hospital. "The ability to very rapidly kill bacteria on your hands is a great advantage."
Researchers at the Veterans Administration Medical Center in Washington D.C. measured the effects of switching to the alcohol rinses two years ago. Dispensers were put in all patient rooms and outpatient clinics.
, http://www.100md.com New cases of drug-resistant staph infections decreased 21 percent, while resistant enterococcus dropped 43 percent. Both of these are serious, hospital-acquired infections.
Among the first to study the gel's advantages was Dr. Didier Pittet of the University of Geneva Hospitals in Switzerland. Four years of use there cut hospital-spread infections in half.
Some hospitals have been reluctant to adopt the new cleaners because they cost more than soap. However, a new analysis by Pittet suggests they actually save money because they reduce infections, which are expensive to treat.
, http://www.100md.com
At his hospital, he found the gels cost an extra $1.62 for each patient admitted, or $82,000 per year. But between 1999 and 2001, they save more than $12 million in treatment costs.
Many brands are available. The solutions contain between 60 percent and 90 percent alcohol and are thought to be equally effective in killing viruses and bacteria. They are also being tested in school bathrooms and child care centers, among other places.
Larson said she does not recommend replacing ordinary soap in the home. However, the alcohol rubs could be helpful if people are traveling and cannot wash, have sick children or care for people with weakened immune systems., 百拇医药