hand hygiene

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Allah said that every living thing was created from water and questions whether people will believe. The document then provides instructions on proper hand washing technique in 7 steps with soap and water and emphasizes the importance of hand hygiene in healthcare settings to prevent transmission of pathogens and healthcare-associated infections based on historical evidence. Maintaining proper hand hygiene is challenging due to time constraints but can be addressed through shorter alcohol-based hand rubs.

‫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?)

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 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

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 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

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

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

Sir William Osler on Hand Washing
Soap, Water
and Common
sense,
are still the
best
Antiseptics.
25

The “My 5 Moments for Hand Hygiene” approach
26

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

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

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)

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.

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

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

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This document provides information on proper hand hygiene techniques for healthcare workers. It discusses that bacteria normally resides on hands, including transient bacteria that can be removed by thorough hand washing and resident bacteria that are more deeply attached. The document outlines that hand washing should last 10-15 seconds with scrubbing under fingernails. Healthcare workers should wash hands after patient contact, before eating or using the restroom, and as they enter and exit patient rooms. Fingernails should be kept short and jewelry removed for effective hand washing.

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This document provides guidance on when to wash hands by listing common activities and indicating whether hands should be washed before or after. Hands should be washed before activities like cooking, caring for the sick, or eating to prevent spreading germs. Hands should be washed after activities like using the bathroom, treating a wound, sneezing/coughing, taking out trash, or touching animals to remove any germs picked up.

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Hand hygiene, specifically cleaning hands before touching patients, is the most important way to prevent the spread of infections in healthcare settings. The WHO recommends cleaning hands at 5 key moments: before touching a patient, before clean procedures, after body fluid exposure, after touching a patient, and after contact with surfaces near the patient. Alcohol-based handrubs are more effective at killing germs than soap and water, take less time, and are less damaging to skin. Proper hand hygiene, including using alcohol-based handrubs, can significantly reduce healthcare-associated infections.

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This presentation covers the essentials of hand hygiene, including the importance, methods, and timing for effective practices. It outlines the 'who, what, where, when, how, and why' of hand hygiene, emphasizing that everyone, not just healthcare providers, should maintain good hand hygiene to prevent the spread of germs. The document also details proper techniques for using alcohol-based hand rub and soap and water, as well as tips for successful hand hygiene.

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This document discusses hand hygiene in healthcare settings. It notes that hands are often contaminated through routine patient care and that proper hand hygiene, including cleaning with alcohol-based hand rubs, is the most effective way to prevent transmission of pathogens between patients and healthcare workers. The document recommends cleaning hands before and after contact with patients, before clean procedures, after risk of exposure to body fluids, and after contact with the patient environment.

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This document provides information on proper hand hygiene practices. It discusses who should practice hand hygiene, what hand hygiene entails, where it should be performed, why it is important, when the four key moments for hand hygiene are, and how to correctly perform hand hygiene using alcohol-based hand rub or soap and water. The four moments for hand hygiene are before contact with a patient or their environment, before clean/aseptic procedures, after body fluid exposure risk, and after contact with a patient or their environment. Proper hand hygiene, including thorough washing or rubbing, is key to preventing the spread of germs.

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Health care-associated infections (HCAIs) are infections acquired during health care and were not present upon admission. Proper hand hygiene is the most effective way to prevent HCAIs. There are 5 moments when hand hygiene should be performed - before touching a patient, before clean procedures, after body fluid exposure risks, after touching a patient, and after touching the patient's surroundings. Hand rubbing with alcohol-based formulations for 20-30 seconds is the most effective method, while hand washing with soap and water is necessary when hands are visibly soiled. Strict adherence to hand hygiene protocols is needed to reduce HCAIs.

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This document discusses the importance of hand hygiene in healthcare settings. It states that healthcare-associated infections (HCAIs) place a significant disease and economic burden on patients and healthcare systems. The document outlines that hand hygiene, including cleaning hands at the appropriate times and using the proper technique, can prevent the spread of infectious diseases and save lives. It recommends following the "My 5 Moments for Hand Hygiene" approach and notes that compliance is still sub-optimal globally. The document emphasizes that hand hygiene, including washing with soap and water or using alcohol-based handrubs, is the most effective way to reduce infection rates when performed correctly and frequently by healthcare workers.

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Hand hygiene is the most important measure to prevent the transmission of harmful germs and healthcare-associated infections. It explains the 5 key moments when hand hygiene should be performed: 1) before touching a patient, 2) before clean/aseptic procedures, 3) after body fluid exposure risk, 4) after touching a patient, and 5) after touching patient surroundings. Hand hygiene should be performed by either rubbing hands with an alcohol-based formulation or washing with soap and water depending on the situation. Proper hand hygiene and glove use are essential to reduce infection risk.

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Hand washing is the most effective way to prevent the spread of communicable diseases. Health care-associated infections are infections patients acquire during care in a health care facility. At least 50% of health care-associated infections could be prevented through validated prevention strategies like hand washing. Proper hand washing technique involves wetting hands with warm water, applying soap and rubbing hands together for 20 seconds to create lather, rinsing with warm water, and drying thoroughly with a clean towel. Hand washing should be done before and after various activities to avoid spreading germs.

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Hand hygiene is cleaning hands to reduce harmful microorganisms and prevent infection transmission. It is important because healthcare workers can spread infections on their hands. Proper hand hygiene includes washing hands with soap and water or using an alcohol-based hand rub, especially before and after contact with patients. Healthcare workers should clean their hands in various situations to prevent the spread of infections like multidrug-resistant organisms. Patients should also practice hand hygiene before eating and after using the bathroom.

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This document discusses the importance of hand hygiene in preventing infection. It provides three key points: 1) In 1847, it was noticed that maternal mortality increased when physicians treated patients compared to nurses, because physicians saw more patients and could spread "evil ghosts." Insisting that physicians clean hands between patients reduced mortality. 2) Despite good evidence, the practice of hand cleaning was not widely adopted for 40 years. 3) A study found many disease-causing bacteria on the hands even of nurses, showing how important hand hygiene is to prevent spread of infection.

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The document discusses the historical context and importance of hand hygiene in preventing infections, referencing Ignaz Semmelweis's pioneering work in hand disinfection. It details the differences between transient and resident skin flora, the effectiveness of various disinfectants, and compliance challenges in healthcare settings. The text emphasizes the advantages of alcohol-based hand sanitizers over traditional handwashing in improving hygiene compliance and reducing nosocomial infections.

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The document highlights the significance of hand hygiene in infection control within healthcare settings, emphasizing its role in reducing healthcare-associated infections and preventing antimicrobial resistance. It discusses guidelines for hand hygiene practices, including the use of alcohol-based hand rubs and the importance of adhering to hygiene protocols. Additionally, the document addresses challenges to compliance and suggests administrative measures to enhance hand hygiene adherence among healthcare workers.

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This document discusses hand hygiene and its importance in preventing hospital-acquired infections. It provides an overview of the history of hand hygiene dating back to Semmelweis' findings in the 1800s. While hand hygiene is known to be effective, compliance remains a challenge. The document reviews best practices for hand washing and the use of alcohol-based hand rubs, and discusses strategies to improve hand hygiene compliance among healthcare workers.

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The document discusses the importance of hand hygiene in healthcare settings. It states that hand hygiene is the single most effective way to prevent the spread of infection. Healthcare-associated infections can be reduced through validated prevention strategies like proper hand hygiene. The "My 5 Moments for Hand Hygiene" approach identifies 5 key times when hand hygiene should be performed to prevent transmission of pathogens between patients and healthcare workers. Proper hand hygiene, either through handwashing with soap and water or alcohol-based hand rub, helps protect patients and prevents the spread of diseases.

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This document discusses hand hygiene practices and provides guidance on why, when, what, and how to properly practice hand hygiene. It notes that Ignaz Semmelweis discovered in 1847 that using chlorinated lime solutions in obstetric clinics could drastically reduce mortality from puerperal fever. Over time, guidelines have emphasized using alcohol-based handrubs as the standard of care. Proper hand hygiene is important to prevent the spread of infection, as hands can become colonized and transmit pathogens. Thorough handwashing with soap and water or use of an alcohol-based hand sanitizer is recommended before and after contact with patients, after body fluid exposure, and when hands are visibly soiled.

Barrier technique hand hygiene [compatibility mode]drnahla

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The document emphasizes the importance of hand hygiene in reducing healthcare-associated infections, highlighting that hands are the most common mode of pathogen transmission. It outlines various hand hygiene practices, including hand washing and alcohol-based rubs, while addressing barriers to compliance such as time constraints and understaffing. A multimodal strategy for improving hand hygiene compliance among healthcare workers is proposed, which includes access to facilities, training, feedback, and reminders.

hand hygiene

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!

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hand hygiene

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