Skin tolerance and effectiveness of two hand decontamination procedures in everyday hospital use

Winnefeld, M.; Richard, M.A.; Drancourt, M.; Grob, J.J.

doi:10.1046/j.1365-2133.2000.03708.x

Cited by 62 publications

(104 citation statements)

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“…Irritated hands had significantly more colony‐forming units (CFUs) than normal hands . Total bacteria counts were higher as skin damage increased . Higher frequencies of colonization with Staphylococcus hominis , Staphylococcus aureus , gram‐negative bacteria, enterococci and Candida were found in nurses with hand dermatitis .…”

Section: Issues: Interrelationship and Impactmentioning

confidence: 95%

“…Chronic skin compromise has implications for infection control. A compromised SC barrier is more susceptible to entry/penetration by microorganisms . Irritated hands had significantly more colony‐forming units (CFUs) than normal hands .…”

Section: Issues: Interrelationship and Impactmentioning

confidence: 99%

“…Importantly, the use of AHRs with emollients resulted in improved skin condition relative to a CHG‐containing liquid cleanser and water washing among ICU nurses, that is, the condition worsened for the cleanser . An AHR (2‐propanol, 1‐propanol mixture) with moisturizers produced less skin damage than a non‐antiseptic liquid soap (glycerine, triethanol amine lauryl sulphate, cocobetaine) among parallel HCW groups after 8 days (~10 HH procedures daily) . The effectiveness of hand decontamination was better for the AHR than the soap.…”

Section: Healthcare Workers and Hand Hygienementioning

confidence: 99%

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Hand hygiene compliance and irritant dermatitis: a juxtaposition of healthcare issues

Visscher

Wickett

2012

Intern J of Cosmetic Sci

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Synopsis Reduction and prevention of health care‐associated infections is a worldwide priority with emphasis on increasing hand hygiene compliance. Repetitive exposure to hand hygiene products and procedures is a significant factor in the development of occupational irritant hand dermatitis. Compliance has been difficult to achieve often due to skin irritation. The introduction of alcohol hand rubs has positively influenced compliance but rates remain lower than required. Genetic and environmental factors to the frequency and severity of irritant contact dermatitis have been identified. Because of the skin's role in innate immunity, maintenance of epidermal integrity is a key strategy for reducing health care‐associated infections. In this review, we examine the interdependence of the two issues and the challenges of simultaneously accomplishing both goals. We emphasize research conducted among healthcare workers in their clinical settings. The factors that influence skin integrity and the challenges in meeting both goals simultaneously are explored. Cosmetic scientists have played key roles in the development of improved skin care products, and the issues present an excellent opportunity for them to provide potentially life‐saving contributions to health care.

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Section: Issues: Interrelationship and Impactmentioning

confidence: 95%

Section: Issues: Interrelationship and Impactmentioning

confidence: 99%

Section: Healthcare Workers and Hand Hygienementioning

confidence: 99%

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Hand hygiene compliance and irritant dermatitis: a juxtaposition of healthcare issues

Visscher

Wickett

2012

Intern J of Cosmetic Sci

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“…Hand washing with regular soap and water may effectively remove visible dirt and grime, but many studies have shown that bacterial counts remain substantial (38,39). Hand washing with soap and water reduces some transient bacteria by the mechanical motion of rubbing and rinsing, but the antibacterial effect on resident flora is limited despite a 2-to 5-minute hand wash (12,40,41). Soaps themselves may also become contaminated.…”

Section: Regular Soapsmentioning

confidence: 96%

“…Many preparations have added glycerol or other emollients to prevent dryness. Studies have shown that such preparations are less irritating, are better accepted for long-term use, and improve overall hand hygiene compliance (15,40,73).…”

Section: Alcohol-based Productsmentioning

confidence: 99%

Hand Hygiene in Peritoneal Dialysis

Firanek

Guest

2011

Perit Dial Int

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Effect of Antiseptic Handwashing vs Alcohol Sanitizer on Health Care–Associated Infections in Neonatal Intensive Care Units

Larson¹,

Cimiotti²,

Haas³

et al. 2005

Arch Pediatr Adolesc Med

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Infection rates and microbial counts on nurses' hands were equivalent during handwashing and alcohol phases, and nurses' skin condition was improved using alcohol. However, assessing the impact on infection rates of a single intervention is challenging because of multiple contributory factors such as patient risk, unit design, and staff behavior. Other practices such as frequency and quality of hand hygiene are likely to be as important as product in reducing risk of cross-transmission.

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Skin tolerance and effectiveness of two hand decontamination procedures in everyday hospital use

Cited by 62 publications

References 0 publications

Hand hygiene compliance and irritant dermatitis: a juxtaposition of healthcare issues

Hand hygiene compliance and irritant dermatitis: a juxtaposition of healthcare issues

Hand Hygiene in Peritoneal Dialysis

Effect of Antiseptic Handwashing vs Alcohol Sanitizer on Health Care–Associated Infections in Neonatal Intensive Care Units

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