hand hygiene

1. Shreya Yadav
RKDHS KANPUR
HAND
HYGIENE

3. Definition
• Health Care-associated Infection (HCAI)
– Alsoreferredto as“nosocomial” or“hospital” infection
• “An infection occurring in a patient during the process of care in
a hospital or other health-care facility which was not present or
incubating at the time of admission. This includes infections
acquired in the health-care facility but appearing after discharge,
and also occupational infections among health-care workers of
the facility”

4. The main forms of hand
hygiene-
Technique Main
purpose
Influence on
hand flora
agents Rapidity of
action
Residual
effect
Social hand
washing
Cleansing Reduces
transient flora
Non-
medicated
soap
Slow Short
Careful hand
washing
Cleansing
after patient
contact
Partially
removes
transient flora
Non
medicated
soap
Slow Short
Hygienic hand
disinfection
Disinfection
after
contaminatio
n
Kills transient
flora
Alcohol Fast Short
Surgical hand
washing
Preoperative
disinfection
Kills transient
flora inhibits
resident flora
Antibacterial
soap (4%
CGH),
alcoholic
based CGH sol
Slow or fast Long

5. Prevention of
health care-associated infection
– Validated and standardized prevention strategies have been shown to
reduce HCAI
– At least 50% of HCAI could be prevented
– Most solutions are simple and not resource- demanding and can be
implemented in developed, as well as in transitional and developing
countries

6. WHY WASH YOUR HANDS ?
• Hand washing is the single
most effective way to
prevent the spread of
communicable diseases.

7. Hand transmission
– Hands are the most
common vehicle to
transmit health care-
associated pathogens
– Transmission of
health care-associated
pathogens from one patient
to another via health-care
workers’ hands requires
5 sequential steps

8. The 5 moments of hand hygiene

9. BEFORE
TOUCHING
PATIENT

10. Before clean aseptic procedure

11. After body fluid exposure risk

12. After touching a patient

13. After touching patient surrounding

14. Why should you clean your hands?
– Any health-care worker, caregiver or person involved in patient care
needs to be concerned about hand hygiene
– Therefore hand hygiene concerns you!
– Youmust perform hand hygiene to:
– protect the patient against harmful germs carried on your
hands or present on his/her own skin
– protect yourself and the health-care environment from
harmful germs

15. Hand Washing can prevent
• Good hand washing can
prevent diseases such as:
Shigellosis, E. Coli, Streptococcal
Disease, Influenza and the
Common Cold

16. Hand hygiene is the
single most
effective way to
prevent infection
Dr.T.V.Rao
MD
10

17. How to clean your hands
– Handrubbing with alcohol-based handrub is the preferred
routine method of hand hygiene if hands
are not visibly soiled
– Handwashing with soap and water –essential when
when hands are visibly dirty or visibly soiled (following
visible exposure to body fluids)1

19. To effectively reduce the
growth of germs on
hands, handrubbing must be
performed by following all of
the illustrated steps.
This takes only 20– 30
seconds!
How to Hand rub

20. How to hand wash
Toeffectively reduce the
growth of germs on hands,
handwashing
must last 40–60 secs
and should be
performed by following
all of the illustrated
steps

21. Alcohol Hand Rubs
• Require less time
• Can be strategically placed
• Readily accessible
• Multiple sites
• All patient care areas

22. • Adequate hand washing with
water and soap requires 40–60
seconds
• Average time usually
adopted by health- care
workers:
<10 seconds
• Alcohol-based
• hand rubbing: 20–30
seconds
Time constraint =
major obstacle for hand hygiene

23. CORRECT HANDWASHING
TECHNIQUE
• Wet hands with warm running water.
• Add soap, then rub hands together to make a soapy lather. Make sure to
wash the front and back of your hands, nails and nail beds, wrists and
between fingers.
• Wash hands for 20 seconds.
• Rinse hands with warm running water with your hands pointed
down.
• Dry hands thoroughly with a clean towel and use that towel to turn off the
water and open the door.