Antimicrobial efficacy of alcohol-based hand gels

Guilhermetti, Márcio; Wiirzler, Luiz Alexandre Marques; Facio, B. Castanheira; Furlan, Michela; Meschial, William Campo; Tognim, Maria Cristina Bronharo; Garcia, Lourdes Botelho; Cardoso, Celso Luíz

doi:10.1016/j.jhin.2009.09.019

Cited by 23 publications

(19 citation statements)

References 28 publications

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“…Several authors have evaluated the problem with hand washing and use of hand gel as an alternative (Guilhermetti et al, 2010). Although hand gel is a recommended alternative to hand washing, it should be used only when soap and water are unavailable to clean the hands.…”

Section: Discussionmentioning

confidence: 99%

The Experience of Ugandan Nurses in the Practice of Universal Precautions

Nderitu¹,

Mill²,

Richter³

2015

Journal of the Association of Nurses in AIDS Care

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In Uganda, nurses do not always practice universal precautions unless they know the patients' HIV status. In our study, focused ethnography was used to explore the experiences of Ugandan nurses in the practice of universal precautions while caring for persons living with HIV. In-depth interviews were completed with 16 participants from a variety of units at a large teaching hospital in Uganda. Although participants were knowledgeable about universal precautions, the primary challenge to the practice of universal precautions was the inadequate supply of resources, both material and human. Despite challenges, the nurses displayed an enthusiasm for their work and a dedication to provide the best possible care for patients. The findings highlight the urgent need for governments and institutions, particularly in resource-constrained countries, to develop and implement policies related to universal precaution practice and to provide a consistent supply of protective equipment to ensure that universal precautions are consistently used.

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Section: Discussionmentioning

confidence: 99%

The Experience of Ugandan Nurses in the Practice of Universal Precautions

Nderitu¹,

Mill²,

Richter³

2015

Journal of the Association of Nurses in AIDS Care

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“…Whether there is the will to introduce such changes remains unknown. Even attempts to introduce relatively small changes to what are considered to be normal practices, such as measures for improving hand hygiene, are met with resistance and poor compliance (Guilhermetti et al, 2010).…”

Section: Contrasts Between Food Processing and Healthcarementioning

confidence: 99%

The uses and abuses of rapid bioluminescence-based ATP assays

Shama

Malik

2013

International Journal of Hygiene and Environmental Health

150

121

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Bioluminescence-based ATP testing of solid surfaces has become well established in the food processing industry as part of general hazard analysis and critical control points (HACCP) measures. The rise in healthcare associated infections (HAIs) at the turn of the century focussed attention on the environment as a potential reservoir of the agents responsible for such infections. In response to the need for objective methods of assessing the efficiency of cleaning in healthcare establishments and for rapid methods for detecting the presence of the pathogens responsible for HAIs, it was proposed that ATP testing of environmental surfaces be introduced. We examine the basis behind the assumptions inherent in these proposals. Intracellular ATP levels are shown to vary between microbial taxa and according to environmental conditions. Good correlations between microbial numbers and ATP levels have been obtained under certain specific conditions, but never within healthcare settings. Notwithstanding, ATP testing may still have a role in providing reassurance that cleaning regimes are being carried out satisfactorily. However, ATP results should not be interpreted as surrogate indicators for the presence of microbial pathogens.

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“…Alcohol-based hand rubbing is the most common routine hand hygiene practice, can be easily performed anywhere at any time, and removes pathogenic microorganisms from hands effectively and quickly [4,5]. However, alcohol-based hand rubbing is not enough to prevent hand contamination by every microorganism.…”

Section: Introductionmentioning

confidence: 99%