1 / 13

Infection Control 101 Handwashing

Handwashing and Long/Artificial Fingernails. Decrease effectiveness of gloves Decrease the effectiveness of handwashingDecrease the effectiveness of waterless hand sanitizersHigher

asher
Download Presentation

Infection Control 101 Handwashing

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

    1. Infection Control 101 Handwashing!!!

    2. Handwashing and Long/Artificial Fingernails Decrease effectiveness of gloves Decrease the effectiveness of handwashing Decrease the effectiveness of waterless hand sanitizers Higher # of pathogens/bacteria Studies linking long and artificial nails to infection Can lead to fungal nail infection

    3. Bacterial carriage – Artificial Nails AJIC – 1989 Dec;17(6)340-4 VA Medical Center, Sioux Falls, S.D Cultures before and after handwashing 56 in each group Higher number of GNR with artificial nails

    4. Pathogens and artificial nails Infect Control Hosp Epidemiol 2000 Aug;21(8):505-9 Study 1 12 HCW –artificial nails on non-dominant hand, natural nails on dominant hand More samples contained pathogens from artificial nails than native nails – 92% vs 62% Study 2 – Case control study – n=60 Those with artificial nails were more likely to have a pathogen (87% vs 43%)

    5. Soap versus Hand Gel- Clin Infect Dis 2001 Feb1;32(3):367-72 Michigan Medical School, Ann Arbor Case Control Study compared HCW with and without artificial nails n=41 Before and after washing with soap Before and after alcohol waterless hand gel

    6. Soap versus Hand Gel (cont) Artificial Nails 86% pathogens prior to washing 11% cleared pathogens w soap 38% cleared pathogens with gel Natural nails 35% pathogens prior to washing 14% cleared pathogens w soap 80% cleared pathogens with gel

    7. S. marcescens wound infections J Infect Dis 1997 Apr;175(4): 992-5 S marcescens in 1% SSI 1992 September 1994-1 month time period 6 of 31 cardiac post op S.marcescens infections 1 of 29 vascular post-op S.marcescens infections 5 SSI, 2 BSI, 1 death CDC recommended no artificial nails in surgeryCDC recommended no artificial nails in surgery

    8. S.marcescens investigation Hospital suspended elective cardiac surgery Isolates typed-identical Cultures collected Hands of MD’s, nurses,( OR &ICU), pharmacists Environmental-OR,cardiac cath,lounges in ICU Water- OR, cath lab, ICU faucets All cultures negative

    9. Investigation break-through Earlier surgery e.g Monday had higher association with infection Final SSI linked only to one scrub nurse Home cultures revealed S.marcescens in exfoliant cream – identical molecular typing to cases Nurse removed artificial nails during study period

    10. Candida Osteo/Diskitis after Spinal Surgery CID 2001l:32:352-7 Feb 1997-3 post-op lami C.albicans infections (1st in 10 years) Identical PFGE isolates Case control study- scrub tech w artificial nails Procedure required kneading of bone wax

    11. Oklahoma NICU- P aeruginosa Infect Control Hosp Epidemiol 2000 Feb;21(2):80-5 15 month time period – 439 admitted 46 infants- (10.5%) BSI and ET tube colonization 16 deaths (35%) Long nails- artificial and natural – 2 nurses

    13. WHY???

More Related