If hands are not visibly soiled, alcohol based hand rub is recommended for routine hand antisepsis in healthcare settings. When handrub is not available or hands are visibly soiled, wash hands with soap and water.
Types of Hand Hygiene
Hygienic hand antisepsis consists of hygienic hand wash and hygienic handrub, and the objective is to reduce the transient microbial flora, while surgical hand antisepsis is to eliminate transient flora and reduce resident skin flora before surgical operations.
Wet hands with water and apply sufficient amount of soap necessary to cover all surfaces. Rinse hands with water and dry thoroughly with clean singleuse towel. It requires 40 to 60 seconds to achieve effective hand washing.
Apply adequate amount of alcohol based handrub and cover all surfaces of the hands. It requires 20 to 30 seconds to achieve effective hand disinfection. Soap and alcohol based handrub should not be used subsequently.
My 5 Moments
For appropriate timing of hand hygiene, the concept of 'My 5 Moments' can be utilized. Find more about My 5 Moments.
WHO Clean Care is Safer Care Campaign
To reduce medical adverse events, the WHO launched the Global Patient Safety Program in 2004. As part of its first challenge to improve patient safety worldwide, the WHO started engaging in the "Clean Care is Safer Care" program to promote hand hygiene since 2005.