An effective procedure for disinfection of the hands ofhealthcare workers based on the "7/5/2" principle for the prevention of healthcare-associated infections


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Abstract

Objective. To improve hand hygiene practice for healthcare workers in order to protect them from contamination in the performance of their professional duties and to prevent healthcare-associated infections Subjects and methods. The investigators conducted a bacteriological study of hand wipes from healthcare personnel (n=30) and carried out tests for the distribution of an antiseptic with the UV-black light handy training tool (Derma LiteCheck Box) using a disinfectant containing a fluorescent test concentrate (Visirub conc.) (n=290) after employing the procedure for disinfection of the hands of healthcare workers based on the "7/5/2"principle. Results. The procedure for disinfection of the hands of a healthcare worker based on the "7/5/2 "principle ensures even distribution of the antiseptic agent on the skin of the hands, with the greatest contrast agent accumulation in the area of the nail bones and interdigital folds, which is confirmed by a UV-blacklight fluorescent test. This bacteriological study of hand wipes from a healthcare worker showed that the skin lacked bacteria, such as Escherichia coli, Proteus, and Staphylococcus aureus, or the total bacterial number. Conclusion. The proposed procedure for disinfecting the hands of healthcare workers using the “7/5/2” principle, which is based on current approaches to antiseptic treatment, has shown its effectiveness in studies and can be recommended for use in healthcare facilities.

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About the authors

Elizaveta M. Khamatkhanova

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of the Russian Federation

Email: liz39@yandex.ru
Dr. Med. Sci., Head of the Department of Educational Simulation Technologies in Medicine

Larisa Yu. Chuchalina

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of the Russian Federation

Email: chuchalina2008@mail.ru
PhD of Medical Sciences, Head of the Methodological Accreditation and Simulation Center

Konstantin V. Titkov

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of the Russian Federation

Email: k.v.titkov@gmail.com
PhD of Medical Sciences, Director of Accreditation and Simulation Center

Galina V. Khlestova

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of the Russian Federation

Email: galina200i89@gmail.com
PhD of Medical Sciences, Doctor, Specialist of Simulation and Training Center

Nina P. Marchuk

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of the Russian Federation

Email: gmsi037@mail.ru
PhD of Medical Sciences, Deputy Head of Simulation and Training Center

Tatyana V. Priputnevich

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of the Russian Federation

Email: priputl@gmail.com
Dr. Med. Sci., Director of the Institute of Microbiology, Antimicrobial Therapy and Epidemiology

Gulnara N. Sibiryakova

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of the Russian Federation

Email: gulua08@mail.ru
epidemiologist at the Department of Clinical Epidemiology

References

  1. Всемирная организация здравоохранения. Руководство ВОЗ по гигиене рук в здравоохранении. 2013. 67 с. [WHO Guidelines on Hand Hygiene in Health Care: a Summary. 2013, 67 p. (in Russian)]. Available at: https:// apps.who.int/iris/bitstream/handle/10665/70126/WHO_IER_PSP_2009.07_ rus.pdf;jsessionid=3803F2987074E8B0DAE2C51160547F8A?sequence=21
  2. Постановление Главного государственного санитарного врача РФ от 18.05.2010 года №58 «Об утверждении СанПиН 2.1.3.2630-10 “Санитарноэпидемиологические требования к организациям, осуществляющим медицинскую деятельность”».
  3. Любимова А.В., Зуева Л.П., Голубкова А.А., Техова И.Г. Федеральные клинические рекомендации «Гигиена рук медицинского персонала». М.; 2014. 31 с. [Lyubimova A.V., Zueva L.P., Golubkova A. A., Tekhova I.G. Federal clinical guidelines "Hand hygiene of medical personnel", 2014. 31 p. (in Russian)]. Available at: http://nasci.ru/?id=3373
  4. Boyce J.M. Current issues in hand hygiene. Am. J. Infect. Control. 2019; 47(6): 46-52. https://dx.doi.org/10.1016/j.ajic.2019.03.024.
  5. Tarantini C., Brouqui P., Wilson R., Griffiths K., Patouraux P., Peretti-Watel P. Healthcare workers' attitudes towards hand-hygiene monitoring technology. J. Hosp. Infect. 2019; 102(4): 413-8. https://dx.doi.org/10.1016/j.jhin.2019.02.017.
  6. Kelcikova S., Mazuchova L., Bielena L., Filova L. Flawed self-assessment in hand hygiene: A major contributor to infections in clinical practice? J. Clin. Nurs. 2019; 28(11-12): 2265-75. https://dx.doi.org/10.1111/jocn.14823.
  7. Tartari E., Borg M., Castro-Sanchez E., Zingg W., Allegranzi B., Pittet D. Exploring institutional safety climate to promote hand hygiene: results from an international survey. In: Abstracts from the 5th International conference on prevention & infection control. Geneva; 2019 September: 10-3.
  8. Lehotsky A., Morvai J., Szilagyi L., Bansaghi S., Benko A., Haidegger T. Hand hygiene technique assessment using electronic equipment in 26 Hungarian healthcare institutions. Orv. Hetil. 2017; 158(29): 1143-8. https://dx.doi. org/10.1556/650.2017.30792.
  9. Price L., Melone L., McLarnon N., Bunyan D., Kilpatrick C., Flowers P. et al. A systematic review to evaluate the evidence base for the World Health Organization's adopted hand hygiene technique for reducing the microbial load on the hands of healthcare workers. Am. J. Infect. Control. 2018; 46(7): 814-23. https://dx.doi.org/10.1016/j.ajic.2018.01.020.
  10. Патент 2430741 C1, РФ. Голубкова А.А., Богушевич Ю.А. Способ гигиенической антисептической обработки рук по технологии «горное озеро». Заявлено 2010.04.21, опубликовано 2011.10.10. [Patent RU 2430741 C1. Golubkova A.A., Bogushevich Yu.A. Method for hygienic antiseptic treatment of hands using the" mountain lake "technology». (in Russian)]. Available at: https://yandex.ru/patents/doc/RU2430741C1_20111010
  11. Патент 2122865 C1, РФ. Лопырев В.А., Антоник Л.М., Коган А.С., Фадеева Т.В., Григорьев Е.Г., Соколов Б.Н., Шамеев А.Ю., Шуликовский В.П. «Способ обработки рук медицинского персонала, гнойных ран, инъекционных и операционных полей и стерилизации медицинского инструментария». Заявлено 1997.04.17, опубликовано 1998.12.10. Available at: https://yandex.ru/patents/doc/ RU2122865C1_19981210
  12. Национальная концепция профилактики инфекций, связанных с оказанием медицинской помощи (утверждена Главным государственным санитарным врачом Российской Федерации 06.11.2011). [National concept for the prevention of infections associated with the provision of medical care (approved by the Chief State Sanitary Doctor of the Russian Federation on November 06, 2011). (in Russian)]. Available at: https://www.garant.ru/ products/ipo/prime/doc/70000121/
  13. Постановление Главного государственного санитарного врача РФ от 09.12.2010 №163 «Об утверждении СанПиН 2.1.7.2790-10 "Санитарноэпидемиологические требования к обращению с медицинскими отходами"» (вместе с «СанПиН 2.1.7.2790-10. Санитарно-эпидемиологические правила и нормативы..»). Зарегистрировано в Минюсте РФ 17.02.2011 №19871.
  14. Шестопалов Н.В., Пантелеева Л.Г., Соколова Н.Ф., Абрамова И.М., Лукичев С.П. Федеральные клинические рекомендации по выбору химических средств дезинфекции и стерилизации для использования в медицинских организациях. М.; 2015. 67 с. [Shestopalov N.V., Panteleeva L.G., Sokolova N.F., Abramova I.M., Lukichev S.P. Federal clinical guidelines for the selection of disinfection and sterilization chemicals for use in medical organizations, 2015. 67 p. (in Russian)]. Available at: http://www.niid.ru/ documents/niid/145548/
  15. Федеральный закон от 21.11.2011 года №323-ФЗ «Об основах охраны здоровья граждан в Российской Федерации». [Federal Law No. 323-FZ of November 21, 2011 "On the Fundamentals of Health Protection of Citizens in the Russian Federation." (in Russian)]. Available at: http://www.consultant.ru/ document/cons_doc_LAW_121895/

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