Hand hygiene.pdf

More documents

Recommendations

Info

Barry Cookson Health Protection Agency, London; United Kingdom Izhak Dayan Communauté Israélite de Genève, Geneva; Switzerland Sasi Dharan Geneva’s University Hospitals, Geneva; Switzerland Cesare Falletti Monastero Dominus Tecum, Pra ‘d Mill; Italy Tesfamicael Ghebrehiwet International Council of Nurses ; Switzerland William Griffiths Geneva’s University Hospitals, Geneva; Switzerland Martin J. Hatlie Partnership for Patient Safety; United States of America Pascale Herrault Geneva’s University Hospitals, Geneva; Switzerland Annette Jeanes Lewisham Hospital, Lewisham; United Kingdom Axel Kramer Ernst-Moritz-Arndt Universität Greifswald, Greifswald; Germany Anna-Leena Lohiniva US Naval Medical Research Unit, Cairo; Egypt Jann Lubbe Geneva’s University Hospitals; Geneva; Switzerland Peter Mansell National Patient Safety Agency, London; United Kingdom Nana Kobina Nketsia Traditional Area Amangyina, Sekondi; Ghana Florian Pittet Geneva; Switzerland Anantanand Rambachan Saint Olaf College, Northfield, United States of America Ravin Ramdass South African Medical Association; South Africa Beth Scott London School of Hygiene and Tropical Medicine, London; United Kingdom Susan Sheridan Consumers Advancing Patient Safety; United States of America Parichart Suwanbubbha Mahidol University, Bangkok; Thailand Gail Thomson North Manchester General Hospital, Manchester; United Kingdom Hans Ucko World Council of Churches, Geneva; Switzerland
Garance Upham People’s Health Movement; Switzerland Gary Vachicouras Orthodox Center of Ecumenical Patriarchate, Chambésy-Geneva; Switzerland Constanze Wendt Hygiene Institut, University of Heidelberg, Heidelberg; Germany EDITORIAL CONTRIBUTIONS: Rosemary Sudan Geneva’s University Hospitals, Geneva; Switzerland SPECIAL ACKNOWLEDGMENT FOR TECHNICAL CONTRIBUTION AND PROJECT MANAGEMENT: Benedetta Allegranzi University of Verona, Verona; Italy OVERALL SUPPORT AND ADVICE: Sir Liam Donaldson, Department of Health, London; United Kingdom Didier Pittet, Geneva’s University Hospitals and Faculty of Medicine, Geneva; Switzerland EXTERNAL REVIEWERS: Victoria J. Fraser Washington University School of Medicine; St Louis; United States of America Lindsay Grayson Austin and Repatriation Medical Centre; Heidelberg; Australia William Jarvis Emory University School of Medicine, Atlanta; United States of America Carol O’Boyle University of Minnesota School of Nursing, Minneapolis; United States of America Samuel Ponce de León Rosales Instituto Nacional de Ciencias Médicas y Nutrición S.Z., Mexico City; Mexico Victor D. Rosenthal Medical College of Buenos Aires, Buenos Aires; Argentina Robert C. Spencer Bristol Royal Infirmary; Bristol; United Kingdom Barbara Soule Joint Commission Resources; United States of America Paul Ananth Tambyah National University Hospital, Singapore P.J. van den Broek Leiden Medical University Centre, Leiden; The Netherlands
Page 2 and 3:
The WHO Guidelines on Hand Hygiene
Page 5 and 6:
CONTENTS INTRODUCTION . ...........
Page 7 and 8:
17. Organizing an education program
Page 11:
INTRODUCTION The WHO Advanced Draft
Page 14 and 15:
Handwashing. Washing hands with pla
Page 16 and 17:
still considered the standard of ca
Page 18 and 19:
treatment selectively removes glyce
Page 20 and 21:
of the organism on their hands. Mak
Page 22 and 23:
6. MODELS OF HAND TRANSMISSION 6.1
Page 24 and 25:
In the 1960s, a prospective, contro
Page 26 and 27:
for its ability to reduce the relea
Page 28 and 29:
8.2 SHORTCOMINGS OF TRADITIONAL TES
Page 30 and 31:
tions of short-chain aliphatic alco
Page 32 and 33:
9.1.3 WATER QUALITY The physical, c
Page 34 and 35:
Case study: experience of Egypt The
Page 36 and 37:
and both reduced viral counts on ha
Page 38 and 39:
activity of chlorhexidine is not se
Page 40 and 41:
protein synthesis and alteration of
Page 42 and 43:
in micelle structures formed by sur
Page 44 and 45:
In all the studies that included pl
Page 46 and 47:
isopropyl alcohol) were applied to
Page 48 and 49:
3) Glycerol is added using a measur
Page 50 and 51:
in 2005 the costs of an alcohol-bas
Page 52 and 53:
infection, risk factors that are la
Page 54 and 55:
11.4.4 SIDE-EFFECTS OF THE SURGICAL
Page 56 and 57:
• Repeat the process on the other
Page 58 and 59:
12.2 ALLERGIC CONTACT DERMATITIS RE
Page 60 and 61:
particularly when resources are lim
Page 62 and 63:
Handrubs are available as gels, sol
Page 64 and 65:
14. HAND HYGIENE PRACTICES AMONG HE
Page 66 and 67:
quantified in observational studies
Page 68 and 69:
According to behavioural theories (
Page 70 and 71:
of water with special leaves) outsi
Page 72 and 73:
Furthermore, according to Phra Depv
Page 74 and 75:
16. BEHAVIOURAL CONSIDERATIONS 16.1
Page 76 and 77:
and community factors must be consi
Page 78 and 79:
i. ii. iii. iv. v. vi. a) b) Educat
Page 80 and 81:
tion precautions 580 . There are al
Page 82 and 83:
follow the intent 588 . Studies hav
Page 84 and 85:
18. FORMULATING STRATEGIES FOR HAND
Page 86 and 87:
18.2 DEVELOPING A STRATEGY FOR GUID
Page 88 and 89:
1998 (P
Page 90 and 91:
HCWs routinely to wear vinyl gloves
Page 92 and 93:
quality gloves, reuse, shortage of
Page 94 and 95:
• To test for holes, gloves shoul
Page 96 and 97:
Figure l.20.2: Blood safety: crucia
Page 98 and 99:
Consensus recommendations are that
Page 100 and 101:
D. Wash hands with either plain or
Page 102 and 103:
5. SKIN CARE A. B. C. Include infor
Page 107 and 108:
PART III. OUTCOME MEASUREMENTS 1. M
Page 109 and 110:
2. HAND HYGIENE AS A QUALITY INDICA
Page 111 and 112:
can be seen during routine work. Da
Page 113 and 114:
Case study: United Kingdom national
Page 115 and 116:
PART IV. PROMOTING HAND HYGIENE ON
Page 117 and 118:
ated to reinforce its principles (t
Page 119:
6. PRINCIPLES OF COUNTRYWIDE HAND H
Page 122 and 123:
As many international and national
Page 124:
debate that resulted in increasing
Page 128 and 129:
23. Lee YL et al. Colonization by S
Page 130 and 131:
Interscience Conference on Antimicr
Page 132 and 133:
122. Vicca AF. Nursing staff worklo
Page 134 and 135:
171. Kauppinen J et al. Hospital wa
Page 136 and 137:
224. Krilov LR et al. Inactivation
Page 138 and 139:
276. Thomas L et al. Development of
Page 140 and 141:
326. Johnson S et al. Prospective,
Page 142 and 143:
34th Interscience Conference on Ant
Page 144 and 145:
423. Kampf G, et al. Influence of a
Page 146 and 147:
474. West DP et al. Evaluation of a
Page 148 and 149:
524. Muto C et al. Hand hygiene rat
Page 150 and 151:
578. Babcock HM et al. An education
Page 152 and 153:
Interscience Conference on Antimicr
Page 154 and 155:
679. Hirschmann H et al. The influe
Page 156:
729. Martin LS, McDougal JS, Loskos
Page 161 and 162: Table I.8.1: Basic experimental des
Page 163 and 164: Table I.9.1: Waterborne pathogens a
Page 165 and 166: Table I.9.3: Virucidal activity of
Page 167 and 168: Table I.9.4: Studies comparing the
Page 169 and 170: Table I.9.6: Studies comparing the
Page 171 and 172: Table I.14.1: Hand hygiene frequenc
Page 173 and 174: Table I.14.2: Hand hygiene adherenc
Page 175 and 176: Table I.15.1: Hand hygiene indicati
Page 177 and 178: Table I.18.1: Strategies for succes
Page 179 and 180: Table l.20.1: Possible problems and
Page 181 and 182: Table I.21.1. Hand hygiene research
Page 183 and 184: Table I.21.1: Hand hygiene research
Page 185 and 186: Table I.21.2: Unsolved issues for r
Page 187 and 188: Table III.2.1: Quality indicators r
Page 189 and 190: Table V.3.1: Examples of public inf
Page 191 and 192: Table V.4.1: Examples of national p
Page 193: Table V.5.1: The public information
Page 197 and 198: APPENDIX 1. DEFINITIONS OF HEALTH-C
Page 199: APPENDIX 2. HAND AND SKIN SELF-ASSE
Page 202: Data in coloured cells can be chang
Page 206: NHS NICU n-P NPSA NA NS OPD PACU PA
Page 211: AUTHORS: John Boyce Saint Raphael H
show all

Hand hygiene.pdf

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?