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2009
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:
:
http://www.who.int/patientsafety/events/05/HH_en.pdf
:
WHO guidelines on Hand Hygiene in Health Care (advanced draft) 2006
200510
Foca M et al. New England Journal of Medicine, 2000; 343:695-700
Boyce JM et al. Journal of Infectious Disease, 1990, 161:493-499
EI Shafie SS et al. Journal of Infectious Disease, 2004, 56:101-105
:
:
Luby et al. Lancet 2005; 366: 225-233
Cho Ray ::
5.8% 2.5%
: : US$ 332 : US$ 19,320 (15)
Le, Thi Anh Thu, March, 2005 (PhD Thesis)
34
0102030405060708090
1 4 7 10 13 16 19 22 25 28 31 34
Study
Perc
ent C
ompl
ianc
e
MMWR, 2002 Oct., vol 51/RR-16
0%() 15.7%()
15.8% 14.7%
17.5%
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Pan et al., AJIC, 2008 Pan et al., AJIC, 2008Smith, Carusone, &Loeb., AJIC, 2008
40~ 60 20 ~ 30
WHO guidelines on Hand Hygiene in Health Care (advanced draft) 2006, P100-101
:
++++++++++
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Gram-negative
Gram-positive
: +++ ++ + Modified from MMWR, 2002 Oct., vol 51/RR-16, P45
22%Chlrohexidine(:)
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Widmer AF. Clinical Infectious Diseases, 2000, 31:136-143.
:
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( Hydrogen peroxide) 0.125% v/v
(Glycerol) 1.45% v/v(Glycerol) 1.45% v/v,
(isopropyl alcohol) 75% v/v,,
(ethanol) 80% v/v,
WHO guidelines on Hand Hygiene in Health Care (advanced draft) 2006, P43
(20083)http://www.chp.gov.hk/files/pdf/Advice_on_School_Disinfection_Chi.pdf
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WHO guidelines on Hand Hygiene in Health Care (advanced draft) 2006, summary brochure on hand hygiene
1. 2. 3.
4. 5.
WHO guidelines on Hand Hygiene in Health Care (advanced draft) 2006, summary brochure on hand hygiene
20
WHO guidelines on Hand Hygiene in Health Care (advanced draft) 2006, summary brochure on hand hygiene
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2.
3.
4.
5.
WHO guidelines on Hand Hygiene in Health Care (advanced draft) 2006, summary brochure on hand hygiene
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Modified from WHO guidelines on Hand Hygiene in Health Care (advanced draft) 2006,
summary brochure on hand hygiene
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4. 70-80% ()
1 2 33.
1 2 32. ()
1 2 31.
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7. (40-60)
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http://www.who.int/gpsc/tools/Five_moments/en/