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Hand & Respiratory Hygiene

  • This is one of the most important measure and major component of standard precautions to prevent and control spread of disease in health-care facilities
  • The major points in hand hygiene are as follows:
  • If hands are not visibly soiled , hand hygiene should be done using an alcohol-based hand rub, or by washing hands with soap and running water , and drying them using a single towel.
  • If hands are visibly dirty or soiled with blood or other body fluids, or if the broken skin might have been exposed to potentially infectious material, hands should be washed thoroughly with soap and water.

Soap and Water Technique

Sample Hand washing Station

RESPIRATORY HYGIENE

  • Respiratory hygiene refers to covering the mouth and nose during coughing or sneezing using (medical/surgical/N95) mask or flexed elbow , followed by hand hygiene to reduce the dispersal of respiratory secretions containing potentially infectious particles.
  • Promotion of respiratory hygiene by all health-care workers, patients and family members with Acute Respiratory Infections
  • However restrict handshaking tradition when greeting each other.
  • If performing aerosol generating procedure then use airborne precautions:
  1. Wear full set of PPE and a fluid-resistant particulate respirator(N95)
  2. Ensure adequate ventilation with controlled direction flow
  3. Keep all non-essential staff and family members away

RESPIRATORY HYGIENE

  • Respiratory hygiene refers to covering the mouth and nose during coughing or sneezing using (medical/surgical/N95) mask or flexed elbow , followed by hand hygiene to reduce the dispersal of respiratory secretions containing potentially infectious particles.
  • Promotion of respiratory hygiene by all health-care workers, patients and family members with Acute Respiratory Infections
  • However restrict handshaking tradition when greeting each other.
  • If performing aerosol generating procedure then use airborne precautions:
  1. Wear full set of PPE and a fluid-resistant particulate respirator(N95)
  2. Ensure adequate ventilation with controlled direction flow
  3. Keep all non-essential staff and family members away

Aerosol-generating procedures

  • Aerosol generating procedures may allow for  aerosol based transmission.
  • i.e. administration of nebulized medication, sputum  induction, bronchoscopy, open airway suctioning,  endotracheal intubation, non-invasive positive pressure  ventilation via tight-fitting face mask.

If performing aerosol generating  procedure then use airborne  precautions:

  1. Wear full set of PPE and a fluid-  resistant particulate respirator  (FFP2 or EN certified equivalent  or US NIOSH-certified N95).
  2. Ensure adequate ventilation with  controlled direction of flow.
  3. Keep all non-essential staff and  family members away.

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