hand hygiene


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hand hygiene

Any of several techniques to clean the hands, including handwashing with plain and antimicrobial soaps and the use of alcohol-based hand rubs. Hand hygiene is the single most effective method of decreasing nosocomial infections. The U.S. Centers for Disease Control and Prevention states that if hands are not visibly soiled, alcohol preparations containing between 60% and 90% ethanol or isopropanol kill microorganisms more effectively than plain or antimicrobial soap and are not as harsh. After the hand rub is applied to the palm of one hand, the hands and fingers should be rubbed together, covering all surfaces, until they are entirely dry. Hands that are visibly dirty or contaminated should still be washed with soap and water for at least 15 seconds. The need for hand hygiene is not eliminated by the use of gloves. Contact dermatitis caused by alcohol hand rubs is very uncommon. However, with increasing use of such products by health care personnel, true allergic reactions will occasionally be encountered. Hospital computers can serve as a reservoir for drug-resistant bacteria such as vancomycin-resistant Enterococcus faecium (VRE), methicillin-resistant Staphylococcus aureus (MRSA), and Pseudomonas aeruginosa.

CAUTION!

Health care personnel should avoid wearing artificial nails and should keep nails less than a quarter of an inch long if they care for patients at high risk of acquiring infections (e.g., patients in ICUs, transplant units, or protective isolation).
See: Hand Washing: Soap and water
See also: hygiene
References in periodicals archive ?
Scientific studies conducted in real-world settings underscore the recommendations of experts that good hand hygiene can help prevent the spread of germs, Cleary stresses.
We measured hand hygiene compliance for 1-week periods from 07:30-08:30 before and after the implementation of our flashing lights.
Hand hygiene is a straightforward and effective method for preventing costly and deadly health care-associated infections (HAIs), yet many hospitals struggle to achieve even 50% compliance with recommended protocols.
There is clear scientific evidence that good hand hygiene by health workers reduces healthcare-associated infections caused by resistant germs, in particular by MRSA," said Professor Benedetta Allegranzi, technical lead of the WHO Clean Care is Safer Care programme and of the activities planned for Hand Hygiene Day.
The CDC Guidelines related to hand hygiene include information related to hand hygiene products and practices and provide recommendations for healthcare workers, including nurses, who provide care to patients in a variety of healthcare settings.
Goldstein said that the biggest implication is that hospitals should not just rely upon hand hygiene alone for protecting patients from becoming colonized and possibility infected with a difficult-to-treat organism.
Each year, the WHHD campaign aims to enhance the global profile of good hand hygiene in healthcare and bring people together in support of hand hygiene improvements.
Key Words: Cross infection control, Hand hygiene (HH), HH behavior, HH practices.
If lack of hand hygiene is related to product availability and/or a peer's failure to follow policy, we need nurses to speak up.
Keywords: Hand hygiene, Surgical scrub compliance, Camera.
The Hand Hygiene New Zealand (HHNZ) programme ensures health professionals follow appropriate hand hygiene guidelines to keep themselves and their patients safe while in hospital.
In a study published in September in Emerging Infectious Diseases, researchers implemented a new hand hygiene program in October 2013 in University of North Carolina hospitals that included cleaning hands upon entering and leaving patients' rooms.