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Ineffectiveness of Handwashing With Lotion Soap to Remove Nosocomial Bacterial Pathogens Persisting on Fingertips: A Major Link in Their Intrahospital Spread

Published online by Cambridge University Press:  02 January 2015

Edward J. Bottone*
Affiliation:
Division of Infectious Diseases, The Mount Sinai Hospital, New York, New York
Mark Cheng
Affiliation:
Division of Infectious Diseases, The Mount Sinai Hospital, New York, New York
Saul Hymes
Affiliation:
Division of Infectious Diseases, The Mount Sinai Hospital, New York, New York
*
Division of Infectious Diseases, Box 1090, The Mount Sinai Hospital, New York, NY 10029

Abstract

The effectiveness of five 30-second handwashes with a non-antiseptic lotion soap to remove nosocomial pathogens (108 CFU) applied to fingertips was studied. CFU for all species dropped rapidly after the first handwash; persistence (10 to 15 CFU) was maintained thereafter. Wiping hands with an antiseptic (70% isopropyl or 10% povidone-iodine) sponge removed persisters.

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2004

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References

1.Reybrouck, G. Role of hands in the spread of nosocomial infections. J Hosp Infect 1983;4:103110.CrossRefGoogle ScholarPubMed
2.Simmons, B, Bryant, J, Neiman, K. The role of handwashing in prevention of endemic intensive care unit infections. Infect Control Hosp Epidemiol 1990;11:589594.Google Scholar
3.D'Amato, RF, Bottone, EJ, Amsterdam, D. Substrate profile systems for the identification of bacteria and yeasts by rapid and automated approaches. In: Balows, A, Hausler, WH Jr, Herrmann, KL, Isenberg, HD, Shadomy, HD, eds. Manual of Clinical Microbiology. Washington, DC: American Society of Microbiology; 1991:128136.Google Scholar
4.Larson, E, Rotter, ML. Handwashing: are all experimental models a substitute for clinical trials? Infect Control Hosp Epidemiol 1990;11:6366.Google Scholar
5.Larson, EL, Bryan, JL, Adler-Lee, M, Blane, C. A multifaceted approach to changing handwashing behavior. Am J Infect Control 1997;25:310.CrossRefGoogle ScholarPubMed
6.Muto, CA, Jernigan, JA, Ostrowsky, BE, et al. SHEA guideline for preventing nosocomial transmission of multidrug-resistant strains of Staphylococcus aureus and Enterococcus. Infect Control Hosp Epidemiol 2003;24:362386.CrossRefGoogle ScholarPubMed
7.Doebbeling, BN, Stanley, GL, Sheetz, CT, et al. Comparative efficacy of alternative hand washing agents in reducing nosocomial infections in intensive care units. N Engl J Med 1992;327:8893.CrossRefGoogle ScholarPubMed
8.Guillermetti, M, Hernandez, SE, Fukushigue, Y, Garda, LB, Cardoso, C. Effectiveness of hand-cleaning agents for removing methicillin-resistant Staphylococcus aureus from contaminated hands. Infect Control Hosp Epidemiol 2001;22:105108.CrossRefGoogle Scholar
9.Boyce, JM, Pittet, D. Guideline for hand hygiene in health-care settings: recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. Infect Control Hosp Epidemiol 2002;23(suppl):SlS40.Google Scholar