What is new with hand hygiene?

Stadler, Rahel; Tschudin‐Sutter, Sarah

doi:10.1097/qco.0000000000000654

Cited by 17 publications

(20 citation statements)

References 45 publications

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“…The implementation and promotion of compliance by the health professionals with safe hand hygiene practices have been the main concerns of current research studies on this topic. A number of studies have shown that compliance is still low in most care units and that it presents flaws in the process [11][12][13][14][15][16] .…”

Section: Discussionmentioning

confidence: 99%

Development and Validation of a Checklist for the Safety of Hospitalized Children

Melo

Nascimento

2022

Texto contexto - enferm.

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Objective: to develop and validate a checklist of safety actions for hospitalized children. Method: a methodological research study carried out from March 2017 to March 2020 in two phases: 1) Identification of the themes and elaboration of the checklist through the literature review; 2) Content validation with expert judges by means of the Delphi technique, applying the Content Validity Index (CVI), accepting values >0.8 for the CVI per item and >0.9 for the checklist. The data collection instrument was organized using an ordinal progressive valuation scale, of the Likert type. The content validation stage was performed in three rounds using a Google Forms® electronic form. Fifteen experts participated in the survey in the first round and 14 in the second and third rounds. The statistical analysis of the data was performed with the aid of Google Forms® and of the Excel® software, and the results were presented descriptively and in a table. Results: the final version of the checklist consisted of 6 categories and 23 check items, validated with a Content Validity Index of 0.98. The checklist was also validated in relation to the objectives (0.95) and to the structure and presentation (0.98). Conclusion: validation of the content, objectives, structure and presentation of the checklist allows this tool to be implemented in any pediatric hospitalization unit, contributing to the care practice aimed at the safety of hospitalized children.

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Section: Discussionmentioning

confidence: 99%

Development and Validation of a Checklist for the Safety of Hospitalized Children

Melo

Nascimento

2022

Texto contexto - enferm.

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“…The use of alcoholbased solutions was observed in only one (0.4%) opportunity before contact and in 83 (35.9%) after contact. It should be noted that the use of alcohol-based solutions has been strongly encouraged given the strong evidence of their effectiveness, ease of use, shorter application time, and greater skin tolerance as they cause less irritation (16)(17) . However, when the service takes place at home, the professional is required to take the product for this purpose and use it properly.…”

Section: Discussionmentioning

confidence: 99%

Hand hygiene by the nursing team in home care: a cross-sectional study

Cordeiro

Menegüeti

Laüs

et al. 2021

Rev. esc. enferm. USP

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Objective: to identify whether nursing professionals carry out hand hygiene, how they do it, and what resources are available for this practice during home visits. Method: cross-sectional study conducted in a public Home Care service. The World Health Organization instrument was used to observe the hand hygiene technique, the time of performance, and the product used. Results: a total of 940 hand hygiene opportunities taking place in 231 home visits were observed. Overall adherence was 14.4%, with the practice of hand hygiene being higher after contact with the patient (53.7%). Before aseptic procedures, after risk/exposure to body fluids, after contact with the patient’s environment, and before contact with the patient, adherence was 0.4%. Regarding the quality of the technique, in none of the 135 practices the recommended steps were followed. As for the structure available in the households, 35 (15.2%) had accessible sinks and none had liquid soap and alcohol-based formulation. Conclusion: adherence to hand hygiene by nursing professionals in home care was low, the technique was not performed, and households did not have resources for the practice.

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“…Hand disinfection is one of the most important measures to reduce the spread of nosocomial infections in hospitals [ 1 , 2 , 3 ]. The standard is to rub the hands for a typical duration of about 30 s to a few minutes [ 1 , 4 , 5 ] with liquid, mostly alcohol-based disinfectants [ 1 , 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

Far-UVC Radiation for Disinfecting Hands or Gloves?

2023

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(1) Background: Far-UVC radiation in the spectral range 200–230 nm has, according to previous findings, a strong antimicrobial effect on pathogens, but exhibits hardly any harmful effect on human skin. Therefore, the present study will discuss whether such radiation could also be suitable for hand disinfection in the healthcare sector. (2) Methods: Hands and gloves were microbially contaminated and exposed to radiation from a 222 nm krypton-chloride-excimer lamp. The applied doses were 23 mJ/cm2 and 100 mJ/cm2, respectively. Irradiated and non-irradiated hands and gloves were pressed onto agar plates and colonies were counted and compared after 24 h of incubation. For comparison, we also treated hands and gloves with a commercial liquid alcohol-based disinfectant. (3) Results: On the hand, the 23 mJ/cm2 resulted in the reduction of the observed colonies on the agar plates by one log level. For the gloves irradiated with 100 mJ/cm2, a colony reduction of 1.3 log levels was recorded. In the comparative experiments with the commercial disinfectant, a colony reduction of 1.9 and approximately one log level was observed on hand and gloves, respectively. (4) Conclusion: In both cases, far-UVC radiation provided a considerable reduction in microorganisms. However, compared to published far-UVC irradiation results in suspensions, the disinfection success on hands and gloves was rather low. With regard to the irradiation limits currently existing in the European Union, multiple daily hand disinfection with far-UVC radiation is actually legally not possible at present, but the thresholds are currently under discussion and could change in the future. Far-UVC disinfection of hands in gloves seems theoretically possible if attention is paid to potential perforations in the gloves.

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What is new with hand hygiene?

Cited by 17 publications

References 45 publications

Development and Validation of a Checklist for the Safety of Hospitalized Children

Development and Validation of a Checklist for the Safety of Hospitalized Children

Hand hygiene by the nursing team in home care: a cross-sectional study

Far-UVC Radiation for Disinfecting Hands or Gloves?

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