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Principios de la Higiene de las Manos.

Los dos conjuntos principales, de las directrices sobre la Higiene de las Manos, en los centros asistenciales, estan publicadas por la Organización Mundial de la Salud (OMS ) y los Centros para el Control y Prevención de Enfermedades (CDC ). Estas directrices se han preparado para mejorar la salud y la seguridad del paciente, a través de la correcta higiene de las manos, basada en la evidencia. Cada guía es un compendio de conocimiento crítico, datos y conocimientos sobre la higiene de las manos en el campo de la medicina. Dentro de cada conjunto de directrices, estan las recomendaciones sobre la técnica de higiene de las manos , las indicaciones, los productos y la gestión para reducir de manera efectiva y sistemàtica, la propagación de la infección. Cada faceta de la higiene de las manos, se discute para garantizar las medidas de higiene preventivas y se pueden realizar en cualquier instalación, con resultados calculables.

Fundamentals of Hand Hygiene

Hand hygiene can be conducted at varying levels depending on the situation and risk of infection. This effectiveness depends on both technique and hand hygiene products. In general there are three levels which will conveniently be called, general hand hygiene, hygienic hand hygiene and surgical hand hygiene. While general hand hygiene keeps hands clean of daily dirt and grease with soap and water, hygienic hand hygiene takes cleanliness a step further by removing microorganisms that can cause infection with soap and water in combination with alcohol hand disinfection. Surgical hand hygiene is conducted on clean hands with enough alcohol hand disinfectant to keep hands wet for a certain amount of time, usually 90 to 180 seconds depending on international guidelines, to kill local microorganisms and microorganisms transferred from one’s surroundings. No-touch dispensers increase the safety of hand disinfection by preventing cross contamination.

 

Frequently Missed Areas During Handwashing

The simple act of handwashing does not guarantee all areas of the hands will be equally cleaned. Areas such as the fingertips, thumbs and in between the fingers are frequently missed during a routine handwash. This can leave the hands contaminated and possibly weaken the effect of hand disinfectants; especially the fingertips which are the most commonly used part of the hand. Extra care must be taken to wash all parts of the hands thoroughly.