Hostname: page-component-cd9895bd7-q99xh Total loading time: 0 Render date: 2024-12-23T08:35:01.606Z Has data issue: false hasContentIssue false

Should Alcohol-Based Handrub Use Be Customized to Healthcare Workers’ Hand Size?

Published online by Cambridge University Press:  24 November 2015

Fernando Bellissimo-Rodrigues
Affiliation:
Infection Control Programme and World Health Organization Collaborating Centre on Patient Safety (Infection Control & Improving Practices), University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland Social Medicine Department, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
Hervé Soule
Affiliation:
Infection Control Programme and World Health Organization Collaborating Centre on Patient Safety (Infection Control & Improving Practices), University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland
Angèle Gayet-Ageron
Affiliation:
Infection Control Programme and World Health Organization Collaborating Centre on Patient Safety (Infection Control & Improving Practices), University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland
Yves Martin
Affiliation:
Infection Control Programme and World Health Organization Collaborating Centre on Patient Safety (Infection Control & Improving Practices), University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland
Didier Pittet*
Affiliation:
Infection Control Programme and World Health Organization Collaborating Centre on Patient Safety (Infection Control & Improving Practices), University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland
*
Address correspondence to Didier Pittet, MD, MS, Infection Control Programme and WHO Collaborating Centre on Patient Safety, University of Geneva Hospitals, 4 Rue, Gabrielle-Perret-Gentil, 1205, Geneva, Switzerland ([email protected]).

Abstract

We evaluated whether the volume of alcohol-based handrub used by healthcare workers affects the residual bacterial concentration on their hands according to hand size. Bacterial reduction was significantly lower for large hands compared with small hands, which suggests a need for customizing the volume of alcohol-based handrub for hand hygiene.

Infect. Control Hosp. Epidemiol. 2016;37(2):219–221

Type
Concise Communications
Copyright
© 2015 by The Society for Healthcare Epidemiology of America. All rights reserved 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Presented in part: Third International Conference on Prevention and Infection Control; Geneva, Switzerland; June 18, 2015 (Abstracts 302 and 303).

References

REFERENCES

1. Pittet, D, Allegranzi, B, Sax, H, et al. Evidence-based model for hand transmission during patient care and the role of improved practices. Lancet Infect Dis 2006;6:641652.Google Scholar
2. WHO Guidelines on Hand Hygiene in Health Care. First Global Patient Safety Challenge: Clean Care is Safer Care. WHO website. http://whqlibdoc.who.int/publications/2009/9789241597906_eng.pdf. Revised August 2009. Accessed January 15, 2015.Google Scholar
3. Boyce, JM, Pittet, D; Healthcare Infection Control Practices Advisory Committee; HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. Guideline for hand hygiene in health-care settings. MMWR Recomm Rep 2002;51:145.Google Scholar
4. Laustsen, S, Lund, E, Bibby, BM, Kristensen, B, Thulstrup, AM, Møller, JK. Effect of correctly using alcohol-based hand rub in a clinical setting. Infect Control Hosp Epidemiol 2008;29:954956.Google Scholar
5. Pittet, D. Hand hygiene: it’s all about when and how. Infect Control Hosp Epidemiol 2008;29:957959.CrossRefGoogle ScholarPubMed
6. Kampf, G, Ruselack, S, Eggerstedt, S, Nowak, N, Bashir, M. Less and less–influence of volume on hand coverage and bactericidal efficacy in hand disinfection. BMC Infect Dis 2013;13:472.Google Scholar
7. Hautemaniere, A, Cunat, L, Diguio, N, et al. Factors determining poor practice in alcoholic gel hand rub technique in hospital workers. J Infect Public Health 2010;3:2534.Google Scholar
8. Yao-Wen, H, Chi-Yuang, Y. Hand surface area estimation formula using 3D anthropometry. J Occup Environ Hyg 2010;7:633639.Google Scholar
9. European Committee for Standardization. European Norm 1500: chemical disinfectants and antiseptics. Hygienic handrub. Test method and requirements (phase 2/step 2). Version 2013.Google Scholar
10. Leslie, RA, Donskey, CJ, Zabarsky, TF, Parker, AE, Macinga, DR, Assadian, O. Measuring alcohol-based hand rub volume used by healthcare workers in practice. Antimicrob Resist Infect Control 2015;4:P295.CrossRefGoogle Scholar