So why all the fuss about hand hygiene
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So Why All the Fuss About Hand Hygiene?. Most common mode of transmission of pathogens is via hands! Infections acquired in health care settings Spread of antimicrobial resistance. Evidence of Relationship Between Hand Hygiene and Health Care Associated Infections.

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So why all the fuss about hand hygiene
So Why All the Fuss About Hand Hygiene?

  • Most common mode of transmission of pathogens is via hands!

  • Infections acquired in health care settings

  • Spread of antimicrobial resistance


Evidence of relationship between hand hygiene and health care associated infections
Evidence of Relationship Between Hand Hygiene and Health Care Associated Infections

  • Substantial evidence that hand hygiene reduces the incidence of infections

  • Historical study: Semmelweis

  • More recent studies: rates lower when antiseptic handwashing was performed

Guideline for Hand Hygiene in Health-care Settings. MMWR 2002; vol. 51, no. RR-16.


Indications for hand hygiene
Indications for Hand Hygiene Care Associated Infections

  • When hands are visibly dirty, contaminated, or soiled, wash with non-antimicrobial or antimicrobial soap and water.

  • If hands are not visibly soiled, use an alcohol-based handrub for routinely decontaminating hands.

Guideline for Hand Hygiene in Health-care Settings. MMWR 2002; vol. 51, no. RR-16.


Specific indications for hand hygiene
Specific Indications for Hand Hygiene Care Associated Infections

  • Before:

    • Patient contact

    • Donning gloves when inserting a CVC

    • Inserting urinary catheters, peripheral vascular catheters, or other invasive devices that don’t require surgery

  • After:

    • Contact with a patient’s skin

    • Contact with body fluids or excretions, non-intact skin, wound dressings

    • Removing gloves

Guideline for Hand Hygiene in Health-care Settings. MMWR 2002; vol. 51, no. RR-16.


Recommended hand hygiene technique
Recommended Hand Hygiene Technique Care Associated Infections

  • Handrubs

    • Apply to palm of one hand, rub hands together covering all surfaces until dry

    • Volume: based on manufacturer

  • Handwashing

    • Wet hands with water, apply soap, rub hands together for at least 15 seconds

    • Rinse and dry with disposable towel

    • Use towel to turn off faucet

Guideline for Hand Hygiene in Health-care Settings. MMWR 2002; vol. 51, no. RR-16.


Fingernails and artificial nails
Fingernails and Artificial Nails Care Associated Infections

  • Natural nail tips should be kept short; no longer than the end of the finger tip

  • Artificial nails should not be worn

Guideline for Hand Hygiene in Health-care Settings. MMWR 2002;

vol. 51, no. RR-16.


So why all the fuss about hand hygiene

PREVENTION Care Associated Infections

IS PRIMARY!

Protect patients…protect health care personnel…

promote quality health care!