Hygiène des mains : Questions médicales fréquentes
Nom anglais: Hand Hygiene
Descriptor UI:D063373
Tree Number:N06.850.670.150
Questions fréquentes et termes MeSH associés
Diagnostic
2
#1
Comment évaluer l'hygiène des mains dans un établissement ?
On peut évaluer l'hygiène des mains par des observations directes et des audits réguliers.
Hygiène des mainsInfections nosocomiales
#2
Quels indicateurs mesurent l'efficacité de l'hygiène des mains ?
Les indicateurs incluent le taux de conformité au lavage et la réduction des infections.
Hygiène des mainsContrôle des infections
Symptômes
2
#1
Quels symptômes indiquent une mauvaise hygiène des mains ?
Les symptômes incluent des infections cutanées, des gastro-entérites et des maladies respiratoires.
Infections cutanéesGastro-entérite
#2
Comment les infections se manifestent-elles ?
Les infections peuvent se manifester par de la fièvre, des douleurs et des rougeurs au site d'infection.
InfectionsFièvre
Prévention
2
#1
Quelles sont les meilleures pratiques d'hygiène des mains ?
Se laver les mains avec du savon et de l'eau pendant au moins 20 secondes est essentiel.
Hygiène des mainsPrévention des infections
#2
Quand faut-il se laver les mains ?
Il est crucial de se laver les mains avant de manger, après être allé aux toilettes et après contact avec des surfaces communes.
Hygiène des mainsComportements préventifs
Traitements
2
#1
Quel traitement pour une infection due à une mauvaise hygiène ?
Le traitement dépend de l'infection, mais peut inclure des antibiotiques ou des antiviraux.
AntibiotiquesInfections
#2
Comment traiter les irritations cutanées liées à l'hygiène des mains ?
Utiliser des crèmes hydratantes et éviter les irritants pour apaiser la peau.
Irritations cutanéesHydratation
Complications
2
#1
Quelles complications peuvent survenir d'une mauvaise hygiène des mains ?
Les complications incluent des infections graves, des épidémies et des résistances aux antibiotiques.
InfectionsRésistance aux antibiotiques
#2
Comment les infections nosocomiales sont-elles liées à l'hygiène des mains ?
Les infections nosocomiales sont souvent causées par une hygiène des mains insuffisante dans les établissements de santé.
Infections nosocomialesHygiène des mains
Facteurs de risque
2
#1
Quels sont les facteurs de risque d'infections liées à l'hygiène des mains ?
Les facteurs incluent le manque de formation, l'accès limité à des installations de lavage et le personnel surchargé.
Facteurs de risqueHygiène des mains
#2
Comment le milieu de travail influence-t-il l'hygiène des mains ?
Un environnement de travail encombré ou mal entretenu augmente le risque d'infections par une hygiène des mains inadéquate.
Environnement de travailHygiène des mains
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Infection Control Programme and WHO Collaborating Centre on Patient Safety, University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland. Electronic address: didier.pittet@hcuge.ch.
Infection Control Programme and WHO Collaborating Centre on Patient Safety, University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland.
Infection Control Programme and WHO Collaborating Centre on Patient Safety, University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland; Department of Infectious Diseases, Centro Hospitalar Lisboa Norte and Faculdade de Medicina da Universidade de Lisboa, Lisbon, Portugal.
Infection Control Programme and WHO Collaborating Centre on Patient Safety, University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland. Electronic address: Didier.pittet@hcuge.ch.
Annually, infections contribute to approximately 25% of the 2.8 million neonatal deaths worldwide. Over 95% of sepsis-related neonatal deaths occur in low- and middle-income countries. Hand hygiene is...
To determine the effectiveness of different hand hygiene agents for preventing neonatal infection in both community and health facility settings....
Searches were conducted without date or language limits in December 2022 in the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, Embase and Cumulated Index to Nursing and Allied Heal...
We used standard methodological procedures expected by Cochrane and the GRADE approach to assess the certainty of evidence. Primary outcomes were incidence of suspected infection (author-defined in st...
Our review included six studies: two RCTs, one cluster-RCT, and three cross-over trials. Three studies involved 3281 neonates; the remaining three did not specify the actual number of neonates include...
We found a paucity of data that would allow us to reach meaningful conclusions pertaining to the superiority of one form of antiseptic hand hygiene agent over another for the prevention of neonatal in...
Availability of alcohol-based hand rub (ABHR) dispensers at positions adapted to the work flow of healthcare workers (HCWs) is decisive in order to carry out indication-based hand rubbing. Although re...
In order to analyse the impact of the location and number of ABHR dispensers on hand hygiene performance, additional dispensers were systematically placed in patient rooms in a surgical 38-bed ward at...
The addition of dispensers increased ABHR consumption across the entire ward. Before the intervention, mean consumption was 20.6 mL/patient-day, whereas mean consumption after the intervention was 25....
ABHR consumption can be increased significantly by optimizing the position and number of dispensers. The outstanding factors are visibility and integrability of dispenser use into the work flow; in pa...
Hand hygiene has long been promoted as the most effective way to prevent the transmission of infection. However, due to low compliance and low quality of hand hygiene reported in previous studies, con...
In total, 32 participants were recruited to participate in this study. Participants were required to perform four types of hand rubbing to achieve different coverage of the alcohol-based formulation. ...
This system found promising results in terms of accuracy (93.5%) and Dice coefficient (87.1%) when observations took place 10 s after hand rubbing. At 60 s after hand rubbing, accuracy and Dice coeffi...
Thermal imaging has potential for accurate, constant and systematic monitoring of the quality of hand hygiene....
"Train-the-Trainers in hand hygiene" (TTT) is a standardized training to train infection prevention and control (IPC) practitioners with the aim to promote hand hygiene in health care according to the...
Three TTT courses were conducted annually from 2020 to 2022 in Japan. A team "TTT-Japan" composed of more than 20 IPC practitioners who completed their first TTT participation adapted the original TTT...
158 Japanese healthcare workers participated in three TTT courses, the majority of whom (131, 82.9%) were nurses. Twenty-seven local trainers were involved in 2nd and 3rd TTTs. The scores of pre- and ...
TTTs were successfully adapted and implemented in Japan, leading to sustained hand hygiene promotion activities by local trainers over three years. Further research is warranted to assess the long-ter...
Hand hygiene (HH) is the most effective way to curb the spread of healthcare-associated infections. Nonetheless, healthcare personnel encounter difficulties in adhering to WHO HH recommendations. This...
Hand hygiene is the most important way to prevent health care-associated infections. It is important for all nurses that come in physical contact with patients the most to follow hand hygiene rules....
This study aimed to determine the relationship between nurses' hand hygiene beliefs and practices and their ethical sensitivity....
This descriptive and cross-sectional study was conducted with nurses working in internal medicine, surgery and intensive care clinics of a university hospital between June and August 2022. A total of ...
Findings support that nurses have moderate ethical sensitivity (88.36 ± 26.33), good hand hygiene beliefs (85.60 ± 9.21) and practice (66.14 ± 5.90). Despite there being no statistical significance in...
It can be said that the ethical sensitivity of nurses does not affect their hand hygiene practices, and the hand hygiene and ethics education they receive after school education increases their hand h...
Procedural failures during medication administration include a lack of appropriate hand hygiene and failure to verify patient identification prior to administration of medication. Procedural failures ...
A descriptive cross-sectional research design was used to collect observational data from a simulation-based experience of a medication administration scenario....
Thirty-five senior baccalaureate nursing students from two geographically distant universities in the United States participated in the study. All of the participants made at least one procedural fail...
Students often failed to comply with medication administration safety guidelines. Nursing programs must make changes to the methods used to teach safe medication administration to prepare students for...
Healthcare-associated infections are concerning adverse events and hand hygiene is considered an essential preventive measure. The objective of the present study was to assess the effect of a correct ...
A cross-sectional study was performed by means of direct observation involving 60 Intensive Care Units (ICU) and clinical nursing professionals in a Brazilian hospital. Observations were performed in ...
Hand hygiene adherence rate was 63.3%. However, only 13.3% of the professionals performed the correct 3-step hand hygiene technique regarding steps and time. Sixty-five microorganisms were isolated, a...
Overall correct hand hygiene technique was poor. The results indicated the presence of potentially pathogenic microorganisms at moments in which hand hygiene was mandatory but was not executed or was ...
Hand hygiene is an important measure to prevent disease transmission....
To summarise current international guideline recommendations for hand hygiene in community settings and to assess to what extent they are consistent and evidence based....
We included international guidelines with one or more recommendations on hand hygiene in community settings-categorised as domestic, public or institutional-published by international organisations, i...
To identify relevant guidelines, we searched the WHO Institutional Repository for Information Sharing Database, Google, websites of international organisations, and contacted expert organisations and ...
Recommendations were mapped to four areas related to hand hygiene: (1) effective hand hygiene; (2) minimum requirements; (3) behaviour change and (4) government measures. Recommendations were assessed...
We identified 51 guidelines containing 923 recommendations published between 1999 and 2021 by multilateral agencies and international non-governmental organisations. Handwashing with soap is consisten...
While current international guidelines consistently recommend handwashing with soap across community settings, there remain gaps in recommendations where clear evidence-based guidance might support mo...
Hand hygiene in nurses is the most effective factor in controlling nosocomial infections. The objective of this study was to assess the effectiveness of motivational interviews and teach-back on the r...
A quasi-experimental study with pre-test and post-test design was performed. Three Intensive Care Units with 88 nurses were randomly divided into three study groups. The control group received only th...
There was a statistically significant difference for the rate of hand hygiene compliance before and after the intervention in the study groups with p < 0.001. In comparison before and after, in experi...
Motivational interview and teach back methods were effective in promoting hand hygiene compliance in nurses and thus improve the control of nosocomial infections....