电信个人述职报告.ppt
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1、5 min PI vs.1min PI/Alc28 OR volunteersMean CFU,1 hr post:1.5 and.83(p=.59)Mean CFU,2 hr post:4.0 and 1.5(p=.33)Conclusion:no significant difference Mil Med 1998;163:145Comparison of Five ProtocolsPereira,JHI,1997;36:4923 OR nurses,all protocols random orderProtocols Tested:CHG 5/3.5 minCHG 3/2.5 mi
2、nPI-Tri 3/2.5 minCHG-IPA 2/0.5 minCHG-EA 2/0.5 minResults.CHG-5 and ALC had lowest post-scrub countsNo difference between CHG-5 and ALC at day 1,but ALC significantly lower post-scrub counts at day 5(p=0.003)No significant difference in skin conditionAntiseptic Scrub With or Without Brush AJIC 1997;
3、25:1115 volunteers did 5 min scrub using CHG/ALC with and without brush(crossover design)No significant differences in CFUBut,up to twice the number of subjects without a brush had greater CFU reductionsALC(no brush),CHG,PI(brush)Surg Serv Mgmt 1998;4:3600.511.522.533.544.55Mean Log Reduction(n=12)D
4、ay 1Day 2Day 5AlcCHGPIAlcohol Vs.Traditional Scrub:30-Day SSI RatesClean and clean-contaminated surgeryProtocols:75%propanol,4%PI,4%CHGInfection rates:2.44%(55/2252)in alc group;2.48%(53/2135)in other groupsCompliance significantly better with alc(p=0.008),and hands were less dry with less skin irri
5、tation Parienti,JAMA 2002;288:722-7What About the Time?AORN J 1997;66:57425 OR staff,randomized crossover2 vs.3 min scrubDifference 0.5 logConclusion:clinically equivalentTime Tests Aust New Zeal J Surg 1998;68:65Single wash with 10%PI failed to provide lasting CFU reductions30 sec wash as effective
6、 as longer washesConclusion:“prolonged vigorous pre-operative scrubbing is unnecessary”Effect of Fingernails on Counts Nurs Res 1998;47:54050100150200NaturalArtificialPolishedGeometric Mean CFUs(in 1000s)PrescrubPostscrubEffect of Fingernails on GNBs Nurs Res 1998;47:540510152025303540%Recovery of G
7、NBs p0.44Skin ConditionBy week 4,significant improvement in skin condition of alcohol groupby observer assessment(p=0.001)by subject assessment (p=0.007)Larson,Heart and Lung,2000Sequential Trial of ALC and CHGTwo products:Detergent w/4%CHG(TSS)61%ethyl ALC,1%CHG,and emollients(HP)20 OR staff used e
8、ach product for 3 weeks sequentially BackgroundOur study designProspective single center clinical trial3 Operating Suites of the HospitalSample Sizerequired 20 recruited 2722 Randomly Assigned to Treatment5 Randomly Assigned to ReferenceDrop-outs 225 Completed Entire StudyBackground cont.gPdLaI6F3C0
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