Abstract
Hospital acquired infection has a direct effect on the quality of patient care and is therefore, a major issue in the context of clinical governance. The role of hand washing by health care workers in hospital acquired infection is discussed and recommendations made.
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Selected References
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- Ayliffe G. A., Babb J. R., Quoraishi A. H. A test for 'hygienic' hand disinfection. J Clin Pathol. 1978 Oct;31(10):923–928. doi: 10.1136/jcp.31.10.923. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Bauer T. M., Ofner E., Just H. M., Just H., Daschner F. D. An epidemiological study assessing the relative importance of airborne and direct contact transmission of microorganisms in a medical intensive care unit. J Hosp Infect. 1990 May;15(4):301–309. doi: 10.1016/0195-6701(90)90087-5. [DOI] [PubMed] [Google Scholar]
- Casewell M., Phillips I. Hands as route of transmission for Klebsiella species. Br Med J. 1977 Nov 19;2(6098):1315–1317. doi: 10.1136/bmj.2.6098.1315. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Conly J. M., Hill S., Ross J., Lertzman J., Louie T. J. Handwashing practices in an intensive care unit: the effects of an educational program and its relationship to infection rates. Am J Infect Control. 1989 Dec;17(6):330–339. doi: 10.1016/0196-6553(89)90002-3. [DOI] [PubMed] [Google Scholar]
- Emmerson A. M., Enstone J. E., Griffin M., Kelsey M. C., Smyth E. T. The Second National Prevalence Survey of infection in hospitals--overview of the results. J Hosp Infect. 1996 Mar;32(3):175–190. doi: 10.1016/s0195-6701(96)90144-9. [DOI] [PubMed] [Google Scholar]
- Emmerson A. M., Ridgway G. L. Teaching asepsis to medical students. J Hosp Infect. 1980 Dec;1(4):289–292. doi: 10.1016/0195-6701(80)90003-1. [DOI] [PubMed] [Google Scholar]
- Haley R. W., Culver D. H., White J. W., Morgan W. M., Emori T. G., Munn V. P., Hooton T. M. The efficacy of infection surveillance and control programs in preventing nosocomial infections in US hospitals. Am J Epidemiol. 1985 Feb;121(2):182–205. doi: 10.1093/oxfordjournals.aje.a113990. [DOI] [PubMed] [Google Scholar]
- Jarvis W. R. Handwashing--the Semmelweis lesson forgotten? Lancet. 1994 Nov 12;344(8933):1311–1312. doi: 10.1016/s0140-6736(94)90687-4. [DOI] [PubMed] [Google Scholar]
- Kaplan L. M., McGuckin M. Increasing handwashing compliance with more accessible sinks. Infect Control. 1986 Aug;7(8):408–410. doi: 10.1017/s019594170006464x. [DOI] [PubMed] [Google Scholar]
- Kaplan L. M., McGuckin M. Increasing handwashing compliance with more accessible sinks. Infect Control. 1986 Aug;7(8):408–410. doi: 10.1017/s019594170006464x. [DOI] [PubMed] [Google Scholar]
- Larson E. L. APIC guideline for handwashing and hand antisepsis in health care settings. Am J Infect Control. 1995 Aug;23(4):251–269. doi: 10.1016/0196-6553(95)90070-5. [DOI] [PubMed] [Google Scholar]
- Larson E. L., Bryan J. L., Adler L. M., Blane C. A multifaceted approach to changing handwashing behavior. Am J Infect Control. 1997 Feb;25(1):3–10. doi: 10.1016/s0196-6553(97)90046-8. [DOI] [PubMed] [Google Scholar]
- Larson E., McGinley K. J., Grove G. L., Leyden J. J., Talbot G. H. Physiologic, microbiologic, and seasonal effects of handwashing on the skin of health care personnel. Am J Infect Control. 1986 Apr;14(2):51–59. doi: 10.1016/0196-6553(86)90055-6. [DOI] [PubMed] [Google Scholar]
- Lohr J. A., Ingram D. L., Dudley S. M., Lawton E. L., Donowitz L. G. Hand washing in pediatric ambulatory settings. An inconsistent practice. Am J Dis Child. 1991 Oct;145(10):1198–1199. doi: 10.1001/archpedi.1991.02160100130037. [DOI] [PubMed] [Google Scholar]
- Marcil W. M. Handwashing practices among occupational therapy personnel. Am J Occup Ther. 1993 Jun;47(6):523–528. doi: 10.5014/ajot.47.6.523. [DOI] [PubMed] [Google Scholar]
- Mayer J. A., Dubbert P. M., Miller M., Burkett P. A., Chapman S. W. Increasing handwashing in an intensive care unit. Infect Control. 1986 May;7(5):259–262. doi: 10.1017/s0195941700064171. [DOI] [PubMed] [Google Scholar]
- Porter S. R., El-Maaytah M., Alfonso W., Scully C., Leung T. Cross-infection compliance of UK dental staff and students. Oral Dis. 1995 Dec;1(4):198–200. doi: 10.1111/j.1601-0825.1995.tb00185.x. [DOI] [PubMed] [Google Scholar]
- Pritchard R. C., Raper R. F. Doctors and handwashing: instilling Semmelweis' message. Med J Aust. 1996 Apr 1;164(7):389–390. doi: 10.5694/j.1326-5377.1996.tb122080.x. [DOI] [PubMed] [Google Scholar]
- Pritchard V., Hathaway C. The Journal of Infection Control Nursing. Patient handwashing practice. Nurs Times. 1988 Sep 7;84(36):68–72. [PubMed] [Google Scholar]
- Raju T. N., Kobler C. Improving handwashing habits in the newborn nurseries. Am J Med Sci. 1991 Dec;302(6):355–358. doi: 10.1097/00000441-199112000-00006. [DOI] [PubMed] [Google Scholar]
- Tibballs J. Teaching hospital medical staff to handwash. Med J Aust. 1996 Apr 1;164(7):395–398. doi: 10.5694/j.1326-5377.1996.tb124899.x. [DOI] [PubMed] [Google Scholar]
- Voss A., Widmer A. F. No time for handwashing!? Handwashing versus alcoholic rub: can we afford 100% compliance? Infect Control Hosp Epidemiol. 1997 Mar;18(3):205–208. doi: 10.1086/647590. [DOI] [PubMed] [Google Scholar]
- Wurtz R., Moye G., Jovanovic B. Handwashing machines, handwashing compliance, and potential for cross-contamination. Am J Infect Control. 1994 Aug;22(4):228–230. doi: 10.1016/0196-6553(94)99001-8. [DOI] [PubMed] [Google Scholar]
- van de Mortel T., Heyman L. Performance feedback increases the incidence of handwashing by staff following patient contact in intensive care. Aust Crit Care. 1995 Jun;8(2):8–13. doi: 10.1016/s1036-7314(95)70256-9. [DOI] [PubMed] [Google Scholar]
- van de Mortel T., Heyman L. Performance feedback increases the incidence of handwashing by staff following patient contact in intensive care. Aust Crit Care. 1995 Jun;8(2):8–13. doi: 10.1016/s1036-7314(95)70256-9. [DOI] [PubMed] [Google Scholar]
