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

Recommendations

...ecommendations to Prevent Healthcare-...

...al Practices: foundational to all HAI pre...

...te the maintenance of healthy hand ski...

...preferential use of alcohol-based...

...Perform hand hygiene as indicated by the US Cen...

...Include fingernail care in facility-specific polic...

...res for primary and secondary prevention of d...

...de HCP with readily accessible, facility-appr...

...ge all HCP in primary prevention of occupationa...

.... Provide cotton glove liners for HCP with h...

...lect appropriate products. (H = High)21170...

...utine hand hygiene, choose liquid, gel,...

...e HCP in selection of products. (H = Hig...

...nd consider manufacturers’ produc...

...nfirm that the volume of ABHS dispe...

...cate HCP about an appropriate volume of...

...Provide facility-approved hand moisturizer...

...ical antisepsis, use an FDA-approved surgical...

...accessibility of hand hygiene supplie...

...sure that ABHS dispensers are unambiguous,...

...te rooms, consider 2 ABHS dispensers the...

...ate rooms, suites, bays, and other...

...sure that the placement of hand hygiene...

...aluate the risk of intentional consum...

...Have surgical hand rub and scrub available in p...

...onsider providing ABHS hand rubs or handwas...

...riate glove use to reduce hand and...

...or all contact with the patient and environment...

...about the potential for self-conta...

...ds immediately following glove remo...

...cate and confirm the ability of HCP to d...

...Take steps to reduce environmental contaminati...

...handwashing sinks are constructed according to...

...Include handwashing sinks in water infect...

...dedicate sinks to handwashing. ()2117033...

...cate HCP to refrain from disposing substances that...

...States Environmental Protection Agency...

...o not keep medications or patient care...

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

...onsult with state or local public health officia...

...rence to hand hygiene. (H = High)2117033...

...multiple methods to measure adherence to...

...advantages and limitations of eac...

...Provide timely and meaningful feedba...

...dback in multiple formats (e.g., verbal, writt...

...nsider debriefing unit managers as soon as...

...aningful data with clear targets l...

...Approaches: may be considered for use in loc...

...sider educating HCP using a structured a...

...erborne pathogens of premise plumbing, con...

...For Clostridioides difficile and norovirus, in a...

...s that Should Not be Considered a Routin...

...ply individual pocket-sized ABHS di...

...not refill or “top-off ” soap dispenser...

...timicrobial soaps formulated with triclosan as...

...utinely double-glove except when speci...

...utinely disinfect gloves during care except when s...

...ve access to ABHS when responding to organisms...

...attempt to remediate potential biofilm...

...solved Issues

11. HCP use of alcohol-impregnated...


...Indications for Hand HygieneHaving troub...


...hods to Measure Hand HygieneHaving...


Table 4. Type and Timing of Feedback by Hand Hygi...


...etrics for Reporting Adherence to Hand Hyg...