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

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PART I. REVIEW OF SCIENTIFIC DATA RELATED TO HAND HYGIENE<br />

Figure I.7.6<br />

Failure to cleanse hands dur<strong>in</strong>g patient care results <strong>in</strong> with<strong>in</strong>-patient cross-transmissi<strong>on</strong>*<br />

The doctor is <strong>in</strong> close c<strong>on</strong>tact with the patient. He touched the ur<strong>in</strong>ary catheter bag previously and his hands are c<strong>on</strong>tam<strong>in</strong>ated with Gramnegative<br />

rods from touch<strong>in</strong>g the bag and a lack of subsequent hand cleans<strong>in</strong>g. Direct c<strong>on</strong>tact with patients or patients’ devices would probably<br />

result <strong>in</strong> cross-transmissi<strong>on</strong>. Repr<strong>in</strong>ted from Pittet with permissi<strong>on</strong> from Elsevier, 2006. 885<br />

* The figure <strong>in</strong>tenti<strong>on</strong>ally shows that l<strong>on</strong>g-sleeved white coats may become c<strong>on</strong>tam<strong>in</strong>ated by microorganisms dur<strong>in</strong>g patient care. Although<br />

evidence to formulate it as a recommendati<strong>on</strong> is limited, l<strong>on</strong>g sleeves should be avoided.<br />

21

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