WHO Guidelines on Hand Hygiene in Health Care - World Health ...
WHO Guidelines on Hand Hygiene in Health Care - World Health ...
WHO Guidelines on Hand Hygiene in Health Care - World Health ...
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6.<br />
Use of gloves<br />
A. The use of gloves does not replace the need for hand<br />
hygiene by either handrubb<strong>in</strong>g or handwash<strong>in</strong>g (IB).<br />
254-256<br />
53, 159-161,<br />
B. Wear gloves when it can be reas<strong>on</strong>ably anticipated that<br />
c<strong>on</strong>tact with blood or other potentially <strong>in</strong>fectious materials,<br />
mucous membranes or n<strong>on</strong>-<strong>in</strong>tact sk<strong>in</strong> will occur (IC). 257-259<br />
C. Remove gloves after car<strong>in</strong>g for a patient. Do not wear the<br />
same pair of gloves for the care of more than <strong>on</strong>e patient<br />
51, 53, 159-161, 260, 261<br />
(IB).<br />
7.<br />
Other aspects of hand hygiene<br />
A. Do not wear artificial f<strong>in</strong>gernails or extenders when hav<strong>in</strong>g<br />
56, 191, 195, 264-266<br />
direct c<strong>on</strong>tact with patients (IA).<br />
8.<br />
Educati<strong>on</strong>al and motivati<strong>on</strong>al programmes<br />
for HCWs<br />
A. In hand hygiene promoti<strong>on</strong> programmes for HCWs, focus<br />
specifically <strong>on</strong> factors currently found to have a significant<br />
<strong>in</strong>fluence <strong>on</strong> behaviour and not solely <strong>on</strong> the type of hand<br />
hygiene products. The strategy should be multifaceted and<br />
multimodal and <strong>in</strong>clude educati<strong>on</strong> and senior executive<br />
64, 75, 89, 100, 111, 113, 119, 166, 267-277<br />
support for implementati<strong>on</strong> (IA).<br />
B. Educate HCWs about the type of patient-care activities that<br />
can result <strong>in</strong> hand c<strong>on</strong>tam<strong>in</strong>ati<strong>on</strong> and about the advantages<br />
and disadvantages of various methods used to clean their<br />
75, 81, 83, 85, 111, 125, 126, 166, 276-278<br />
hands (II).<br />
PART II. CONSENSUS RECOMMENDATIONS<br />
D. When wear<strong>in</strong>g gloves, change or remove gloves dur<strong>in</strong>g<br />
patient care if mov<strong>in</strong>g from a c<strong>on</strong>tam<strong>in</strong>ated body site to<br />
either another body site (<strong>in</strong>clud<strong>in</strong>g n<strong>on</strong>-<strong>in</strong>tact sk<strong>in</strong>, mucous<br />
membrane or medical device) with<strong>in</strong> the same patient or the<br />
52, 159, 160<br />
envir<strong>on</strong>ment (II).<br />
E. The reuse of gloves is not recommended (IB). 262 In the case<br />
of glove reuse, implement the safest reprocess<strong>in</strong>g method<br />
(II). 263<br />
The techniques for d<strong>on</strong>n<strong>in</strong>g and remov<strong>in</strong>g n<strong>on</strong>-sterile and<br />
sterile gloves are illustrated <strong>in</strong> Figures II.4 and II.5<br />
B. Keep natural nails short (tips less than 0.5 cm l<strong>on</strong>g or<br />
approximately ¼ <strong>in</strong>ch) (II). 264<br />
C. M<strong>on</strong>itor HCWs’ adherence to recommended hand hygiene<br />
practices and provide them with performance feedback<br />
62, 75, 79, 81, 83, 85, 89, 99, 100, 111, 125, 276<br />
(IA).<br />
D. Encourage partnerships between patients, their families<br />
and HCWs to promote hand hygiene <strong>in</strong> health-care sett<strong>in</strong>gs<br />
(II). 279-281<br />
17
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