Hand Washing Recommendations

Janitorial Supplies Michigan – Amerisource Industrial Supply

Excerpt from CDC Recommendations on Hand Washing

When hands are visibly dirty or contaminated with pertinacious material or are visibly soiled with blood or other body fluids, wash hands with either a non-antimicrobial soap and water or an antimicrobial soap and water. If hands are not visibly soiled, use an alcohol-based hand rub for routinely decontaminating hands in all other clinical situations described in items. Alternatively, wash hands with an antimicrobial soap and water in all clinical situations described in items. Do not add soap to a partially empty soap dispenser. This practice of “topping off” dispensers can lead to bacterial contamination of soap. No recommendation can be made regarding the routine use of non-alcohol-based hand rubs for hand hygiene in health-care settings, unresolved issue.

 Antimicrobial Spectrum and Characteristics of Hand-Hygiene Antiseptic Agents*

Group  Gram-negativebacteria

 

Mycobacterium  Fungi  Viruses  Speed of action  Comments 
Alcohols 

 

Chlorhexidine

 

 

Iodine compounds

 

 

Iodophors

 

 

Phenol derivatives

 

 

Tricolsan

 

 

Quaternary ammonium compounds

 

+++ 

 

++

 

 

+++

 

 

+++

 

 

+

 

 

++

 

 

++

 

+++ 

 

+

 

 

+++

 

 

+

 

 

+

 

 

+

 

 

 

 

+++ 

 

+

 

 

++

 

 

++

 

 

+

 

 

 

 

 

+++ 

 

+++

 

 

+++

 

 

++

 

 

+

 

 

+++

 

 

+

 

Fast 

 

Intermediate

 

 

Intermediate

 

 

Intermediate

 

 

Intermediate

 

 

Intermediate

 

 

Slow

 

Optimum concentration 60%–95%; no persistent activity 

Persistent activity; rare allergic Reactions

Causes skin burns; usually too irritating for hand hygiene

 

Less irritating than iodine; acceptance varies

Activity neutralized by nonionic Surfactants

Acceptability on hands varies

 

Used only in combination with alcohols; ecologic concerns

 

Note: +++ = excellent; ++ = good, but does not include the entire bacterial spectrum; + = fair; — = no activity or not sufficient.

  • Hexachlorophene is not included because it is no longer an accepted ingredient of hand disinfectants

http://www.cdc.gov/mmwr/PDF/rr/rr5116.pdf

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