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Hand Hygiene

Hand Hygiene. Hands: most common mode of transmission of pathogens Infections acquired in health care settings Spread of antimicrobial resistance. Evidence of Relationship Hand Hygiene and Health Care Associated Infections.

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Hand Hygiene

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  1. Hand Hygiene • Hands: most common mode of transmission of pathogens • Infections acquired in health care settings • Spread of antimicrobial resistance

  2. Evidence of Relationship 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. Hand Hygiene Indications • Clean hands when: • visibly dirty, contaminated, or soiled • wash with non-antimicrobial or antimicrobial soap and water. • If 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 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 Guideline for Hand Hygiene in Health-care Settings. MMWR 2002; vol. 51, no. RR-16.

  5. Specific Indications Hand Hygiene • After: • Contact with a patient’s skin • Contact with body fluids or excretions, non-intact skin, wound dressings • Removing gloves

  6. Recommended Hand Hygiene Technique • Handrubs • Apply to palm of one hand, rub hands together covering all surfaces until dry • Volume: based on manufacturer Guideline for Hand Hygiene in Health-care Settings. MMWR 2002; vol. 51, no. RR-16.

  7. Recommended Hand Hygiene Technique • 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

  8. 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.

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

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