1.
Dirty HANDS !!(see the germs in your
hands)
fungusVirus
Bacteria
Parasites
Can you imagine ?: Hand is the
perfect germ farm .

2.
Handwashing with soap works by interrupting the transmission of disease.

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.
• protective function
• survive & multiply on skin
• not easily removed by mechanical
washing
• inactivated by topical antimicrobial
agents

5.
As per necessity to remove / reduce:
• soil / dirt / debris
• transient micro-organisms
• resident flora?

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.
http://www.mayoclinic.com/health/hand-washing/HQ00407
SOAP

7.
WATER
SOAP
HANDS

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.
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.
• 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.
MIND . If you could
see the germs you’d
wash your hands.
Water Soap
Towel

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.
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.
5 Facts Everyone Should Know about Handwashing with Soap
www.globalhandwashingday.org
June, 2009