hand hygiene
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HAND HYGIENE
MANSOUR ABU-SALMASupreme Council of Health
Health Education Dept.
: تعالى الله قال) يؤمنون) أفال حي شئ كل الماء من وجعلنا
العظيم العلي الله صدق
Allah said:(and made every living thing
from water, will they not believe even then)?
What is the single most important reason for healthcare workers to practice good
hand hygiene?
1. To remove visible soiling from hands
2. To prevent transfer of bacteria from the home to the hospital
3. To prevent transfer of bacteria from the hospital to the home
4. To prevent infections that patients acquire in the hospital
What is the single most important reason for healthcare workers to practice good
hand hygiene?
1. To remove visible soiling from hands
2. To prevent transfer of bacteria from the home to the hospital
3. To prevent transfer of bacteria from the hospital to the home
4. To prevent infections that patients acquire in the hospital
How often do you clean your hands after touching a PATIENT’S INTACT
SKIN (for example, when measuring a pulse or blood
pressure)?
1. Always
2. Often
3. Sometimes
4. Never
How often do you clean your hands after touching a
PATIENT’S INTACT SKIN (for example, when measuring a pulse or blood pressure)?
2. Often
3. Sometimes
4. Never
1. Always
1. Plain soap and water
2. Antimicrobial soap and water
3. Alcohol-based handrub
Which hand hygiene method is best at killing bacteria?
Which hand hygiene method is best at killing bacteria?
1. Plain soap and water
2. Antimicrobial soap and water
3. Alcohol-based handrub
Which of the following hand hygiene agents is LEAST drying to your skin?
1. Plain soap and water
2. Antimicrobial soap and water
3. Alcohol-based hand rub
Which of the following hand hygiene agents is LEAST drying to your skin?
1. Plain soap and water
2. Antimicrobial soap and water
3. Alcohol-based hand rub
Dirty HANDS !!(see the germs in your hands)
fungus
Virus
Bacteria
Parasites
Can you imagine ?: Hand is the perfect germ
farm .
For Proper hand washing all that you need
If you could see the germs you’d wash your hands
Water
Soap
Towel
MIND
DO YOU KNOW
HOW TO WASH YOUR
HANDS????
Wet hands with running water
1
Lather well with soap (regular soap is just as good as antibacterial soap)
2
Scrub hands thoroughly (Rub vigorously ) Take at least 15 to 20
seconds. In Six Stages
3
Stage 1. Palm to palm Stage 2. Backs of handsStage 3. Between the fingers
Stage 4. Fingertips Stage 5. Thumbs and wrists Stage 6. Nails in the palm of the
hand
Step3/SIX stages
Rinse with running tap water.
4
Dry Hands with clean towel
5
Turn off the tap with the Towel
6
Throw away the Towel
7
So Why Hand Hygiene Is Very Important?
Most common mode of
transmission of pathogens is via hands!
Evidence of Relationship Between Hand Hygiene and Healthcare-
Associated Infections Substantial evidence that
hand hygiene reduces the incidence of infections
Historical study: Semmelweis
More recent studies: rates lower when antiseptic hand washing was performed
24
Does Hand washing Work?Semmelweis - 1847
Month Births Deaths % Mortality
April 312 57 18.3
May 294 36 12.2
June 268 6 2.4
July 250 3 1.2
25
Sir William Osler on Hand Washing
Soap, Water and Common sense, are still the best Antiseptics.
26
The “My 5 Moments for Hand Hygiene” approach
27
Time constraint = Major Obstacle for Hand Hygiene
Adequate hand washing with water and soap requires 40–60 seconds
Average time usually adopted by health-care workers: <10 seconds
Alcohol-based hand rubbing: 20–30 seconds
28
Why Staff Don’t Wash their
Hands(Compliance estimated at less than 50%)
29
Why Not?
Skin irritationInaccessible hand washing facilities
Wearing glovesToo busyLack of appropriate staffBeing a physician
Improving Compliance with Hand Hygiene in Hospitals” Didier Pittet. Infection Control and Hospital Epidemiology. Vol. 21 No. 6 Page 381)
Time Spent Cleansing Hands:one nurse per one shift
Hand washing with soap and water: 56 minutes– Based on seven (60 second) hand
washing episodes per hour Alcohol-based handrub: 18 minutes
– Based on seven (20 second) handrub episodes per hour
~Alcohol-based handrubs reduce time needed for hand disinfection~
Voss A and Widmer AF, Infect Control Hosp Epidemiol 1997:18;205-208.
SummaryAlcohol-Based Handrub: What benefits do they provide?
• Require less time
• More effective for standard hand washing than soap
• More accessible than sinks
• Reduce bacterial counts on hands
• Improve skin condition
PREVENTIONIS PRIMARY!
Protect patients…protect healthcare personnel…
promote quality healthcare!
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