Strategies to Prevent Healthcare-Associated Infections through Hand Hygiene

Publication Date: February 8, 2023

Key Points

Key Points

  • Hand hygiene programs should strive to create a culture of safety in which all healthcare personnel (HCP) collaborate to protect patients or residents.
  • Interprofessional dialogue and safe spaces for learning about hand hygiene provide motivation and engagement of HCP.
  • This pocket guide highlights practical recommendations to assist acute care hospitals in implementing and prioritizing efforts to prevent healthcare-associated infections (HAIs) through hand hygiene.
  • It is based on a synthesis of evidence, theoretical rationale, current practices, practical considerations, author consensus, and consideration of potential harm, where applicable.
  • No guideline or expert guidance document can anticipate all clinical situations. This pocket guide is not meant to be a substitute for individual clinical judgment by qualified professionals.

Recommendations

Recommendation...

...mmendations to Prevent Healthcare-Associated I...

...ices: foundational to all HAI prevent...

...maintenance of healthy hand skin and...

...he preferential use of alcohol-base...

...erform hand hygiene as indicated by the US Cent...

...fingernail care in facility-specific policies...

...ude measures for primary and secondary preventio...

...e HCP with readily accessible, facility-app...

...l HCP in primary prevention of occupatio...

...ide cotton glove liners for HCP with hand...

...ropriate products. (H = High)2117033...

...or routine hand hygiene, choose liqu...

...e HCP in selection of products. (H = High)211703...

...onsider manufacturers’ product-specific dat...

...the volume of ABHS dispensed is consistent w...

...ucate HCP about an appropriate volume of AB...

...ility-approved hand moisturizer that...

.... For surgical antisepsis, use an FDA-...

...Ensure the accessibility of hand hygiene supp...

...BHS dispensers are unambiguous, visibl...

...e rooms, consider 2 ABHS dispensers the mi...

...iprivate rooms, suites, bays, and other multi...

...that the placement of hand hygiene supplies (e....

...ate the risk of intentional consumption...

...surgical hand rub and scrub available in periop...

...ider providing ABHS hand rubs or handwash with...

...propriate glove use to reduce hand and en...

...ves for all contact with the patient and enviro...

...Educate HCP about the potential fo...

...hands immediately following glove removal....

...Educate and confirm the ability of HC...

...ake steps to reduce environmental contami...

...re that handwashing sinks are constructed ac...

b. Include handwashing sinks in water infe...

...If possible, dedicate sinks to handwashin...

...e HCP to refrain from disposing su...

...e a United States Environmental Protection Agenc...

...keep medications or patient care supp...

...e disposable or single-use towels to dry h...

...sult with state or local public health offici...

6. Monitor adherence to hand hygiene. (H = Hig...

...iple methods to measure adherence to...

...der advantages and limitations of each type of mo...

...ovide timely and meaningful feedback to enhance a...

...ack in multiple formats (e.g., verbal,...

...nsider debriefing unit managers as s...

...meaningful data with clear targets linked t...

...nal Approaches: may be considered for...

...er educating HCP using a structured approach (...

...erborne pathogens of premise plumbing, consi...

...oides difficile and norovirus, in addition...

...at Should Not be Considered a Routine Part of...

...y individual pocket-sized ABHS dispens...

...l or “top-off ” soap dispensers, mo...

...ntimicrobial soaps formulated with triclosa...

...o not routinely double-glove except wh...

...inely disinfect gloves during care exc...

...e access to ABHS when responding to organism...

...pt to remediate potential biofilms in sink drai...

...esolved Issues

.... HCP use of alcohol-impregnated hand...


...Indications for Hand HygieneHaving trou...


...le 3. Methods to Measure Hand HygieneHaving tr...


...ype and Timing of Feedback by Hand Hy...


...etrics for Reporting Adherence to Hand Hygie...