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How-to Guide: Improving Hand Hygiene
4/1/2006 10:49:14 AM
User Comments on How-to Guide: Improving Hand Hygiene
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Anne Wedell
Total Posts: 13
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Re: How-to Guide: Improving Hand Hygiene
4/18/2006 2:06:21 PM
Is there supporting evidence for implementing patient hand hygiene practices within a hospital? We would like to implement this but could not find patient specific data only hand hygiene as it relates to patient care.
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Total Posts: 2
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Re: How-to Guide: Improving Hand Hygiene
4/18/2006 5:50:37 PM
We are not aware of studies looking at hand hygiene by patients. However, patients always should be informed regarding prudent hand hygiene practices if they will have contact with other patients. This is particularly common in pediatrics, where patients and families often require a lot of information about who can and cannot attend the playroom e.g., when a child has a respiratory infection), what to do when the patient in the next bed drops a toy, etc. In general, the basic principles of asepsis do apply to patients and their families.
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Dana Wilson
Total Posts: 1
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Re: How-to Guide: Improving Hand Hygiene
4/26/2006 11:51:25 AM
My IC coordinator states that the question # 6 of the hand Hygiene Knowledge Assessment Questionnaire is wrong. the correct answers listed are C-diff; MRSA; and VRE. She states that according to the CDC info the only pathogen that can survive for days/weeks is C-diff. Anyone else had this issue come up from their IC people?
Edit by: Dana Wilson on 4/26/2006 1:42:14 PM
She has now called me back and retracted her previous statement although she does not like the way the question is worded.
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Donald Goldmann
Total Posts: 1
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Re: How-to Guide: Improving Hand Hygiene
5/2/2006 10:19:28 AM
Gram positive bacteria are remarkably hardy. This has been noted repeatedly over the years by epidemiologists and infection control experts, starting with a number of British studies that documented environmental persistence of staph. You may have seen reports of MRSA surviving on ties, computer keyboards, and other "fomites." VRE also is persistent, and there are now a number of studies demonstrating how difficult it can be to rid the environment of this pathogen. That said, there is some controversy over the role environmental contamination plays in infection transmission, but I believe there is consensus that heavy environmental contamination in the vicinity of colonized patients should be addressed by thorough and meticulous maintenance procedures.
Your coordinator's statement that only C. diff survives for days or weeks is not correct, according to my read of the situation, but there is a nugget of truth in it. C. diff, being a spore forming bacterium, is extremely hardy and rather difficult to kill, and it probably does survive longer than most gram positive bacteria, such as MRSA and VRE. But the gram positives certainly can survive for days. The same is true, by the way, for Group A strep. Some laboratories prefer that a dessicant be added to cultures that have to be shipped for identification of strep because the organism survives so well when dried (although this particular pathogen tends to lose its virulence in dry conditions).
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Martha Culbreath
Total Posts: 7
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Re: How-to Guide: Improving Hand Hygiene
5/2/2006 4:54:27 PM
I am looking for a tool to measure hand washing compliance for all clinical staff.
Edit by: Martha Culbreath on 10/20/2006 3:56:57 PM
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Total Posts: 2
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Re: How-to Guide: Improving Hand Hygiene
5/3/2006 10:52:08 AM
Go to http://www.handhygiene.org/educational_tools.asp download the measurement guide. They have free powerpoint and lots of other educational tools. This is part of the CDC web site.
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Total Posts: 2
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Re: How-to Guide: Improving Hand Hygiene
5/3/2006 10:54:01 AM
Go to http://www.handhygiene.org/educational_tools.asp download the measurement guide. They have free powerpoint and lots of other educational tools. This is part of the CDC web site.
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Total Posts: 1
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Re: How-to Guide: Improving Hand Hygiene
9/21/2006 2:54:55 PM
There are some published data noting survival of hepatitis B for up to 2 weeks and some unpublished data describing as much as 30 days.
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Barbara Barnett
Total Posts: 2
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Re: How-to Guide: Improving Hand Hygiene
9/3/2007 5:58:31 PM
I have recently read where the spores of Cdiff can live up to 70 days on hard surfaces!!!!
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