Introduction
Hand hygiene is the most effective measure to prevent the spread of germs and reduce health care-associated infections. Its implementation in health care facilities is a key component of patient safety that requires a multimodal approach. This hand hygiene module present the WHO strategy and recommendations.
Learning objectives
- Describe the importance of hand hygiene for patient safety
- Participate in the promotion of hand hygiene in your facility
- Apply the 5 moments for hand disinfection
- Implement local production of alcohol-based hand solution
Authors
Sandrine VON GRUENIGEN, Pharmacist Pharm-Ed project manager
Reviewers
- Béatrice MATTHEY-KHOUITI , pharmaceutical operator, University Hospitals of Geneva, Switzerland
- Dr Loséni BENGALY, Chief-Pharmacist Hôpital Gabriel Touré, Bamako, Mali
- Prof. Pascal BONNABRY, Chief-Pharmacist University Hospitals of Geneva, Switzerland
- Prof. Didier PITTET, Head of Infection Control and WHO Collaborating Centre on Patient Safety, University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland
- Marie-Noëlle CHRAITI, nurse specialized in infection prevention and control, University Hospitals of Geneva, Switzerland
Here you find the main resources for this module. More resources are available to download by clicking here
Guidelines and recommendations
- WHO Guidelines on Hand Hygiene in Health Care: a Summary
- A Guide to the Implementation of the WHO Multimodal Hand Hygiene Improvement Strategy
- Guide to Local Production: WHO-recommended Handrub Formulations
- Alcohol-based Handrub Planning and Costing Tool
- Soap/Handrub Consumption Survey
Practical tools
- Tools related to production
- Production sheet (ABHR WHO formulation 1)
- production sheet WHO ABHR formulation 2 WHO (available soon)
- Commented slideshow of production steps
- Production report for ABHR WHO-formulation 1
- Production report for WHO ABHR formulation 2 (available soon)
- Component amounts based on initial alcohol concentration
- ABHR production operator training form
- ABHR bottles recycling and cleaning procedure
- Compliance and release from quarantine sheet
- Quarantine signaling sheet
- Checklist of equipment contained in WHO ABHR production and quality control kits for specialized health facilities
- Checklist of equipment contained in WHO ABHR production and quality control kits for non specialized health facilities
- Tools related to quality control
- Alcohol concentration measurement procedure
- Logbook alcohol concentration measurement
- Procedure of hydrogen peroxyde dosage by titration (specialised centres)
- Logbook hydrogen peroxyde titration
- Analytical reports for ABHR (alcoholmeter + titration)
- Hydrogen peroxyde semi-quantitative dosage procedure
- Logbook hydrogen peroxyde semi-quantitative dosage
- Analytical Report of the ABHR solution (alcoholmeter + semi-quantitative dosage)