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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)...
Abstract

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

Copyright
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 (didier.pittet@hcuge.ch).
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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

a Authors with equal contribution.

Footnotes
References
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1. WHO Guidelines on Hand Hygiene in Health Care. First Global Patient Safety Challenge: Clean Care is Safer Care. 2009. World Health Organization website. http://apps.who.int/iris/bitstream/10665/44102/1/9789241597906_eng.pdf. Published 2009. Accessed September 26, 2016.
2. WHO Guide to the Implementation of the WHO Multimodal Hand Hygiene Improvement Strategy. World Health Organization website. http://www.who.int/gpsc/5may/Guide_to_Implementation.pdf. Published 2009. Accessed September 26, 2016.
3. Allegranzi, B, Gayet-Ageron, A, Damani, N, et al. Global implementation of WHO’s multimodal strategy for improvement of hand hygiene: a quasi-experimental study. Lancet Infect Dis 2013;13:843851.
4. Stewardson, AJ, Iten, A, Camus, V, et al. Efficacy of a new educational tool to improve handrubbing technique amongst healthcare workers: a controlled, before-after study. PLoS ONE 2014;9:e105866.
5. Tschudin-Sutter, S, Sepulcri, D, Dangel, M, Schuhmacher, H, Widmer, AF. Compliance with the World Health Organization hand hygiene technique: a prospective observational study. Infect Control Hosp Epidemiol 2015;36:482483.
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7. European Committee for Standardization. European Norm 1500: Chemical Disinfectants and Antiseptics. Hygienic handrub test method and requirements (phase 2/step 2). Version 2013. https://standards.cen.eu/dyn/www/f?p=204:110:0::::FSP_PROJECT,FSP_ORG_ID:28420,6197&cs=11AB47733F64AC32AC20401FABAA297CD.
8. Bellissimo-Rodrigues, F, Soule, H, Gayet-Ageron, A, Martin, Y, Pittet, D. Should alcohol-based handrub use be customized to healthcare workers’ hand size? Infect Control Hosp Epidemiol 2016;37:219221.
9. Rosenthal, VD, Pawar, M, Leblebicioglu, H, et al. Impact of the International Nosocomial Infection Control Consortium (INICC) multidimensional hand hygiene approach over 13 years in 51 cities of 19 limited-resource countries from Latin America, Asia, the Middle East, and Europe. Infect Control Hosp Epidemiol 2013;34:415423.
10. Pittet, D. Commentary: hand hygiene: it’s all about when and how. Infect Control Hosp Epidemiol 2008;29:957959.
11. Reilly, JS, Price, L, Lang, S, et al. A pragmatic randomized controlled trial of 6-step vs 3-step hand hygiene technique in acute hospital care in the United Kingdom. Infect Control Hosp Epidemiol 2016:16.
12. Tschudin-Sutter, S, Sepulcri, D, Mamo, GH, Frei, R, Widmer, AF. Simplifying the WHO protocol: Three steps versus six steps for performance of hand hygiene - a cluster randomized trial. In: Final Program of the 26th European Congress of Clinical Microbiology and Infectious Diseases (ECCMID); April 9–12, 2016;Amsterdam, Netherlands. EP 0094.
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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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