The importance of hand washing in infection prevention and control
Research on hand hygiene in hospitals
Boyce JM, Pittet D. The risk for infecting a patient from one episode of noncompliance with hand hygiene practices is small. By using existing resources developed by experts in infection prevention and published by ANA, APIC, and the Centers for Disease Control and Prevention CDC and following current practice guidelines in their workplaces, nurses cannot only evaluate and affirm their own practice, but ensure adequate and appropriate hand hygiene among the rest of the team as well. First Global Patient Safety Challenge. Abstract Health care associated infections are drawing increasing attention from patients, insurers, governments and regulatory bodies. But after a certain amount of time, behavior reverts to old patterns because the signs are no longer new. Although bacteria are often found on the hands of medical professionals following patient care activities such as wound care, handling patient secretions, etc. Transmission of Health-care-associated Klebsiella sp. Facilities for optimal hand hygiene Where should alcohol handrub be made available? N Engl J Med. Pathways to clean hands: highlights of successful hand hygiene implementation strategies in Europe.
Damaged or broken skin for example eczema or skin wounds harbours much higher levels of micro-organisms and can more easily transmit infections. In an elaborate study focusing on MBBS students, it was noted that assessing the knowledge, attitude and practices of final year MBBS students and providing a positive role modeling at undergraduate level is a good initiative Long nails, nail polish, artificial nails and the wearing of jewellery prevent the healthcare worker from performing proper hand hygiene.
They do this because the replacement bottle is too large to be placed at the sink. Lather with soap and using friction, cover all surfaces of hands and fingers.
Importance of hand hygiene in hospitals
Alcohol-based hand sanitizer is more effective and less drying than using soap and water, and does not create antibiotic-resistant superbugs. Indian scenario In India, the quality of healthcare is governed by various factors, the principal amongst these being whether the health care organization is government or private-sector run. There are ample data that show if you put these solutions in place you can reduce the amount of organisms on environmental surfaces. In an Austrian obstetrician named Ignaz Semmelweis recognised that a type of maternal infection puerperal sepsis could be prevented if nurses and doctors washed their hands in a chlorine solution before attending deliveries. About Hand Washing Hand washing is the single most important procedure that is performed in the hospital for preventing the spread of infection to you, our patients. Compliance is always a problem and we are not really able to record and monitor compliance the way it should be done. The four member States of the European Union, which implemented National Hand Hygiene Campaigns found the following strategies to be extremely useful in their countries: Governmental support, the use of indicators for hand hygiene benchmarking, developing national surveillance systems for auditing alcohol based hand rub consumption and auditing hand hygiene compliance
Challenges ahead Although evidence based guidelines are increasingly being implemented in the developed countries, the developing countries still lack basic health care facilities, surveillance networks and resources to curtail HAIs 61 — She cleaned her hands with alcohol handrub before she touched the patient.
Environmental decontamination has clearly emerged as an important, evidence-based strategy to improve patient safety.
Consequences of poor hand hygiene
The main vehicle for transmitting infectious pathogens in healthcare settings is the contaminated hands of healthcare workers. Guide to implementation of the WHO multimodal hand hygiene improvement strategy. Trampuz et al 35 advocated simple training sessions for HCWs to be held in each ward to introduce the advantage of alcohol hand rubs over hand washing. Hand hygiene compliance Which factors increase hand hygiene compliance? There is now undisputed evidence that strict adherence to hand hygiene reduces the risk of cross-transmission of infections. Indirect contact with for example healthcare equipment and the patient environment may also result in infection transmission. Hand washing removes germs from the hands and helps protect YOU from infections. The global impact of hand hygiene campaigning. Martin Health is committed to preventing the spread of infection and asks you to join us in this important effort. Increasing the emphasis on infection control, giving the charge of infection control to senior organizational members, changing the paradigm of surveillance to continuous monitoring and effective data feedback are some of the important measures which need to be initiated in Indian hospitals. About 75 per cent of health infrastructure, medical manpower and other health resources are concentrated in urban areas, where 27 per cent of the population lives Handwash stations should be dedicated for handwashing only and so should not have plugs to discourage use of the basin for washing items. Emollients moisturising agents such as glycerol should be added to reduce the drying and damaging effect of alcohol on the skin.
Was the soap and water the most appropriate method of hand hygiene? Reasons for poor hand hygiene practices In most health care institutions, adherence to recommended hand-washing practices remains unacceptably low, rarely exceeding 40 per cent of situations in which hand hygiene is indicated 35 Hand hygiene is one of the most important ways to reduce the transmission of infections in healthcare settings.
Hand hygiene compliance Which factors increase hand hygiene compliance?
There are many potential systems to accomplish this, each with their own benefits and drawbacks. This is because enough scientific evidence supports the observation that if properly implemented, hand hygiene alone can significantly reduce the risk of cross-transmission of infection in healthcare facilities HCFs 1 — 5.
based on 31 review