Öz
El hijyeni, el temizliğini (bakımını) betimleyen genel bir ifadedir. Sabun ve su ile yapılan el temizliği, yüzyıllardır kişisel temizliğin birincil önlemini oluşturmaktadır. Yirminci yüzyılda hasta bakımı ve sağlık uygulamaları ile ilişkili enfeksiyonların elle taşınması ve bulaştırılması ile ilgili çok sayıdaki çalışma 1980’li yıllarda basılan ilk ulusal el hijyeni rehberlerinin hazırlanmasına önderlik etmiştir. Alkol bazlı el dezenfektanları etanol, izopropanol, n-propanol veya bunlardan ikisinin karışımını içermektedir. Klorheksidin, kuarterner amonyum bileşikleri, oktenidin ve triklosan gibi maddelerin eklenmesi, alkol bazlı antiseptiklerin etki süresini artırmaktadır. El dezenfektanlarının sebep olduğu cilt problemleri, el hijyeni için gerekli malzemenin teminindeki problemler, sağlık çalışanının hastaya sunduğu sağlık hizmetinin niteliğini zedeleyen müdahaleler, hasta ihtiyaçlarının el hijyeninden daha öncelikli olduğu düşüncesi, eldiven kullanımı, unutkanlık, rehberler konusundaki bilgi yetersizliği ve el hijyeninin hasta bakımı ve sağlık uygulamaları ile ilişkili enfeksiyon oranlarında kesin iyileşme sağladığını gösteren bilimsel çalışmalarla ilgili bilgilendirmenin eksikliği el hijyeni uygulamalarına uyum konusundaki algılanan engellerdir.
Anahtar Kelimeler: yıkama, el hijyeni, alkol bazlı el dezenfektanı, hasta güvenliği
Kaynakça
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