Skin Hygiene and Infection Prevention: More of the Same or Different Approaches? (2024)

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Volume 29 Issue 5 November 1999
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Elaine Larson

Columbia University School of Nursing

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New York, New York

Reprints or correspondence: Elaine Larson, Columbia University School of Nursing, 630 West 168th Street, New York, New York 10032 (ell23@columbia.edu).

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Clinical Infectious Diseases, Volume 29, Issue 5, November 1999, Pages 1287–1294, https://doi.org/10.1086/313468

Published:

01 November 1999

Article history

Received:

09 March 1999

Revision received:

18 June 1999

Published:

01 November 1999

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    Elaine Larson, Skin Hygiene and Infection Prevention: More of the Same or Different Approaches?, Clinical Infectious Diseases, Volume 29, Issue 5, November 1999, Pages 1287–1294, https://doi.org/10.1086/313468

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Abstract

The purpose of this article is to review research indicating a link between hand hygiene and nosocomial infections and the effects of hand care practices on skin integrity and to make recommendations for potential changes in clinical practice and for further research regarding hand hygiene practices. Despite some methodological flaws and data gaps, evidence for a causal relationship between hand hygiene and reduced transmission of infections is convincing, but frequent handwashing causes skin damage, with resultant changes in microbial flora, increased skin shedding, and risk of transmission of microorganisms, suggesting that some traditional hand hygiene practices warrant reexamination. Some recommended changes in practice include use of waterless alcohol-based products rather than detergent-based antiseptics, modifications in lengthy surgical scrub protocols, and incorporation of moisturizers into skin care regimens of health care professionals.

© 1999 by the Infectious Diseases Society of America

Topic:

  • anti-infective agents, local
  • detergents
  • health personnel
  • infections
  • hygiene
  • skin
  • skin care
  • washing hands
  • infection prophylaxis

Issue Section:

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