Hand-Hygiene Hand hygiene can be defined as the process of cleansing hands with the help of cleaning agents such as antiseptic hand wash, alcohol-based hand rub or surgical antiseptics in order to reduce the chances of transmission of infections.
When to observe hand-hygiene: In context of healthcare, the five most important moments of observing hand-hygiene includes the following: Prior to patient contact Prior to aseptic task After body-fluid exposure risk After patient-contact After contact with the belongings of the patient
Methods in hand-washing: ABHR technique that is widely recommended for cleaning hands when the hand is not visibly soiled and has been studied to yield accurate results up to 50-80% Observing hand washing with soap and running water helps in cleaning hands when the hands are visibly soiled
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Factors responsible for poor adherence with hand-washing: Skin irritation and dryness caused due to the use of hand washing agents Patient priority Lack of clean washing soap and towels Overcrowding Lack of awareness about transmission of infection from patients
Hand-washing steps: Step 1: Apply soap on palm Step 2: rub palms together Step 3: rub the back of both hands Step 4: Interface fingers and rub hands together Step 5: interlock fingers and rub the back of fingers Step 6: rub the thumb in a rotating manner and the area between the thumb and the index finger Step 7: Rub finger tips on palm Step 8: Rub both wrists in rotating manner
Significance of hand hygiene: Effective hand hygiene helps in reducing the risk of the transmission of infection from an infected individual to a normal person Hand washing reduces the number of transient organisms on the surface of the skin Proper hand washing can help in the reduction of hospital acquired infections
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References: Allegranzi, B., Sax, H., & Pittet, D. (2013). Hand hygiene and healthcare system change within multi-modal promotion: a narrative review.Journal of Hospital Infection,83, S3-S10. Ellingson, K., Haas, J. P., Aiello, A. E., Kusek, L., Maragakis, L. L., Olmsted, R. N., ... & VanAmringe, M. (2014). Strategies to prevent healthcare- associated infections through hand hygiene.Infection Control & Hospital Epidemiology,35(8), 937-960.