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Int J Infect Dis. 2019 Sep;86:25-30. doi: 10.1016/j.ijid.2019.06.002. Epub 2019 Jun 9.

Hand hygiene in low- and middle-income countries.

Author information

1
Department of Infectious Diseases, Alfred Hospital and Central Clinical School, Monash University, Melbourne, Australia.
2
Infection Control Programme and WHO Collaborating Centre on Patient Safety, University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland.
3
Department of Microbiology, Zagazig University, Zagazig, Egypt.
4
Department of Social Medicine, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.
5
Institute of Global Health, Faculty of Medicine, University of Geneva, Geneva, Switzerland.
6
Infection Control Africa Network, Unit of IPC, Tygerberg Hospital, Cape Town, South Africa.
7
Infection Control Programme and WHO Collaborating Centre on Patient Safety, University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland. Electronic address: didier.pittet@hcuge.ch.

Abstract

A panel of experts was convened by the International Society for Infectious Diseases (ISID) to overview evidence based strategies to reduce the transmission of pathogens via the hands of healthcare workers and the subsequent incidence of hospital acquired infections with a focus on implementing these strategies in low- and middle-income countries. Existing data suggests that hospital patients in low- and middle-income countries are exposed to rates of healthcare associated infections at least 2-fold higher than in high income countries. In addition to the universal challenges to the implementation of effective hand hygiene strategies, hospitals in low- and middle-income countries face a range of unique barriers, including overcrowding and securing a reliable and sustainable supply of alcohol-based handrub. The WHO Multimodal Hand Hygiene Improvement Strategy and its associated resources represent an evidence-based framework for developing a locally-adapted implementation plan for hand hygiene promotion.

KEYWORDS:

Hand hygiene; Infection prevention and control; Low- and middle-income countries

PMID:
31189085
DOI:
10.1016/j.ijid.2019.06.002
[Indexed for MEDLINE]
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