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Guideline for Hand Hygiene in Health‐Care Settings: recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force

J. M. Boyce , MD and D. Pittet , MD
Infection Control and Hospital Epidemiology
Vol. 23, No. S12 (December 2002), pp. S3-S40
DOI: 10.1086/503164
Stable URL: http://www.jstor.org/stable/10.1086/503164
Page Count: 39
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Guideline for Hand Hygiene in Health‐Care Settings: recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force
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Abstract

Summary The Guideline for Hand Hygiene in Health‐Care Settings provides health‐care workers (HCWs) with a review of data regarding handwashing and hand antisepsis in health‐care settings. In addition, it provides specific recommendations to promote improved hand‐hygiene practices and reduce transmission of pathogenic microorganisms to patients and personnel in health‐care settings. This report reviews studies published since the 1985 CDC guideline (Garner JS, Favero MS. CDC guideline for handwashing and hospital environmental control, 1985. Infect Control 1986;7:231‐43) and the 1995 APIC guideline (Larson EL, APIC Guidelines Committee. APIC guideline for handwashing and hand antisepsis in health care settings. Am J Infect Control 1995;23:251‐69) were issued and provides an in‐depth review of hand‐hygiene practices of HCWs, levels of adherence of personnel to recommended handwashing practices, and factors adversely affecting adherence. New studies of the in vivo efficacy of alcohol‐based hand rubs and the low incidence of dermatitis associated with their use are reviewed. Recent studies demonstrating the value of multidisciplinary hand‐hygiene promotion programs and the potential role of alcohol‐based hand rubs in improving hand‐hygiene practices are summarized. Recommendations concerning related issues (e.g., the use of surgical hand antiseptics, hand lotions or creams, and wearing of artificial fingernails) are also included.

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