A hand hygiene cracker from the Christmas BMJ

The annual Christmas BMJ is always good for a laugh. This year, one of the featured articles introduces the idea of using the tune of Frère Jacques to help memorise the WHO’s six-step hand hygiene technique.

And here’s the song in action:

Continue reading

On the origin of multidrug-resistant Gram-negative bacteria (MDR-GNB)

The colour of the global crisis of antibiotic resistance is red (if te Gram stain is your reference). In rich countries we have ESBL-producing Enterobacterales (mainly E. coli), but the real problem are carbapenemase-producing strains (Klebsiella, Pseudomonas and Acinetobacter) that are already endemic in lower and middle-income countries. The unanswered question is “where did these resistant bacteria come from”? Animals or bathrooms? Continue reading

Bad things happen when you don’t do hand hygiene

This blog is usually concerned with covering the latest developments – but this post features a paper published in 1962! Have you ever wondered what would happen if you didn’t do hand hygiene? Well, this remarkable, shocking, and absolutely unrepeatable study from the 1960s gives us the answer: the result would be transmission of pathogens that can cause HCAI.

Continue reading

We need to win hearts and minds to improve hand hygiene practice

I listened to Reflections’ very own Martin Kiernan share his wisdom on the challenges around hand hygiene improvement this week, and thought I’d share my own reflections on his talk. The key point seemed to be that we have some way to go in winning the hearts and minds of our frontline clinical colleagues if we are to improve hand hygiene practice across the board.

Continue reading

Four little words…Clean care for all

Guest bloggers Claire Kilpatrick and Julie Storr (hand hygiene consultants at the WHO, @safesafersafest) post…

Three little words, behind which lay 40 years of a global aspiration. Health for all. Last year the world recommitted to Alma Ata and renewed the global focus on health as a fundamental human right. In 2019, WHO’s 5 May global hand hygiene campaign evokes the spirit of health for all with its own four words: Clean care for all. How is this relevant to infection prevention and control (IPC) on a day to day basis, particularly for the other 364 days of the year?

Continue reading

“It’s in Your Hands” – time to sing along

Friends and colleagues in Geneva have just released a song written and performed for the upcoming World Hand Hygiene Day. It’s a catchy tune with a nicely produced video – and a strong message in the chorus:

‘Hands are such a simple thing, but our hands can change most everything. Keep care safe and take a stand, clean care for all – it’s in your hands.”

Have a listen and see what you think:

That sinking feeling

3279107035_ffb4c458be_z

I’m at ECCMID in Amsterdam currently listening to a nice report of an OXA-48 Klebsiella pneumoniae outbreak in Gran Canaria in which sinks were found to be contaminated and replaced. Earlier today I listened to a nice paper on how sinks that drain slowly are more likely to contaminate the local environment for up to 1 metre from Paz Aranega Bou who, together with Ginny Moore and other colleagues has published this nice paper . So many papers on sinks now and I do wonder if we have lost sight of what they do and what they really are.

Continue reading