Hand hygiene and skin health

Kownatzki, E.

doi:10.1016/j.jhin.2003.08.018

Cited by 67 publications

(54 citation statements)

References 50 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…4 " 7 The proliferation and widespread use of alcoholbased hand sanitizers in the past decade has improved staff ability to conveniently and comfortably sanitize hands at frequent intervals. 8 " 10 Yet adherence to recommended hand hygiene practices remains low (approximately 40%), even in well-resourced facilities. 11 Reasons for low hand hygiene adherence include inconvenient location of sinks, understaffing or busy work setting, and skin irritation as well as cultural issues, such as lack of role models and inattention to guidelines.…”

Section: S E C T I O N I : R a T I O N A L E And S T A T E M E N T S mentioning

confidence: 99%

Strategies to Prevent Healthcare-Associated Infections through Hand Hygiene

Ellingson

Haas

Aiello

et al. 2014

Infect. Control Hosp. Epidemiol.

View full text Add to dashboard Cite

Previously published guidelines provide comprehensive recommendations for hand hygiene in healthcare facilities. The intent of this document is to highlight practical recommendations in a concise format, update recommendations with the most current scientific evidence, and elucidate topics that warrant clarification or more robust research. Additionally, this document is designed to assist healthcare facilities in implementing hand hygiene adherence improvement programs, including efforts to optimize hand hygiene product use, monitor and report back hand hygiene adherence data, and promote behavior change. This expert guidance document is sponsored by the Society for Healthcare Epidemiology of America (SHEA) and is the product of a collaborative effort led by SHEA, the Infectious Diseases Society of America (IDSA), the American Hospital Association (AHA), the Association for Professionals in Infection Control and Epidemiology (APIC), and The Joint Commission, with major contributions from representatives of a number of organizations and societies with content expertise. The list of endorsing and supporting organizations is presented in the introduction to the 2014 updates.

show abstract

Section: S E C T I O N I : R a T I O N A L E And S T A T E M E N T S mentioning

confidence: 99%

Strategies to Prevent Healthcare-Associated Infections through Hand Hygiene

Ellingson

Haas

Aiello

et al. 2014

Infect. Control Hosp. Epidemiol.

View full text Add to dashboard Cite

show abstract

“…586,587 Shear forces associated with wearing or removing gloves and allergy to latex proteins may also contribute to dermatitis of the hands of HCWs. 577 In a recent study conducted among ICU HCWs, the short-term skin tolerability and acceptability of the WHO-recommended alcohol-based formulations (see Section 12) were significantly higher than those of a reference product. 504 Risk factors identified for skin alteration following handrub use were male sex, fair and very fair skin, and skin alteration before use.…”

Section: Frequency and Pathophysiology Of Irritant Contact Dermatitismentioning

confidence: 98%

“…574,576 Among these, the main concern is the depletion of the lipid barrier that may be consequent to contact with lipid-emulsifying detergents and lipid-dissolving alcohols. 577 Frequent handwashing leads to progressive depletion of surface lipids with resulting deeper action of detergents into the superficial skin layers. During dry seasons and in individuals with dry skin, this lipid depletion occurs more quickly.…”

Section: Frequency and Pathophysiology Of Irritant Contact Dermatitismentioning

confidence: 99%

“…During dry seasons and in individuals with dry skin, this lipid depletion occurs more quickly. 577 Damage to the skin also changes skin flora, resulting in more frequent colonization by staphylococci and Gram-negative bacilli. 79,219 Although alcohols are safer than detergents, 262 they can cause dryness and skin irritation.…”

Section: Frequency and Pathophysiology Of Irritant Contact Dermatitismentioning

confidence: 99%

“…79,219 Although alcohols are safer than detergents, 262 they can cause dryness and skin irritation. 48,578 The lipid-dissolving effect of alcohols is inversely related to their concentration, 577 and ethanol tends to be less irritating than n-propanol or isopropanol. 578 Numerous reports confirm that alcohol-based formulations are well tolerated and often associated with better acceptability and tolerance than other hand hygiene products.…”

Section: Frequency and Pathophysiology Of Irritant Contact Dermatitismentioning

confidence: 99%

See 2 more Smart Citations