Hand Hygiene: A Look at the New Guideline Elaine Larson, RN, PhD, FAAN, CIC. Hand Microbial Ecology. Background: Where Did the Recommendations Come From?. Skin As A Barrier. Stratum corneum composed of ~15 layers of flattened dead cells New layer formed daily Completely replaced every 2 wks
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Hand Hygiene: A Look at the New GuidelineElaine Larson, RN, PhD, FAAN, CIC
Hand Microbial Ecology
Where Did the Recommendations Come From?
Meers & Yeo, 1978
Studies of Hand Flora
Damaged 5.60 p=.63
Damaged 8 p=.11
Damaged 3.3 p=.03
BMT Staff (n=28)
Significantly more resistance in CNS
Significantly more JK coryneforms, GNBs, Candida
Dermatology Staff (n=35)
Significantly more S. aureus