2. ‫تعالى‬ ‫هللا‬ ‫قال‬:
(‫يؤمنون‬ ‫أفال‬ ‫حي‬ ‫شئ‬ ‫كل‬ ‫الماء‬ ‫من‬ ‫وجعلنا‬)
‫العظيم‬ ‫العلي‬ ‫هللا‬ ‫صدق‬
Allah said:
(and made every living thing from
water, will they not believe even then?)

5. 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

6. 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

9. 1. Plain soap and water
2. Antimicrobial soap and water
3. Alcohol-based hand rub

10. 1. Plain soap and water
2. Antimicrobial soap and water
3. Alcohol-based hand rub

11. Dirty HANDS !!
(see the germs in your hands)
fungus
Virus
Bacteria Parasites
Can you imagine ?:
Hand is the perfect germ farm .

12. For Proper hand washing all that you need
If you could see
the germs you’d
wash your hands
Water
Soap Towel
MIND

13. DO YOU
KNOW HOW
TO WASH
YOUR
HANDS????

14. Wet hands with running water
1

15. Lather well with soap (regular soap is
just as good as antibacterial soap)
2

16. Scrub hands thoroughly (Rub vigorously )
Take at least 15 to 20 seconds. In Six Stages
3

17. Stage 1. Palm to palm Stage 2. Backs of hands Stage 3. Between the fingers
Stage 4. Fingertips Stage 5. Thumbs and wrists Stage 6. Nails in the
palm of the hand
Step3/SIX stages

18. Rinse with running tap water.
4

19. Dry Hands with clean towel
5

20. Turn off the tap with the Towel
6

21. Throw away the Towel
7

22. So Why Hand Hygiene Is
Very Important?
Most common
mode of
transmission
of pathogens
is via hands!

23. 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
24
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.
25

26. The “My 5 Moments for Hand Hygiene” approach
26

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
27

28. Why Staff
Don’t Wash their
Hands
(Compliance estimated at less than 50%)
28

29. Why Not?
Skin irritation
Inaccessible hand washing facilities
Wearing gloves
Too busy
Lack of appropriate staff
Being a physician
29
Improving Compliance with Hand Hygiene in Hospitals” Didier Pittet. Infection Control and
Hospital Epidemiology. Vol. 21 No. 6 Page 381)

30. 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.

31. Summary
Alcohol-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

32. PREVENTION
IS PRIMARY!
Protect patients…protect healthcare personnel…
promote quality healthcare!