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So Why All the Fuss About Hand Hygiene?

Discover why hand hygiene is crucial in healthcare settings to prevent the transmission of pathogens and reduce the incidence of infections. Explore historical evidence and guidelines for proper hand hygiene techniques.

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So Why All the Fuss About Hand Hygiene?

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  1. 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

  2. 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.

  3. Indications for Hand Hygiene • 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.

  4. Specific Indications for Hand Hygiene • 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.

  5. Recommended Hand Hygiene Technique • 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.

  6. Fingernails and Artificial Nails • 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.

  7. PREVENTION IS PRIMARY! Protect patients…protect health care personnel… promote quality health care!

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