ClinicalThere is a statistically significant and clinically important increase in hand decontamination compliance (before patient contact, before aseptic task, after body fluid exposure and after patient contact) with the implementation of the WHO 5 moments (VERY LOW QUALITY).
It is uncertain whether there is any difference in hand decontamination compliance after contact with patient surroundings, or healthcare-associated infections with the implementation of the WHO 5 moments (VERY LOW QUALITY).
There is a statistically significant and clinically important increase in hand decontamination compliance before patient care with the implementation of the CDC 2002 hand hygiene guideline (VERY LOW QUALITY).
It is unlikely that there is any difference in hand decontamination compliance after patient care, or in catheter associated UTIs with the implementation of the CDC 2002 hand hygiene guideline (VERY LOW QUALITY).
There is a statistically significant decrease of uncertain clinical importance in central line associated blood stream infections with the implementation of the CDC 2002 hand hygiene guideline (VERY LOW QUALITY).
There is a statistically significant and clinically important increase in hand decontamination compliance and a statistically significant decrease in nosocomial infections per 1000 bed days with the implementation of the APIC hand hygiene guideline (VERY LOW QUALITY).
No studies were identified that reported colony forming units, MRSA reduction or cross infection, C. diff reduction or cross infection or removal of physical contamination.
EconomicNoncompliance with hand hygiene guidance is associated with infection-related costs (MINOR LIMITATIONS AND PARTIALLY APPLICABLE). Although compliance with hand hygiene guidelines is associated with an increase in the use of hand decontamination products (POTENTIALLY SERIOUS LIMITATIONS AND PARTIALLY APPLICABLE), it is likely that this cost will be offset by a reduction in infections and infection-related costs (MINOR LIMITATIONS AND PARTIALLY APPLICABLE).

From: 6, Standard principles for hand decontamination

Cover of Infection: Prevention and Control of Healthcare-Associated Infections in Primary and Community Care
Infection: Prevention and Control of Healthcare-Associated Infections in Primary and Community Care: Partial Update of NICE Clinical Guideline 2.
NICE Clinical Guidelines, No. 139.
National Clinical Guideline Centre (UK).
Copyright © 2012, National Clinical Guideline Centre.

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