Hand hygiene.pdf
Hand hygiene.pdf
Hand hygiene.pdf
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Table I.21.2:<br />
Unsolved issues for research and field testing<br />
Area<br />
Outstanding questions to be resolved<br />
Should water for handwashing be drinkable or simply the cleanest<br />
possible?<br />
Water quality<br />
and its<br />
availability in<br />
health care<br />
Should water requirements be differentiated according to the<br />
resources available in different settings?<br />
–<br />
Are the water quality requirements at the tap/faucet in the<br />
operating room different from those in the rest of the healthcare<br />
setting?<br />
–<br />
Should high-risk populations, who need guaranteed high standards<br />
of water quality, be identified (i.e. immunosuppressed)?<br />
Soap<br />
What is the potential for actual soap contamination during use?<br />
What is the best storage method between uses?<br />
What quality of paper should be used for hand <strong>hygiene</strong>?<br />
–<br />
–<br />
–<br />
What should be the standards for paper? Is there a preferred<br />
type of paper?<br />
Could the paper be recycled?<br />
Is there an impact of quality of paper on hand <strong>hygiene</strong><br />
compliance?<br />
<strong>Hand</strong> drying<br />
What are the best approaches when single-use towels are not<br />
possible?<br />
Use of recycled paper for hand drying:<br />
–<br />
–<br />
–<br />
What type of in vitro studies may be appropriate to assess the<br />
level of contamination of recycled paper?<br />
Could there be an impact of the type of paper (recycled paper<br />
vs not recycled paper) on health care-associated infection or<br />
colonization rates by multidrug-resistant pathogens?<br />
What is the cost–benefit of using recycling paper?
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