Hygienic Hand Disinfection

  • Bulletin of Ministry of Health of the Czech Republic No. 5/2012, Guidelines on Hand Hygiene in the providing of health care

Hand hygiene

  • importance of preventing healthcare-associated infections
  • techniques:
    • hygienic handwashing
    • hygienic hand disinfection (hygienic hand antisepsis)
    • surgical hand washing (washing hands before surgical hand disinfection)
    • surgical hand disinfection (surgical hand antisepsis)

Hygienic hand disinfection (HHD)

Purpose

  • reduces the amount of transient microflora on the skin of the hand; interrupts microorganism transmission

Performed

  • as a part of barrier nursing techniques
  • as a part of hygiene filter
  • after accidental contamination of the hands by a biological material
  • in case of a rupture of the gloves during a procedure

Principles

  • rub the alcohol disinfectant into the dry skin
  • use approximately 3 mL of disinfectant
  • rub for at least 30 seconds
  • both hands should remain moist throughout the procedure
  • let hands dry naturally in the air, do not rinse nor wipe them

Procedure for rubbing the disinfectant solution during hygienic hand disinfection

  • alternate both hands
Procedure for rubbing the disinfectant solution during hygienic hand disinfection (Step 1)
Procedure for rubbing the disinfectant solution during hygienic hand disinfection (Step 1)
Procedure for rubbing the disinfectant solution during hygienic hand disinfection (Step 1)
Procedure for rubbing the disinfectant solution during hygienic hand disinfection (Step 1)
Procedure for rubbing the disinfectant solution during hygienic hand disinfection (Step 1)
Procedure for rubbing the disinfectant solution during hygienic hand disinfection (Step 1)
Procedure for rubbing the disinfectant solution during hygienic hand disinfection (Step 2)
Procedure for rubbing the disinfectant solution during hygienic hand disinfection (Step 2)
Procedure for rubbing the disinfectant solution during hygienic hand disinfection (Step 2)
Procedure for rubbing the disinfectant solution during hygienic hand disinfection (Step 2)
Procedure for rubbing the disinfectant solution during hygienic hand disinfection (Step 2)
Procedure for rubbing the disinfectant solution during hygienic hand disinfection (Step 2)
Procedure for rubbing the disinfectant solution during hygienic hand disinfection (Step 3)
Procedure for rubbing the disinfectant solution during hygienic hand disinfection (Step 3)
Procedure for rubbing the disinfectant solution during hygienic hand disinfection (Step 3)
Procedure for rubbing the disinfectant solution during hygienic hand disinfection (Step 3)
Procedure for rubbing the disinfectant solution during hygienic hand disinfection (Step 3)
Procedure for rubbing the disinfectant solution during hygienic hand disinfection (Step 3)
Procedure for rubbing the disinfectant solution during hygienic hand disinfection (Step 4)
Procedure for rubbing the disinfectant solution during hygienic hand disinfection (Step 4)
Procedure for rubbing the disinfectant solution during hygienic hand disinfection (Step 4)
Procedure for rubbing the disinfectant solution during hygienic hand disinfection (Step 4)
Procedure for rubbing the disinfectant solution during hygienic hand disinfection (Step 4)
Procedure for rubbing the disinfectant solution during hygienic hand disinfection (Step 4)
Procedure for rubbing the disinfectant solution during hygienic hand disinfection (Step 5)
Procedure for rubbing the disinfectant solution during hygienic hand disinfection (Step 5)
Procedure for rubbing the disinfectant solution during hygienic hand disinfection (Step 5)
Procedure for rubbing the disinfectant solution during hygienic hand disinfection (Step 5)
Procedure for rubbing the disinfectant solution during hygienic hand disinfection (Step 5)
Procedure for rubbing the disinfectant solution during hygienic hand disinfection (Step 5)
Procedure for rubbing the disinfectant solution during hygienic hand disinfection (Step 6)
Procedure for rubbing the disinfectant solution during hygienic hand disinfection (Step 6)
Procedure for rubbing the disinfectant solution during hygienic hand disinfection (Step 6)
Procedure for rubbing the disinfectant solution during hygienic hand disinfection (Step 6)
Procedure for rubbing the disinfectant solution during hygienic hand disinfection (Step 6)
Procedure for rubbing the disinfectant solution during hygienic hand disinfection (Step 6)
Insufficient performance of hand hygienic disinfection (testing under ultraviolet light source)
Insufficient performance of hand hygienic disinfection (testing under ultraviolet light source)
Insufficient performance of hand hygienic disinfection (testing under ultraviolet light source)
Insufficient performance of hand hygienic disinfection (testing under ultraviolet light source)
Insufficient performance of hand hygienic disinfection (testing under ultraviolet light source)
Insufficient performance of hand hygienic disinfection (testing under ultraviolet light source)

Literature