WHO Guidelines on Hand Hygiene in Health Care - Safe Care ...

<strong>WHO</strong> GUIDELINES ON HAND HYGIENE IN HEALTH CARE
Table VI.2
<strong>Guidelines</strong> mentioning indications for hand hygiene before, after, and between activities
Before an activity No. of guidelines References
Performing invasive procedures 18
58,1146-1148,1150-1156,1158-1164
Any direct patient contact 16
58,1146,1148,1150-1154,1158-1165
Preparing, handling, serving or eating food, and feeding a patient 12
1148,1150-1153,1156,1158,1160-1165
Beginning of workshifts 11
1147,1149,1151,1153,1157,1158 ,1159,1161-1164
Care of particularly susceptible patients 10
1147-1149,1151-1154,1156,1158,1164
Contact with catheter sites and drainage sites 10
58,1146,1147,1150-1152,1156,1159,1163,1164
Eating 10
1146,1148,1149,1151,1153,1154,1157,1158,1163 ,1164
Patient contacts that may pose an infection risk to the patient 9
1147,1150-1156,1159,1164
Contact with wounds 8
1147,1151-1153,1156,1159,1161,1163
Using (any) gloves 7
58,1146,1149,1154,1160,1162,1163
Using sterile gloves for invasive procedures (not surgical) 6
58,1152-1154,1157,1163
Direct contact with patients who have antimicrobial-resistant organisms 6
1147,1151,1154,1156,1157,1163
Preparing and giving medication 6
1158,1160-1164
Handling of clean materials 4
1149,1152,1157,1164
Entering the clean part of staff changing rooms of operation areas,
sterilization department, or other aseptic areas
2
1152,1158
Use of computer keyboard 1
1158
Caring activities after risk assessment 1
1147
Injections or venepuncture 1
1146
After an activity
Contact with blood, body fluids, wounds, catheter sites or drainage sites 16
58,1146-1149,1151,1152,1154,1156,1157,1159-1164
Visible soiling of hands 15
58,1147-1159,1162
Glove removal 14
58,1146-1148,1150-1154,1158,1160,1161,1163,1164
Personal body functions 14
58,1146-1149,1152,1153,1156-1158,1161-1164
Contact with infectious patients 13
58,1147-1149,1151-1154,1156,1158,1162-1164
Contact with wounds 11
58,1147-1149,1151-1153,1156,1159,1160,1162
Contact with patient’s intact skin 11
58,1150,1151,1153,1154,1156,1158,1160,1162-1164
End of work shift 9
1149,1151-1153,1157,1158,1161,1163,1164
Contact with inanimate objects in the immediate vicinity of the patient 7
58,1147,1151,1153,1158,1160,1162
Microbial contamination 5
1147,1148,1153,1156,1159
Suspected or proven exposure to spore-forming pathogens 1
58
Contact with items known or suspected to be contaminated 1
1161
Using computer keyboard 1
1158
Between activities
Contact with different patients 9
1147-1151,1155-1157,1164
Moving from a contaminated to a clean body site of the same patient 7
58,1147,1148,1151,1153,1160,1164
Different caring activities on the same patient 4
1148,1151,1162,1164
Contact with different patients in high risk units 3
1147,1153,1164
204