Abstract：
The Guideline for Hand Hygiene in Health-Care Settings provides health-care workers (HCWs) with a review of data regarding handwashing and hand antisepsis in health-care settings. In addition, it provides specific recommendations to promote improved hand-hygiene practices and reduce transmission ofpathogenic microorganisms to patients and personnel in health-care settings. This report reviews studies published since the 1985 CDC guideline (Garner JS, Favero MS. CDC guideline for handwashing and hospital environmental control, 1985. Infect Control 1986;7:231-43) and the 1995 APIC guideline (Larson EL, APIC Guidelines Committee. APIC guideline for handwashing and hand antisepsis in health care settings. Am J Infect Control 1995;23:251-69) were issued and provides an in-depth review of hand-hygiene practices of HCWs, levels of adherence of personnel to recommended handwashing practices, and factors adversely affecting adherence. New studies of the in vivo efficacy of alcohol-based hand rubs and the low incidence of dermatitis associated with their use are reviewed. Recent studies demonstrating the value of multidisciplinary hand-hygiene promotion programs and the potential role of alcohol-based hand rubs in improving hand-hygiene practices are summarized. Recommendations concerning related issues (e.g., the use of surgical hand antiseptics, hand lotions or creams, and wearing of artificial fingernails) are also included.
摘要：
《卫生保健机构手部卫生指南》为卫生保健工作者（HCWs）提供了有关卫生保健机构中洗手和手部防腐的数据审查。此外,它提供了具体的建议，以促进改善手卫生习惯，减少病原微生物向患者和卫生保健机构人员的传播。本报告回顾了自1985年CDC指南(GarnerJS，法维罗女士CDC洗手和医院环境控制指南，1985年。1986年感染控制；7：231-43)和1995年APIC指南(LarsonEL，APIC准则委员会。APIC在医疗保健环境中洗手和手部消毒指南。AmJInfectControl1995；23：251-69）已发布，并对HCWs的手卫生习惯进行了深入审查，人员对建议洗手做法的遵守程度，以及对依从性产生不利影响的因素。回顾了有关酒精手部摩擦的体内功效以及与其使用相关的皮炎发生率低的新研究。总结了最近的研究，这些研究表明了多学科手卫生促进计划的价值以及基于酒精的手擦在改善手卫生实践中的潜在作用。关于相关问题的建议(例如，使用外科手部抗菌剂，护手霜或护手霜，和戴人造指甲)也包括在内。
