Comparison of two hand hygiene techniques in peritoneal dialysis patients

Abstract

Hand rubbing with gel-alcohol was more effective in reducing the number of colonies recovered than the other methods.

Hands hygiene and the use of gloves by nursing team in hemodialysis service

“…A study comparing the two HH techniques in peritoneal dialysis patients demonstrated that sanitation with alcohol preparation produced a greater reduction in the number of colony forming units when compared to a non-antimicrobial soap (33) .…”

Important point in those undergoing peritoneal dialysis: Treatment compliance

“…It was determined in the present study that almost all of the patients obeyed the general hygiene rules, but most of them did not wear a mask during the procedure (Table 3). When examining the published studies about following the general hygiene rules, primarily studies on hand washing have been found [17,18]. It was determined in the present study that 14.0% of those undergoing peritoneal dialysis did not wash their hands before the dialysis.…”

Hand Hygiene in Peritoneal Dialysis Patients: A Comparison of Two Techniques

“…The sequence of HH was not randomized. Colonization by CNS before HH was evaluated in a previous study (19). Different species of CNS were not evaluated, and despite the reduction of CNS colonization with AHH, changes in hand flora leading to more pathogenic strains of CNS cannot be excluded.…”

“…Peritonitis is a serious complication of PD therapy and a major cause of technique failure and death. Worldwide, gram-positive cocci have been the main agents of bacterial peritonitis, CNS being the more frequently identified micro-organism (3)(4)(5)(6)(7)19,(29)(30)(31)(32). Despite being responsible for only a small proportion of peritonitis episodes in many countries, S. aureus has been the main agent of PD peritonitis in some Latin American countries, particularly Brazil (6,32).…”

“…Because a previous study conducted in the same dialysis unit at Hospital São Lucas da PUCRS demonstrated that the CFU counts in cultures obtained from hands before HH were not significantly different from those collected after SHH, we decided not to collect samples before HH (19). The composition of the hand gel (Prolim Química Avançada, Taubaté, Brazil) used for AHH was 70% ethyl alcohol, ethanol, isopropanol, propylene glycol, acrylic thickener, emollient, and water.…”