- Developed and presented by the world leaders in this fundamental topic
- Fully integrates World Health Organization (WHO) guidelines and policies
- Offers a global perspective in tackling hand hygiene issues in developed and developing countries
- Coverage of basic and highly complex clinical applications of hand hygiene practices
- Includes novel and unusual aspects and issues in hand hygiene such as religious and cultural aspects and patient participation
- Offers guidance at the individual, institutional, and organizational levels for national and worldwide hygiene promotion campaigns
Table of Contents
Contributors xi
Preface xv
Foreword xvii
1. The Burden of Healthcare-Associated Infection 1
Benedetta Allegranzi, Sepideh Bagheri Nejad, and Didier Pittet
2. Historical Perspectives 8
Andrew J. Stewardson and Didier Pittet
3. Flora and Physiology of Normal Skin 12
Gürkan Kaya and Didier Pittet
4. Dynamics of Hand Transmission 18
Andrew J. Stewardson, Benedetta Allegranzi, and Didier Pittet
5. Mathematical Models of Handborne Transmission of Nosocomial Pathogens 28
Ben S. Cooper and Nantasit Luangasanatip
6. Methodological Issues in Hand Hygiene Science 36
Matthew Samore and Stephan Harbarth
7. Statistical Issues: How to Overcome the Complexity of Data Analysis in Hand Hygiene Research? 42
Angèle Gayet-Ageron and Eli Perencevich
8. Hand Hygiene Agents 51
Pascal Bonnabry and Andreas Voss
9. Methods to Evaluate the Antimicrobial Efficacy of HandHygiene Agents 58
Manfred L. Rotter, Syed A. Sattar, and Miranda Suchomel
10. Hand Hygiene Technique 70
Marie-Noëlle Chraïti and Andreas F. Widmer
11. Compliance with Hand Hygiene Best Practices 76
Benedetta Allegranzi, Andrew J. Stewardson, and Didier Pittet
12. Barriers to Compliance 85
John M. Boyce, Benedetta Allegranzi, and Didier Pittet
13. Physicians and Hand Hygiene 89
Benedetta Allegranzi, Andrew J. Stewardson, and Didier Pittet
14. Surgical Hand Preparation 94
Andreas F. Widmer and Joseph Solomkin
15. Skin Reaction to Hand Hygiene 101
Elaine Larson
16. Alcohol-Based Handrub Safety 105
John M. Boyce and M. Lindsay Grayson
17. Rinse, Gel, Foam, Soap … Selecting an Agent 109
Andreas Voss
18. Behavior and Hand Hygiene 115
Mary-Louise McLaws and Hugo Sax
19. Hand Hygiene Promotion Strategies 123
Benedetta Allegranzi and Didier Pittet
20. My Five Moments for Hand Hygiene 134
Hugo Sax, Benedetta Allegranzi, and Didier Pittet
21. System Change 144
Benedetta Allegranzi, Andreas Voss, and Didier Pittet
22. Education of Healthcare Professionals 152
Elaine Larson, Marie-Noëlle Chraïti, and Wing-Hong Seto
23. Glove Use and Hand Hygiene 156
Marie-Noëlle Chraïti, Benedetta Allegranzi, and Elaine Larson
24. Monitoring Hand Hygiene Performance 162
Hugo Sax and John M. Boyce
25. Performance Feedback 172
Andrew J. Stewardson and Hugo Sax
26. Marketing Hand Hygiene 180
Julie Storr and Hugo Sax
27. Human Factors Design 185
Lauren Clack and Hugo Sax
28. Institutional Safety Climate 193
Enrique Castro-Sánchez, Alison Holmes, and Didier Pittet
29. Personal Accountability for Hand Hygiene 201
Robert M. Wachter and Peter Pronovost
30. Patient Participation and Empowerment 206
Yves Longtin, Susan E. Sheridan, and Maryanne McGuckin
31. Religion and Hand Hygiene 216
Jaffar A. Al-Tawfiq and Ziad A. Memish
32. Hand Hygiene Promotion from the US Perspective: PuttingWHO and CDC Guidelines into Practice 221
Katherine Ellingson
33. WHO Multimodal Promotion Strategy 230
Benedetta Allegranzi and Didier Pittet
34. Monitoring Your Institution (Hand Hygiene Self-Assessment Framework) 244
Benedetta Allegranzi, Andrew J. Stewardson, and Didier Pittet
35. National Hand Hygiene Campaigns 249
Claire Kilpatrick and Julie Storr
36. Hand Hygiene Campaigning: From One Hospital to the Entire Country 256
Philip L. Russo and M. Lindsay Grayson
37. Improving Hand Hygiene through Joint Commission Accreditation and the Joint Commission Center for Transforming Healthcare 263
Mark R. Chassin, Barbara I. Braun, and Anne Marie Benedicto
38. A Worldwide WHO Hand Hygiene in Healthcare Campaign 275
Claire Kilpatrick, Julie Storr, and Benedetta Allegranzi
39. The Economic Impact of Improved Hand Hygiene 285
Nicholas Graves
40. Hand Hygiene: Key Principles for the Manager 294
Eleanor Murray, Alison Holmes, and Didier Pittet
41. Effect of Hand Hygiene on Infection Rates 299
Benedetta Allegranzi, Stephan Harbarth, and Didier Pittet
42A.Hand Hygiene in Specific Patient Populations and Situations: Critically Ill Patients 317
Caroline Landelle, Jean-Christophe Lucet, and Didier Pittet
42B. Hand Hygiene in Specific Patient Populations and Situations: Neonates and Pediatrics 324
Walter Zingg and Hanan H. Balkhy
42C. Hand Hygiene in Long-Term Care Facilities and Home Care 329
Maria Luisa Moro, Marie-Noëlle Chraïti, and Benedetta Allegranzi
42D.Hand Hygiene in Ambulatory Care 337
Marie-Noëlle Chraïti, Sepideh Bagheri Nejad, and Benedetta Allegranzi
42E. Hand Hygiene in Hemodialysis 344
Marie-Noëlle Chraïti, Sepideh Bagheri Nejad, and Benedetta Allegranzi
42F. Hand Hygiene in Specific Patient Populations and Situations: Anesthesiology 350
François Stéphan
43. Hand Hygiene in Resource-Poor Settings 357
Nizam Damani, Shaheen Mehtar, and Benedetta Allegranzi
44A. Role of Hand Hygiene in MRSA Control 367
Stephan Harbarth
44B. Role of Hand Hygiene in Clostridium difficile Control 373
John M. Boyce and Walter Zingg
44C. Role of Hand Hygiene in Respiratory Diseases Including Influenza 378
Wing Hong Seto and Benjamin J. Cowling
44D. Handborne Spread of Noroviruses and its Interruption 385
Syed A. Sattar and Yves Longtin
45. Conducting a Literature Review on Hand Hygiene 391
Daniela Pires, Fernando Bellissimo-Rodrigues, and Didier Pittet
Appendix 400
Index 409
