Basics of hand hygeine

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Health & Medicine

BASICS OF HAND
HYGEINE
PRESENTATION BY DR ASWINI ASHOKAN NAIDU

BASICS OF HAND-
HYGIENE
• BACKGROUND
• STUDIES
• 5 MOMENTS OF HAND HYGIENE
• SELECTION OF FACTORS
• FACTORS REPORTED FOR POOR HAND HYGIENE
• PREVENTION
AGENDA :-

BACKGROUND:-
Health Care-associated Infection (HCAI)
 Also referred to as “nosocomial” or “hospital” infection
 “An infection occurring in a patient during the process of care in a hospital or other health-care facility
which was not present or incubating at the time of admission.
 This includes infections acquired in the health-care facility but appearing after discharge, and also
occupational infections among health-care workers of the facility”

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 handwashing
was performed

SELECTION OF HAND HYGIENE AGENTS: FACTORS
TO CONSIDER
EFFICACY
• Efficacy of antiseptic agent
• Acceptance of product by healthcare
personnel
• Characteristics of product
• Skin irritation and dryness
• Accessibility of product
• Dispenser systems
FACTORS

SELF-REPORTED FACTORS FOR POOR ADHERENCE
WITH HAND HYGIENE
Handwashing agents cause irritation and
dryness
Sinks are inconveniently located/lack of
Lack of soap and paper towels
Too busy/insufficient time
Understaffing/overcrowding
Patient needs take priority
Low risk of acquiring infection from patients

AWARNESS :-
1. Education/Motivation Program
• Monitor healthcare workers (HCWs) adherence with recommended hand hygiene practices and give feedback
• Implement a multidisciplinary program to improve adherence to recommended practices
• Encourage patients and their families to remind HCWs to practice hand hygiene
2. Performance Indicators
• Provide feedback to healthcare workers about their performance

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