醫療院所酒精性乾洗手液的設置與管理

Usage Setting and Management of Alcohol-based Handrubs in Hospitals and Medical Institutions

林慧姬(Hui-Chi Lin) ； 魏玉雲(Yu-Yun Wei) ； 孫春轉(Chun-Chuan Sun) ； 盛望徽(Wang-Huei Sheng) ； 陳宜君(Yee-Chun Chen)

《感染控制雜誌》 20卷6期 (2010/12) Pp. 388-394

https://doi.org/10.6526/ICJ.201012_20(6).0004

摘要

酒精性乾洗手液爲落實手部衛生、防疫作戰之重要利器，因屬高易燃物，更需同時多重面向考量，以兼顧到感染控制與病人安全。因此除了推廣酒精性乾洗手液使用規範之外，使用上相關的安全觀念也應同時重視。本文闡述醫療院所對於酒精性乾洗手液在設置與管理方面應考量的層面，包括：(1)設置地點的安全性，包括常態設點之空間規範、常態設點之間或與電源之間應有的最小距離、應有明確的安全警語、無障礙環境原則等。(2)儲放與設置的容量限制，包括依易燃性液體危害分級，限制其防火區劃的裝設總容量，必要時輔以安全儲存櫃的使用等。(3)設備維護，包括確認有效期限和相關警示的標示與文宣，及給液設備定期清潔、補充溶液應注意事項等。(4)採購考量，包括防污染設計、防不當用途設計等。醫療院所或人口密集單位若能有效率地設置及管理酒精性乾洗手液，將可以減少發生醫原性感染以及降低醫院醫療資源之花費。

並列摘要

Alcohol-based handrubs, an important tool for maintaining hand hygiene and preventing infection outbreaks, are highly flammable and, hence, should be carefully used for infection control to ensure patient safety. Therefore, while using alcohol-based handrubs, the relevant security issues should be emphasized. This article describes the usage setting and management of alcohol-based handrubs at hospitals and medical institutions, which are as follows: (1) safety of location, such as standardized normal set point of the space, or between normal and power set point should be between the minimum distance should be a clear warning of security, accessibility principles; (2) store and set capacity constraints, including flammable liquid hazards, by limiting the fire zoning classification of the total installed capacity and, if necessary, use safe storage cabinets; (3) equipment maintenance, including the recognition of valid and relevant alerts marked with propaganda and regular cleaning of equipment with liquid cleaning solutions as an added precaution; (4) procurement considerations, including pollution prevention design, and proper use of the design. If the usage setting and management of alcohol-based handrubs in medical institutions or densely inhabited districts are efficient, the incidence of healthcare-associated infections and the cost of hospital resources will be reduced.