Hyping Hygiene Awareness

March 11, 2008 RSS Feed Print
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"Cleaner Hands, Fewer Infections? Maybe Not," [usnews.com] makes a critical point that even the single most effective intervention (in this instance, hand hygiene) alone can't solve the problem of healthcare-associated infections.

Certainly, even the best hand hygiene compliance only gets us so far. Lessons learned from our 12,000 members who manage infection prevention programs in healthcare facilities around the world tell us that to reduce the risk of infection and protect people coming in to hospitals means adopting a full range of strategies. The first step, from a facility-wide perspective, is conducting a proper risk assessment. Good infection prevention and control professionals don't just know their patients, they know their hospital, which areas are at high risk and where there may be hidden reservoirs of bacteria, be it the ER, or the OR. System-wide adoption of proper hand hygiene, contact precautions including use of gloves and gowns, and the "checklist" for device-related care that is receiving so much attention of late are among the tools known to be effective in preventing healthcare-associated infections. But without adequate resources and proper funding for infection prevention and control programs, and without the support of hospital leadership, we don't stand a chance in the war on infections. Hospital administrators must arm their infection control departments with the personnel and the dollars to implement comprehensive programs that include multiple interventions coordinated throughout the system.

Kathy L. Warye
Chief Executive Officer
Association for Professionals in Infection Control and Epidemiology
Washington

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I commend APIC and its efforts in reducing nosocomial infections. My company has been providing personal hygiene with our Hygenique system for over 45 years to acute care hospitals and consumers. Our focus has been on the cleansing of the perineal/perirectal area, using a handheld bidet and optional sitz bath. We have provided the Standard of Care to millions of patients, mainly in the area of OB/Gyn, Med-Surg, and Oncology. While we are a great supporter of hand hygiene, we also realize that is not enough. It is critical that the patient clean the perineal/perirectal area before they return to their hospital bed. Without doing so, the bacteria on the body will get on the mattress and elsewhere.

My request to APIC is that they start talking about this type of cleansing in order to break the chain of transmission of bacteria to other parts of the medical facility. The method by which the perineal/perirectal area is cleaned should be left to the judgement of the facility, even though the Hygenique received Premier's Technology Breakthrough Award for its superiority when compared to other hygiene products. To see the Hygenique, visit our website at www.hygenique.com.

Mick Anderson of CA 6:12PM April 29, 2008

Bravo Ms. Warye, well said! As a professional in the discipline of infection control since 1985, I agree. The public and the health care community needs to put prevention on their "front burner" and stop looking for the quick fix and single source for infection related problems. As our population ages and becomes more medically fragile, surviving serious illness and injuries that would have killed them just a decade ago, and as healthcare becomes more technically complex, infection control efforts grow in importance! Hand hygiene is absolutely essential for not only healthcare providers but also the patients themselves and their visitors. A little hype may help improve awareness, but let's not make it trendy. Hand hygiene needs to be a sustained effort!

Furthermore, the media can be our partner or our enemy in spread of information! The internet is full of misinformation. In this information age, we need to use and share facts, not allegations, and make policy based on scientifically-supported principles, not hype or old wives tales. Reader beware of false tales -- consider the source of what you hear and read carefully, and keep reading after the headline!

Marie Tsivitis of NY 2:52PM April 28, 2008

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