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Title: Back to basics: hand hygiene and isolation.
Austin Authors: Huang, Gene K L;Stewardson, Andrew J;Grayson, M Lindsay 
Affiliation: Hand Hygiene Australia cDepartment of Epidemiology and Preventive Medicine, Monash University, Melbourne Department of Medicine, University of Melbourne, Victoria, Australia
Infectious Diseases
Issue Date: 1-Aug-2014
Publication information: Current Opinion in Infectious Diseases; 27(4): 379-89
Abstract: Hand hygiene and isolation are basic, but very effective, means of preventing the spread of pathogens in healthcare. Although the principle may be straightforward, this review highlights some of the controversies regarding the implementation and efficacy of these interventions.Hand hygiene compliance is an accepted measure of quality and safety in many countries. The evidence for the efficacy of hand hygiene in directly reducing rates of hospital-acquired infections has strengthened in recent years, particularly in terms of reduced rates of staphylococcal sepsis. Defining the key components of effective implementation strategies and the ideal method(s) of assessing hand hygiene compliance are dependent on a range of factors associated with the healthcare system. Although patient isolation continues to be an important strategy, particularly in outbreaks, it also has some limitations and can be associated with negative effects. Recent detailed molecular epidemiology studies of key healthcare-acquired pathogens have questioned the true efficacy of isolation, alone as an effective method for the routine prevention of disease transmission.Hand hygiene and isolation are key components of basic infection control. Recent insights into the benefits, limitations and even adverse effects of these interventions are important for their optimal implementation.
DOI: 10.1097/QCO.0000000000000080
Journal: Current Opinion in Infectious Diseases
Type: Journal Article
Appears in Collections:Journal articles

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