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As you go about your everyday life, germs accumulate on your hands. After you touch your eyes, nose or mouth, germs carried there can cause infections. Frequent hand washing is one of the best ways to avoid getting sick and spreading illness. Good hand hygieneIf you care for babies, older people or sick people, hand washing is especially important because it helps prevent the spread of infections such as COVID-19, colds, the flu and gastroenteritis. Babies and children need to wash their hands too. If your child is too young to stand at a hand basin, you can wash their hands with disposable wipes or a wet, soapy flannel, but always make sure all soap is rinsed off and their hands thoroughly dried. Hand washing is also one of the most important ways to prevent the spread of infection among people in hospital. People’s immune systems are often weakened after illness or surgery, so infections are easy to catch and hard to treat. They may become life-threatening. When to wash your handsWash your hands before touching anything that needs to stay clean, and after touching anything that might contaminate your hands. Examples include:
Hand washing tipsWarm, soapy water is the best option for washing your hands when they are visibly dirty. Follow these simple tips on good hand hygiene. To wash your hands:
Using a waterless hand sanitiserAn alcohol-based hand rub (hand sanitiser) is a good way to clean your hands if you don't have access to soap and water. Hand sanitiser is only effective if your hands have no visible dirt on them. To use hand sanitiser:
Alcohol-based hand sanitiser can be poisonous if swallowed. Follow these tips to keep kids safe around hand sanitiser. Other tips for good hand hygiene
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Hand hygiene is recognised as the cornerstone of infection prevention. In healthcare, hand hygiene can reduce the risk of patients, staff and visitors contracting a hospital associated infection (HAI). Hand hygiene is the act of cleaning hands with:
Wearing gloves is not a substitute for hand hygiene. Health workers play an important role in reducing the risk of transferring microorganisms from patient to patient, healthcare environment and themselves.
Health workers are required to perform hand hygiene:
In addition, it is recommended that Healthcare Workers perform hand hygiene:
ADD TOPIC TO EMAIL ALERTS We were unable to process your request. Please try again later. If you continue to have this issue please contact . Hand hygiene is described by many health care workers as the single most important tool in preventing the spread of health care-associated infections between patients. According to WHO, there are few definitive data on the patient-care activities that are most likely to transmit bacteria to health care worker (HCW) hands, but there have been several studies that identified many possibilities. Although bacteria have been found on HCW hands after activities such as wound care, intravascular catheter care, respiratory tract care and handling patient secretions as expected, bacteria also have been found on HCW hands after so-called “clean” contact, such as taking a patient’s pulse, temperature or blood pressure. Organisms found on HCW hands after such patient contact range from Klebsiella spp., Staphylococcus aureus, Clostridium difficile, MRSA and gram-negative bacteria. However, direct patient contact is not the only way HCW hands can be contaminated. HCWs can acquire bacteria on their hands by touching contaminated surfaces in the patient environment and simply by touching a contaminated chart at the nurses’ station, according to the literature. Washing hands before and after patient contact seems like a simple solution to prevent the spread of bacteria between patients. Most hospitals have hand hygiene policies in place that guide their employees to do just that. But it is not as simple as it seems. hand hygiene on a subconscious level. Photo courtesy of Jones A, VCU “When we look at all of the things that we can do to prevent infections in the hospital, one of the most important things about hand hygiene is that it works for so many different types of organisms, and you get a lot of bang for the buck,” Michael Edmond, MD, MPH, the Richard P. Wenzel professor of internal medicine in the division of infectious diseases at Virginia Commonwealth University, told Infectious Disease News. “The issue is that you have to practice it at a high level of compliance for it to work. There are so many opportunities for hand hygiene, and it is difficult to get to a level of compliance where we’re able to make changes to infection rates.” According to new CDC data, approximately one in 25 patients acquires a health care-associated infection (HAI) during their hospital care, adding up to about 722,000 infections a year. Of these, 75,000 patients die of their infections. CDC Director Thomas Frieden, MD, MPH, said even the most advanced health care will not work if clinicians neglect basic practices such as hand hygiene. For the second story in a two-part series on infection control in hospitals, Infectious Disease News spoke with several experts, including hospital epidemiologists, to discuss the importance of hand hygiene and reasons behind the variability in hand hygiene compliance. |