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Handwashing ( global handwashing day )

Every year, more than 3.5 million children do not live to celebrate their fifth birthday because of diarrhea and pneumonia.
Handwashing with soap is among the most effective and inexpensive ways to prevent diarrheal diseases and pneumonia,despite its lifesaving potential, handwashing with soap is seldom practiced and not always easy to promote.

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Handwashing ( global handwashing day )

  1. 1. Dirty HANDS !!(see the germs in your hands) fungusVirus Bacteria Parasites Can you imagine ?: Hand is the perfect germ farm .
  2. 2. Handwashing with soap works by interrupting the transmission of disease.
  3. 3. • All micro-organisms found on hands are capable of colonising susceptible sites e.g. wounds, intravascular devices • Multiplication of micro-organisms at susceptible sites may lead to local/systemic infection
  4. 4. • protective function • survive & multiply on skin • not easily removed by mechanical washing • inactivated by topical antimicrobial agents
  5. 5. As per necessity to remove / reduce: • soil / dirt / debris • transient micro-organisms • resident flora?
  6. 6. Keep in mind that antibacterial soap is no more effective at killing germs than is regular soap. Using antibacterial soap may even lead to the development of bacteria that are resistant to the product's antimicrobial agents — making it harder to kill these germs in the future. SOAP
  8. 8. HANDWASH (social/routine) HAND ANTISEPSIS (hygienic wash) SURGICAL SCRUB I. before/after routine patient contact II. before handling/ eating food III. before aseptic procedures e.g. wound care IV. after bed-making V. after glove removal VI. after using toilet VII. after contact with : blood/body fluids/ contaminated equipment /environment I. before invasive procedures II. before care of susceptible patients III.before leaving source isolation IV. before care of immunocompromised patients V. when persistent antimicrobial activity is necessary e.g. ITU I. prior to any surgical (operative) procedure
  9. 9. Hand antisepsis Remove or destroy Antimicrobial (hygienic) transient soap/detergent micro-organisms or alcohol based hand-rub for at least 10-15 seconds TYPE OBJECTIVE METHOD Handwash Removal of soil/dirt Soap or detergent (social/routine) and transient micro- organisms Surgical hand scrub Remove or destroy Antimicrobial soap/ transient micro- detergent with brush organisms to achieve friction Reduce resident flora for at least 120 seconds OR alcohol-based hand-rub for at least 20 seconds
  10. 10. • After using the bathroom • After changing a diaper — wash the diaper-wearer's hands, too • After touching animals or animal waste • Before and after preparing food, especially raw meat, poultry or fish • Before eating • After blowing your nose • After coughing or sneezing into your hands • Before and after treating wounds or cuts • Before and after touching a sick or injured person • After handling garbage • Before inserting or removing contact lenses • When using public restrooms, such as those in airports, train stations, bus stations and restaurants
  11. 11. MIND . If you could see the germs you’d wash your hands. Water Soap Towel
  12. 12. Stage 1. Palm to palm Stage 2. Backs of hands Stage 3. Between the fingers Stage 4. Fingertips Stage 5. Thumbs and wrists Stage 6. Nails in the palm of the hand Step 4 SIX stages
  13. 13. Alcohol based – need at least 60% ethanol Useful in health care settings between patients Useful on CLEAN HANDS not on DIRTY HANDS NOT USEFUL FOR KILLING ALL MICROBES . Must remain in contact for 15 – 20 seconds A word on Hand Sanitizers
  14. 14. 5 Facts Everyone Should Know about Handwashing with Soap June, 2009