Handrubbing with sprayed alcohol-based hand rub: an alternative method for effective hand hygiene.
Alcohol-based hand rub
EN 1500
Hand hygiene
Handrubbing
Spray application
WHO ‘How to handrub’
Journal
The Journal of hospital infection
ISSN: 1532-2939
Titre abrégé: J Hosp Infect
Pays: England
ID NLM: 8007166
Informations de publication
Date de publication:
Apr 2020
Apr 2020
Historique:
received:
01
12
2019
accepted:
10
02
2020
pubmed:
19
2
2020
medline:
14
1
2021
entrez:
19
2
2020
Statut:
ppublish
Résumé
Hand hygiene is crucial in infection prevention and control. It is unclear whether sprayed alcohol-based hand rub (ABHR) is non-inferior to the World Health Organization (WHO)-recommended method of handrubbing with poured ABHR. To test whether sprayed ABHR can be an alternative (non-inferior) method for effective hand hygiene with/without handrubbing. A laboratory experiment was conducted with ABHR (isopropanol 60% v/v) according to European Norm 1500. Hand hygiene was performed by: (1) handrubbing with ABHR poured on to the palm of the hand; (2) handrubbing with sprayed ABHR; and (3) applying sprayed ABHR to hands without handrubbing. Hands were contaminated with Escherichia coli ATCC 10536, followed by hand hygiene and microbiological sampling. A generalized linear mixed model with a random intercept per subject was used to analyse the reduction in bacterial count following hand hygiene. In total, 19 healthcare workers participated in the study. Handrubbing with sprayed ABHR was non-inferior [margin log Handrubbing with sprayed ABHR was non-inferior to handrubbing with ABHR poured on to the palm of the hand to reduce bacterial counts on hands under experimental conditions. Handrubbing with sprayed ABHR may be an acceptable alternative hand hygiene method pending assessment in other settings and for other pathogens.
Sections du résumé
BACKGROUND
BACKGROUND
Hand hygiene is crucial in infection prevention and control. It is unclear whether sprayed alcohol-based hand rub (ABHR) is non-inferior to the World Health Organization (WHO)-recommended method of handrubbing with poured ABHR.
AIM
OBJECTIVE
To test whether sprayed ABHR can be an alternative (non-inferior) method for effective hand hygiene with/without handrubbing.
METHODS
METHODS
A laboratory experiment was conducted with ABHR (isopropanol 60% v/v) according to European Norm 1500. Hand hygiene was performed by: (1) handrubbing with ABHR poured on to the palm of the hand; (2) handrubbing with sprayed ABHR; and (3) applying sprayed ABHR to hands without handrubbing. Hands were contaminated with Escherichia coli ATCC 10536, followed by hand hygiene and microbiological sampling. A generalized linear mixed model with a random intercept per subject was used to analyse the reduction in bacterial count following hand hygiene.
FINDINGS
RESULTS
In total, 19 healthcare workers participated in the study. Handrubbing with sprayed ABHR was non-inferior [margin log
CONCLUSION
CONCLUSIONS
Handrubbing with sprayed ABHR was non-inferior to handrubbing with ABHR poured on to the palm of the hand to reduce bacterial counts on hands under experimental conditions. Handrubbing with sprayed ABHR may be an acceptable alternative hand hygiene method pending assessment in other settings and for other pathogens.
Identifiants
pubmed: 32068015
pii: S0195-6701(20)30056-6
doi: 10.1016/j.jhin.2020.02.008
pii:
doi:
Substances chimiques
Ethanol
3K9958V90M
2-Propanol
ND2M416302
Types de publication
Comparative Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
430-434Informations de copyright
Copyright © 2020 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.