Hand Hygiene: A Frequently Missed Lifesaving Opportunity during Patient Care

Mayo Clinic Proceedings

Volumn 79, Issue 1, 2004, Pages 109-116

  Trampuz, Andrej ^a   Widmer, Andreas F ^b  

^a Mayo Clinic   (United States)

^b UNIVERSITY HOSPITAL BASEL   (Switzerland)

Author keywords

[No Author keywords available]

Indexed keywords

BACTERIUM CONTAMINATION; COLONY FORMING UNIT; HAND WASHING; HEALTH CARE DELIVERY; HEALTH CARE PERSONNEL; HOSPITAL INFECTION; HUMAN; HYGIENE; MEDICAL CARE; METHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS; MICROFLORA; PATIENT CARE; REVIEW; SAFETY; SKIN FLORA;

EID: 0346992285     PISSN: 00256196     EISSN: None     Source Type: Journal    
DOI: 10.4065/79.1.109     Document Type: Review

References (34)

1. Burke JP. Patient safety: infection control-a problem for patient safety. N Engl J Med. 2003;348:651-656.
2. Stone PW, Larson E, Kawar LN. A systematic audit of economic evidence linking nosocomial infections and infection control interventions: 1990-2000. Am J Infect Control. 2002;30:145-152.
3. Larson E. Skin hygiene and infection prevention: more of the same or different approaches? Clin Infect Dis. 1999;29:1287-1294.
4. Pittet D, Mourouga P, Perneger TV. Compliance with handwashing in a teaching hospital: infection control program. Ann Intern Med. 1999;130:126-130.
5. Rotter ML. Hand washing and hand disinfection. In: Mayhall CG, ed. Hospital Epidemiology and Infection Control. 2nd ed. Philadelphia, Pa: Lippincott Williams & Wilkins; 1999:1339-1355.
6. Garner JS, Favero MS. CDC guidelines for the prevention and control of nosocomial infections: guideline for handwashing and hospital environmental control, 1985: supersedes guideline for hospital environmental control published in 1981. Am J Infect Control. 1986;14:110-129.
7. Boyce JM, Pittet D, Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. Guideline for hand hygiene in health-care settings: recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/ IDSA Hand Hygiene Task Force: Society for Healthcare Epidemiology of America/Association for Professionals in Infection Control/Infectious Diseases Society of America. MMWR Recomm Rep. 2002;51(RR-16):1-45.
8. Pittet D, Dharan S, Touveneau S, Sauvan V, Perneger TV. Bacterial contamination of the hands of hospital staff during routine patient care. Arch Intern Med. 1999;159:821-826.
9. Widmer AF. Replace hand washing with use of a waterless alcohol hand rub? Clin Infect Dis. 2000;31:136-143.
10. Widmer AF, Conzelmann M, Tomic M, Stranden A. Hand hygiene: impact of a training program on the microbiological efficacy of the alcoholic hand-rub [abstract]. Abstr Intersci Conf Antimicrob Agents Chemother. 2002;42:323. Abstract K-1097.
11. Rhomberg P, Jones RN, Mutnick A. Geographic variations and trends in key bacteremic pathogen resistance (R): report from the SENTRY Antimicrobial Surveillance Program (1997-2001) [abstract]. Abstr Intersci Conf Antimicrob Agents Chemother. 2002; 42:89. Abstract C2-298.
12. Muto CA, Jernigan JA, Ostrowsky BE, et al, SHEA. SHEA guideline for preventing nosocomial transmission of multidrug-resistant strains of Staphylococcus aureus and Enterococcus. Infect Control Hosp Epidemiol. 2003;24:362-386.
13. Warren DK, Fraser VJ. Infection control measures to limit antimicrobial resistance. Crit Care Med. 2001;29(4, suppl):N128-N134.
14. Scheckler WE, Brimhall D, Buck AS, et al, Society for Healthcare Epidemiology of America. Requirements for infrastructure and essential activities of infection control and epidemiology in hospitals: a consensus panel report. Am J Infect Control. 1998;26: 47-60.
15. Voss A, Milatovic D, Wallrauch-Schwarz C, Rosdahl VT, Braveny I. Methicillin-resistant Staphylococcus aureus in Europe. Eur J Clin Microbiol Infect Dis. 1994;13:50-55.
16. Ehrenkranz NJ, Alfonso BC. Failure of bland soap handwash to prevent hand transfer of patient bacteria to urethral catheters. Infect Control Hosp Epidemiol. 1991;12:654-662.
17. Winnefeld M, Richard MA, Drancourt M, Grob JJ. Skin tolerance and effectiveness of two hand decontamination procedures in everyday hospital use. Br J Dermatol. 2000;143:546-550.
18. Zaragoza M, Salles M, Gomez J, Bayas JM, Trilla A. Handwashing with soap or alcoholic solutions? a randomized clinical trial of its effectiveness. Am J Infect Control. 1999;27:258-261.
19. Hilburn J, Hammond BS, Fendler EJ, Groziak PA. Use of alcohol hand sanitizer as an infection control strategy in an acute care facility. Am J Infect Control. 2003;31:109-116.
20. Girou E, Loyeau S, Legrand P, Oppein F, Brun-Buisson C. Efficacy of handrubbing with alcohol based solution versus standard handwashing with antiseptic soap: randomised clinical trial. BMJ. 2002;325:362.
21. Olsen RJ, Lynch P, Coyle MB, Cummings J, Bokete T, Stamm WE. Examination gloves as barriers to hand contamination in clinical practice. JAMA. 1993;270:350-353.
22. Tenorio AR, Badri SM, Sahgal NB, et al. Effectiveness of gloves in the prevention of hand carriage of vancomycin-resistant enterococcus species by health care workers after patient care. Clin Infect Dis. 2001;32:826-829.
23. Pittet D. Improving compliance with hand hygiene in hospitals. Infect Control Hosp Epidemiol. 2000;21:381-386.
24. Kretzer EK, Larson EL. Behavioral interventions to improve infection control practices. Am J Infect Control. 1998;26:245-253.
25. Voss A, Widmer AF. No time for handwashing!? handwashing versus alcoholic rub: can we afford 100% compliance? Infect Control Hosp Epidemiol. 1997;18:205-208.
26. Bischoff WE, Reynolds TM, Sessler CN, Edmond MB, Wenzel RP. Handwashing compliance by health care workers: the impact of introducing an accessible, alcohol-based hand antiseptic. Arch Intern Med. 2000;160:1017-1021.
27. Trampuz A, Lederrey N, Widmer AF. Compliance with hand hygiene 25 years after introduction of hand rub [abstract]. Abstr Intersci Conf Antimicrob Agents Chemother. 2001;41:425. Abstract K-1335.
28. Pittet D, Hugonnet S, Harbarth S, et al. Effectiveness of a hospital-wide programme to improve compliance with hand hygiene: Infection Control Programme [published correction appears in Lancet. 2000;356:2196]. Lancet. 2000;356:1307-1312.
29. Pittet D, Hugonnet S, Harbarth S, et al. Effectiveness of a hospital-wide programme to improve compliance with hand hygiene: Infection Control Programme [published correction appears in Lancet. 2000;356:2196]. Lancet. 2000;356:1307-1312.
30. Bryant KA, Pearce J, Stover B. Flash fire associated with the use of alcohol-based antiseptic agent [letter]. Am J Infect Control. 2002; 30:256-257.
31. Boyce JM, Pearson ML. Low frequency of fires from alcohol-based hand rub dispensers in healthcare facilities. Infect Control Hosp Epidemiol. 2003;24:618-619.
32. Kramer A, Rudolph P, Kampf G, Pittet D. Limited efficacy of alcohol-based hand gels, Lancet. 2002;359:1489-1490.
33. Trick WE, Vernon MO, Hayes RA, et al. Impact of ring wearing on hand contamination and comparison of hand hygiene agents in a hospital. Clin Infect Dis. 2003;36:1383-1390.
34. McNeil SA, Foster CL, Hedderwick SA, Kauffman CA. Effect of hand cleansing with antimicrobial soap or alcohol-based gel on microbial colonization of artificial fingernails worn by health care workers. Clin Infect Dis. 2001;32:367-372.