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Table I.21.1:<br />

<strong>Hand</strong> <strong>hygiene</strong> research agenda<br />

Area<br />

Education<br />

and<br />

promotion<br />

In both developed and developing countries<br />

Better HCW education regarding the types of<br />

patient care activities that can result in hand<br />

contamination and cross-transmission<br />

Develop and implement promotion programmes<br />

in pre-graduate courses<br />

Study the impact of population-based education,<br />

religion and culture on hand <strong>hygiene</strong><br />

behaviour<br />

Design and conduct studies to determine if<br />

frequent glove use should be encouraged or<br />

discouraged<br />

Determine the most important evidence-based<br />

indications for hand cleansing (considering that<br />

it might be unrealistic to expect HCWs to clean<br />

their hands according to every indication, as<br />

formulated in recommendations)<br />

Assess the key determinants of hand <strong>hygiene</strong><br />

behaviour and promotion among the different<br />

populations of HCWs<br />

Develop methods to obtain top management<br />

support<br />

Implement and evaluate the impact of the different<br />

components of multimodal programmes<br />

to promote hand <strong>hygiene</strong><br />

Identify effective social models to promote<br />

hand <strong>hygiene</strong><br />

Assess impact on hand <strong>hygiene</strong> compliance<br />

and untoward consequences of patient involvement<br />

in hand <strong>hygiene</strong> promotion<br />

Assess compliance with recommendations of<br />

surgical hand preparation<br />

More focus on<br />

developing countries<br />

Studies to test the strategies<br />

for hand <strong>hygiene</strong><br />

promotion in developing<br />

countries<br />

Cost-benefit analysis of<br />

promotion strategies in<br />

developing countries

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