Study: Doctors don't wash hands properly 40% of the time

Nurses Safety

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GENEVA, Switzerland, Aug. 28 (UPI) -- A study found doctors in several countries do not wash their hands properly 40 percent of the time, World Health Organization officials in Switzerland say.

Nurses had the highest compliance rates at 71 percent across all sites -- at 43 hospitals in Costa Rica, Italy, Mali, Pakistan and Saudi Arabia -- before the intervention and after the intervention.

The intervention, the WHO Clean Care is Safer Care Program, explains to doctors, nurses and all those working with patients that hand hygiene should be performed at five key moments, preferably by using an alcohol-based rub or by hand washing with soap and water if hands are visibly dirty.

The five moments for hand hygiene are:

-- Before touching a patient.

-- Before clean and aseptic procedures such as inserting devices into the body such as catheters.

-- After contact with body fluids.

-- After touching a patient.

-- After touching patient surroundings.

Healthcare-associated and hospital-acquired infections usually occur when germs are transferred by healthcare providers' hands touching the patient. The most common infections are urinary tract and surgical site infections, pneumonia and infections of the bloodstream. They are often caused by multi-drug resistant germs such as methicillin-resistant S. aureus. ...

Read more: http://www.upi.com/Health_News/2013/08/28/Study-Doctors-dont-wash-hands-properly-40-of-the-time/UPI-91061377740214/#ixzz2dsC5Ua8B

Specializes in none.

I hate how nursing professionals say "always wash your hands". At my work, we use hand sanitizer before going into a patients room and leaving the room. But, studies show hand sanitizer is ineffective after use four to five times in a row. Nurses are giving the impression that he or she is keeping patients clean and sanitary, but we health professionals know that is not the case with the hand sanitizer. Nobody takes the time anymore to wash their hands for 30 complete seconds anymore.

Be honest nurses, CNA's.. Do you really think we are protecting the spread of microorganisms with that stuff?

I hate how nursing professionals say "always wash your hands". At my work, we use hand sanitizer before going into a patients room and leaving the room. But, studies show hand sanitizer is ineffective after use four to five times in a row. Nurses are giving the impression that he or she is keeping patients clean and sanitary, but we health professionals know that is not the case with the hand sanitizer. Nobody takes the time anymore to wash their hands for 30 complete seconds anymore.

Be honest nurses, CNA's.. Do you really think we are protecting the spread of microorganisms with that stuff?

What studies are these?

Specializes in OB-Gyn/Primary Care/Ambulatory Leadership.
At my work, we use hand sanitizer before going into a patients room and leaving the room. But, studies show hand sanitizer is ineffective after use four to five times in a row.

Nope, pretty sure they don't say that. At least, not reputable studies that organizations like OSHA and CDC base their practice policies on. Hand sanitizer is as effective for hand hygiene as soap and water, with the exception of C. Difficile. The only time you need to eschew sanitizer in favor of soap and water is if your hands are visibly soiled.

Can you point us in the direction of some of these studies?

Also, 30 seconds is not necessary for general hand hygiene (i.e. not presurgical scrubbing). It's actually 15 seconds.

Specializes in Nurse Scientist-Research.
But, studies show hand sanitizer is ineffective after use four to five times in a row.

Be honest nurses, CNA's.. Do you really think we are protecting the spread of microorganisms with that stuff?

Yes, we do, based on the current evidence. If there is new evidence, we would certainly be happy to be educated. Doesn't have to be super fancy with APA formatting, but a hyperlink would be nice maybe with a quick mention of which entity or journal publication (adds credibility to your claim).

For now, I'll link to the current recommendations from the CDC & WHO. These sources do not negate the possibility of newer evidence and a possible need for revision of our practices, but this is why we nurses feel confident that alcohol gel is effective if hands are not visibly soiled or if dealing with certain specific organisms such as C.Diff.

CDC guidelines:

http://www.ajicjournal.org/article/S0196-6553%2802%2900255-9/abstract

WHO guidelines:

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Was this in the well-known journal, No Sheet Sherlock, or the fabulous, Stuff We Already Knew, or my fave, Captain Obvious Monthly?

Wooh, I read it in the Duh Times & the Nursing Journal of the Self-Explanatory, but it 1st appeared in the less humorous medical publication, The Lancet Infectious Diseases.

Specializes in none.

If that is the cdc guidelines, then I guess I am wrong. They are the best source for that type of information. That is the great thing about science: if the objective evidence says something I don't think, I have to open my mind to the best evidence.

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