handwashing

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Introduction

Also see hand hygiene.

Indications

  • hands that are visibly soiled, or potentially grossly contaminated with dirt or organic material, must be washed with liquid soap & water
  • handwashing prevents transmission of infection[1]

* hand antiseptic may be superior to handwashing for infection control if hands not visibly soiled

Procedure

  • an effective handwashing technique involves 3 stages: preparation, washing and rinsing, & drying
  • handwashing should be of sufficient duration to remove the transient microbial flora (10-15 seconds of soap & friction, preceded by wetting hands & followed by rinsing with running water)
  • paper towels recommended for drying hands

Complications

Notes

  • handwashing behavior is difficult to sustain[2]

More general terms

Additional terms

References

  1. 1.0 1.1 Luby SP et al. Effect of handwashing on child health: A randomised controlled trial. Lancet 2005 Jul 16; 366:225-33 PMID: https://www.ncbi.nlm.nih.gov/pubmed/16023513
    Pittet D. Clean hands reduce the burden of disease. Lancet 2005 Jul 16; 366:185-7. PMID: https://www.ncbi.nlm.nih.gov/pubmed/16023493
  2. 2.0 2.1 Luby SP et al. Difficulties in maintaining improved handwashing behavior, Karachi, Pakistan. Am J Trop Med Hyg 2009 Jul; 81:140. PMID: https://www.ncbi.nlm.nih.gov/pubmed/19556579
  3. 3.0 3.1 Medical Knowledge Self Assessment Program (MKSAP) 17, American College of Physicians, Philadelphia 2015