It describes the importance and basic steps of hand hygiene (such as hand wash and hand rub) in hematology setup

1. Hand Hygiene in Hematology
Dr Pritish Chandra Patra
Department of Clinical Hematology
IMS & SUM Hospital
Bhubaneswar

2. Hygiene

4. Types of Prevention
1. Primary prevention- To prevent disease or injury before it occurs
2. Secondary Prevention- To reduce the impact of a disease or
injury that has already occurred
3. Tertiary Prevention- To soften the impact of an ongoing illness or
injury that has lasting effects

5. IMPACT OF INFECTION
• Infections represent an important cause of morbidity and mortality in
cancer patients
• With compromised immune system, hematological patients are
prone to develop various types of infections
• Emergence of resistance to antimicrobials

6. Epidemiology:India
6
Chatterjee S etal, Epidemiology of adult-population sepsis in India: A single center 5 year experience. Indian J Crit Care Med 2017;21:573-7

7. 7
15.4
16.9
21.2
15.4
3.3
0.40.40.4
8.7
1.410.66.2
Micro organisms
Klebsiella Pseudomonas Acinetobacter E. coli Enterobacte
Brucella Salmoella Proteus MRSA Staph others
Strept. Viridans Strept. Pneumoniae Fungal
Gram Neg
73.4%
Gram pos
12.6%

8. 8
Epidemiology:India

9. Hand hygiene

10. Why important?
• Hands are the main pathways of germ transmission during health
care
• Hand hygiene is therefore the most important measure to prevent
health care-associated infections

13. HCAI (Health Care Associated Infection):
Developed countries

14. HCAI (Health Care Associated Infection):
Developing countries

15. By whom?
• Health-care worker
• Caregiver
• Person involved in direct or indirect patient care

17. How?
• Washing hands with soap and water when hands are visibly dirty or
visibly soiled
• Rubbing them with an alcohol-based formulations if hands are not
visibly soiled

18. Before handwash

21. Thank You