The Trojan Horse

Trojan_horse_ÇanakkaleI’ve been mulling over the issue of sinks in clinical areas a lot recently and a paper published today in the Journal of Hospital Infection has really crystallised my thoughts. Sinks are everywhere; often extra ones are installed in the quest for high hand hygiene compliance however are we really thinking about the risks that these may cause apart from the traditional ones posed by Pseudomonas and Legionella? Do we even really reflect upon what they are used for? Continue reading

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The ‘Cinderella’ Moment for Hand Hygiene

It probably has not escaped your attention that it’s World Hand Hygiene Day tomorrow, on the 5th of May. This year, it’s a double-header focussing on hand hygiene and sepsis, under the theme: “Sepsis – it’s in your hands.” But, which is the ‘Cinderella’ Moment for Hand Hygiene? Moment 5, of course: following contact with the patient environment.

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Hand hygiene compliance: we’re kidding ourselves

I’d like to direct your attention to a flurry of fairly recent correspondence in the Journal of Hospital Infection around whether the high levels of hand hygiene compliance commonly reported in England are realistic and useful.1-5

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Back to the floor..

flooringA little while ago I blogged about the excellent study from Nottingham that demonstrated significant VRE and MRSA contamination on socks used to prevent falls in the hospitalised elderly. This has been followed by another paper suggesting that shoe coverings undurprisingly become contaminated. So, what? How does this really impact on transmission? A new study from Curtis Donskey’s group has looked at hand contamination in patients directly relating to floor contamination. Continue reading

Hand hygiene in healthcare (or the lack of it)

Schermafbeelding 2016-05-19 om 12.01.35I had posted about Sanjay Saint’s great TED talk. He now wrote an article for the general public – based on his talk: “Hand washing stops infections, so why do health care workers skip it?”

While I am a big fan of hand rubbing (we don’t have the time to hand wash) I still feature his picture he included in his article. Have fun reading his article:
https://theconversation.com/hand-washing-stops-infections-so-why-do-health-care-workers-skip-it-58763

Do we need new models of hand hygiene for anaesthetists?

anaesthetists

In honour of #safesurgicalhands day, I thought I would highlight a shocking fairly recent study of hand hygiene compliance among anaesthetists. The study identified a huge number of hand hygiene opportunities during the delivery of anaesthesia (149 per hour on average) – in fact, it would have consumed more than an hour of each anaesthetists time! Importantly, the observation was done via video camera, so is probably a better reflection of actual compliance. It is little surprise then that the hand hygiene compliance rate was so low (a dire 2.9%). So, before berating our anaesthetic colleagues, we may need to think of some new models of defining critical control points related to hand hygiene for this specialist group. And then berate them (with love and support) for failing to meet them!

Image credit: youtube.

Hand hygiene – social norms and compassion

Schermafbeelding 2016-04-26 om 21.00.15

I just saw Sanjay Saint’s TEDx UofM-talk and have to say that I was impressed. The message is clear, the characters portrayed recognizable, and the conclusion something we all have to agree with. I “love” his final thoughts (and if you watch the talk to the end you know why I used “love”) and I share his views on compassion. Intentionally we branded our campaign for better infection control as “iCare”.Schermafbeelding 2016-04-26 om 21.02.03

Hope you enjoy Sanjay’s talk as much as I did: http://www.youtube.com/watch?v=U3MtvvNjUR4&sns=em