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. 2003 Feb;9(2):217–223. doi: 10.3201/eid0902.020249

Table 1. Definitions used to determine hand-hygiene opportunities, patient contact, and invasive proceduresa.

Hand-hygiene opportunities Patient contact Invasive procedures
Patient contact
Contact with patient’s skin
Phlebotomy
Performance of an invasive procedure
Contact with blood or body fluids
Intravenous or intramuscular injection of a medication
Placement of an intravascular device or urinary catheter
Contact with mucous membranes
Wound care
Visible soiling of hands

Urinary catheterization
Contact with body fluids


Glove removal


Contact with a likely contaminated environmental surface

aPatient contact and invasive procedure are not mutually exclusive categories.