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Table I.21.2:<br />

Unsolved issues for research and field testing (Cont.)<br />

Area<br />

Antimicrobicidal<br />

activity of<br />

products<br />

Outstanding questions to be resolved<br />

When handling Norwalk virus, is handrubbing or handwashing<br />

preferred?<br />

Is there an impact of resistance to antiseptics on the prevalence of<br />

antibiotic- resistant strains?<br />

What is the cost–benefit of glove reuse in settings with limited/poor<br />

resources?<br />

How many times could gloves be reused?<br />

Use of glove<br />

Surgical hand<br />

antisepsis<br />

<strong>Hand</strong> <strong>hygiene</strong><br />

promotion<br />

What type of gloves could be reused?<br />

Could gloves be decontaminated between different patients? How?<br />

Should the reuse of gloves definitely be forbidden during outbreaks,<br />

if direct contact with blood or body fluids, during care of patients<br />

colonized and/or infected with multidrug-resistant pathogens? In<br />

other situations?<br />

What are the different types of surgical hand antisepsis currently<br />

performed in different countries? What elements are to be included<br />

in a standardized protocol to define the status quo?<br />

What is the appropriate time for the surgical scrub with medicated<br />

soap? Either a 5-minute or a 3-minute scrub? Are times < 2 minutes<br />

inappropriate?<br />

Is there a consequential impact of low budget educational interventions<br />

on compliance with hand <strong>hygiene</strong> in limited resourced<br />

countries?<br />

What are the cognitive determinants of hand <strong>hygiene</strong> behaviour?

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