PDF(Pubmed)
Abstract：
Background/Objectives: Hand hygiene (HH) is pivotal in mitigating infectious disease transmission and enhancing public health outcomes. This study focuses on detailing the national surveillance system for alcohol-based hand rub (ABHR) consumption in healthcare facilities across Italy, presenting results from a comprehensive three-year evaluation period, from 2020 to 2022. It aims to delineate this surveillance system and report on ABHR consumption trends in various Regions/Autonomous Provinces (Rs/APs). Methods: ABHR consumption data, collected through the ABHR Italian national surveillance system, coordinated by the Istituto Superiore di Sanità (ISS), were analyzed. Statistical methods, e.g., the Mann-Whitney test, were used to assess trends in ABHR consumption, expressed in liters per 1000 patient days (L/1000PD). Results: The results show significant variation in ABHR consumption across Rs/APs and over the years studied. National median ABHR consumption decreased from 2020 to 2022, with a significant reduction from a median of 24.5 L/1000PD in 2020 to 20.4 L/1000PD in 2021 and 15.6 L/1000PD in 2022. Conclusions: The decline in ABHR consumption raises concerns about the ongoing adherence to HH practices in Italian healthcare settings. This underscores the essential role that systematic ABHR monitoring and improved surveillance play in enhancing HH compliance, suggesting that sustained and strategic efforts are fundamental to uphold high standards of hygiene and to effectively respond to fluctuating ABHR usage trends over time. Further research is needed to explore barriers to effective ABHR use and to develop targeted strategies to improve HH practices.
摘要：
背景/目标：手卫生（HH）在减轻传染病传播和提高公共卫生结果方面至关重要。这项研究的重点是详细介绍意大利医疗保健机构中酒精手擦（ABHR）消费的国家监测系统，介绍为期三年的综合评估结果，从2020年到2022年。它旨在描述这一监测系统，并报告各地区/自治区(Rs/AP)的ABHR消费趋势。方法：ABHR消费数据，通过ABHR意大利国家监测系统收集，由萨尼塔高级研究所(ISS)协调，进行了分析。统计方法，例如，Mann-Whitney测试,用于评估ABHR消费趋势，表示为每1000个患者天的升（L/1000PD）。结果：结果表明，在Rs/AP和研究的年份中，ABHR消耗存在显着差异。2020年至2022年全国ABHR消费中位数有所下降,从2020年的中位数24.5L/1000PD大幅下降至2021年的20.4L/1000PD和2022年的15.6L/1000PD。结论：ABHR消费的下降引起了人们对意大利医疗机构持续坚持HH实践的担忧。这强调了系统的ABHR监测和改进的监测在提高HH合规性方面的重要作用。表明持续和战略性的努力对于维护高标准的卫生和有效应对随时间波动的ABHR使用趋势至关重要。需要进一步研究，以探索有效使用ABHR的障碍，并制定有针对性的策略来改善HH实践。
