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June 2009

In this issue:

When to wash? When to handrub? video

The central message of the cleanyourhands campaign is that effective hand hygiene should be performed at the point of patient care, in accordance with the WHO Five Moments.

To help staff select the appropriate form of hand hygiene we have produced a short film about when to us soap and water and when alcohol handrub is appropriate. You can download the film from the website. (Please login before clicking on the link).

The Health Protection Agency (HPA) have released a DVD on infection control for care homes. The 'Introduction to infection control in care homes' DVD includes sections on hand hygiene, along with preventing infection, person protective equipment, prevention of exposure to blood and bodily fluids, clinical equipment, general equipment and management of laundry.

For more information and to view or download the DVD, please visit HPA's

New WHO resources

As part of the global hand hygiene initiative ‘Save Lives: Clean your hands' on the 5th May 2009, the World Health Organization (WHO) have produced a series of tools and resources to support healthcare facilities to promote improved hand hygiene.  These resources include tools for training and education and tools to help with evaluation and audit along with promotional tools such as a video to help promote hand hygiene.  The final version of the WHO Guidelines on Hand hygiene in healthcare are also available for download.


Where’s the evidence?

To help you in your search for relevant evidence, we have recently launched a database of key research articles relating to hand hygiene. This will be an ongoing piece of work with the database added to monthly. Its aim is to help healthcare staff keep access relevant evidence in hand hygiene infection prevention.

The articles have all been selected by Ronald Jonga, the campaign’s Research Associate, and can be searched by keyword, author, title, journal or category.  The evidence base can be found on the cleanyourhands website, and can be accessed by all healthcare workers and researchers looking for more information on the evidence that supports the campaign.

‘Five Moments’ workshops

We are now over halfway through the programme of workshops, and the response to date has been extremely positive so we would urge you not miss out on this opportunity!

The one-day workshop includes theoretical and practical application of the World Health Organization's (WHO) 'Five Moments for Hand Hygiene'.  It also provides a forum for any difficult questions or issues that may be faced when cascading this type of training.

The workshops are aimed at infection control leads with responsibility for training within their organisation and take the form of 'train the trainer' session. The training resources provided to delegates at the workshops, which includes a DVD on the Five Moments, have already proved valuable in implementing the approach.

09/06/2008 - Bath - Bailbrook House
11/06/2009 - Cardiff -
Thistle Hotel  

Please note that the event is free but we do not arrange any travel or accommodation for delegates.

For further information and to register, please visit the workshop's webpage.

CQC survey shows patients think hand hygiene of doctors and nurses is improving

The Care Quality Commission’s (CQC) latest inpatient survey shows continued improvements in patients saying that they think that doctors and nurses always clean their hands between touching patients.

The CQC surveyed over 72,000 people who spent at least one night in a hospital during summer 2008.

The results from this survey overall show significant improvement in the experience of patients in key areas relating to infection control.

Since 2005, when the patients were first asked about if they felt doctors and nurses were washing their hands in between patient contact, there has been continued improvement.

In 2008, 74% of respondents said that as far as they knew, doctors always cleaned their hands – an increase from 67% in 2005.  Eight per cent of respondents said that they thought doctors did not wash their hands, which has fallen from 12% in 2005.

Similarly, 76% said that as far as they knew, nurses always cleaned their hands between touching patients, which has increased from 69% in 2005. Only 4% of respondents said that they thought nurses did not wash their hands, which has fallen from 7% in 2005.

For more information on the findings, please read the CQC’s press release or the results in full.

Article review

Each month, Julie Storr and Ronald Jonga are providing an authoritative evaluation of a recent article on hand hygiene for the F1000 medicine website.

This month’s is entitled “Hand hygiene adherence is influenced by the behavior of role models” by Schneider J, Moromisato D, Zemetra B, Rizzi-Wagner L, Rivero N, Mason W, Imperial-Perez F, Ross L., published in Pediatric Critical Care Medicine May;10(3):360-3. The article shares the results of a study looking into the hypothesis that strict hand hygiene adherence by supervisor role models would improve the hand hygiene behaviour of junior staff. 

The review can be read in full at F1000 Medicine.