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Revisiting the WHO “How to Handrub” Hand Hygiene Technique: Fingertips First?

  • Daniela Pires (a1) (a2), Fernando Bellissimo-Rodrigues (a3), Hervé Soule (a1), Angèle Gayet-Ageron (a1) and Didier Pittet (a1)...

Hands are implicated in the cross transmission of microbial pathogens and fingertips are the crux of the problem. A modified World Health Organization “How to Handrub” 6-step technique with “Fingertips First” showed greater efficacy than the standard technique in reducing fingertip contamination, potentially improving hand hygiene action quality.

Infect Control Hosp Epidemiol 2017;38:230–233

Corresponding author
Address correspondence to Professor Didier Pittet, Infection Control Programme and WHO Collaborating Centre on Patient Safety, University of Geneva Hospitals and Faculty of Medicine, 4 Rue Gabrielle-Perret-Gentil, 1211, Geneva, Switzerland (
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PREVIOUS PRESENTATION. Preliminary data were presented at the 26th European Congress of Microbiology and Infectious Diseases (ECCMID) in Amsterdam, Netherlands, on April 12, 2016. EP 0021.


a Authors with equal contribution.

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Infection Control & Hospital Epidemiology
  • ISSN: 0899-823X
  • EISSN: 1559-6834
  • URL: /core/journals/infection-control-and-hospital-epidemiology
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