BESC2 Hand Hygiene 508

Summary of Infection Prevention
Practices in Dental Settings:

Basic Expectations for Safe Care
MODULE 2 — Hand Hygiene
Modules in the Slide Series

1. Introduction
2. Hand Hygiene (this module)
3. Personal Protective Equipment
4. Respiratory Hygiene/Cough Etiquette
5. Sharps Safety
6. Safe Injection Practices
7. Sterilization and Disinfection of Patient-Care Items and Devices
8. Environmental Infection Prevention and Control
9. Dental Unit Water Quality
10. Program Evaluation Slide 2
Hand Hygiene Is Key for Prevention

Hand Hygiene
• Is a critical practice for preventing the transmission of
pathogens in health care settings.
• Reduces harmful microorganisms on the hands.
• Compliance with hand hygiene practices is routinely used as a
clinical performance indicator in hospital settings.
• Is expected by patients to be performed by all dental health
care personnel (DHCP).
Slide 3
Why Is Hand Hygiene Important?
Hand Hygiene
• Hands are the most common mode of
pathogen transmission.
– Reduce spread of antimicrobial resistance.
– Prevent health care-associated infections.
Slide 4
Hand Hygiene
The term “hand hygiene”
includes both handwashing
with either plain soap or
antimicrobial soap and use
of alcohol-based hand rubs
that do not require the use
of water.
Slide 5
Key Recommendations for Hand Hygiene

• Perform hand hygiene:
– When hands are visibly soiled.
– After barehanded touching of instruments, equipment, materials, and
other objects likely to be contaminated by blood, saliva, or respiratory
secretions.
– Before and after treating each patient, even if gloves are worn.
– Immediately after removing gloves.
• Use soap and water when hands are visibly soiled
(e.g., blood, body fluids). Otherwise, an alcohol-based hand
rub may be used.
Slide 6
Hand Hygiene for Routine Dental Procedures
Soap and Antimicrobial Alcohol-Based Hand

Scenario
Water Soap and Water Rub
If hands are visibly
soiled (e.g., dirt, blood, YES YES NO
body fluids).
If hands are not

visibly soiled. YES YES YES
Slide 7
Hand Hygiene for Surgical Procedures
Soap and Antimicrobial Soap and Water Followed by

Scenario
Water Alone Soap and Water Alcohol-Based Hand Rub
Surgical hand
antisepsis before NO YES YES
gloving
Note: soap and alcohol-based hand rubs should have a persistent effect and broad spectrum of activity. Slide 8
Hand Washing Technique
• Wet hands with water, apply soap,

and rub hands together for at least
15 seconds.
• Rinse hands and dry with a
disposable towel.
• Use towel to turn off faucet.
Slide 9
Using an Alcohol-Based Hand Rub
• Apply to palm of one hand and rub

hands together covering all surfaces
until dry.
• Use amount recommended by
manufacturer’s instructions.
• Do not use if hands are visibly soiled.
Slide 10
Surgical Hand Hygiene
• Antimicrobial soap—scrub hands and

forearms for length of time
recommended by manufacturer.
OR
• Alcohol-based hand rub—follow
manufacturer’s recommendations.
– Before applying, prewash hands and forearms
with nonantimicrobial soap.
Slide 11
Efficacy of Hand Hygiene Preparations in

Reducing Bacteria
Alcohol-Based Hand Rubs Are More Effective in
Killing Bacteria Than Soap and Water
GOOD BETTER BEST
REGULAR SOAP ANTIMICROBIAL SOAP ALCOHOL-BASED HAND RUB

(FOAM OR GEL)
Source: CDC Hand Hygiene Interactive Education Slide 12

Alcohol-Based Preparations
Benefits Limitations
• Rapid and effective • Cannot be used if hands are
antimicrobial action. visibly soiled.

• Must be stored away from high
• Improved skin condition.
temperatures or flames.
• More accessible than sinks. • Hand softeners and glove
powders may build up
on hands.
Slide 13
Special Hand Hygiene Considerations

• Use hand lotions to prevent skin dryness.
• Consider compatibility of hand care products with gloves (e.g.,
mineral oils and petroleum bases may cause early glove
failure).
• Keep fingernails short.
• Avoid artificial nails.
• Avoid hand jewelry that may tear gloves.
Slide 14
Reminders in the Workplace
• Reminders can be used to

prompt DHCP about the
importance of hand hygiene.
• Reminders also inform patients
about the standard of care they
should expect.
Source: Clean Hands Count Promotional Materials

Slide 15
Hand Hygiene Resources
• CDC. Guideline for Hand Hygiene in Health-Care Settings

• CDC. Guidelines for Infection Control in Dental Health-Care Settings—2003
• CDC. Hand Hygiene in Healthcare Settings website
– Hand Hygiene Training Course
– Clean Hands Count Campaign
• CDC. Summary of Infection Prevention Practices in Dental Settings: Basic Expectations
for Safe Care
Slide 16
End of Module 2
For more information, contact Centers for Disease Control and Prevention (CDC).
1-800-CDC-INFO (232-4636)
TTY:1-888-232-6348  Centers for Disease Control and Prevention (CDC)
The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the CDC.

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Summary of Infection Prevention

Practices in Dental Settings:

Modules in the Slide Series

Hand Hygiene Is Key for Prevention

Why Is Hand Hygiene Important?

Key Recommendations for Hand Hygiene

Hand Hygiene for Routine Dental Procedures

Soap and Antimicrobial Alcohol-Based Hand

If hands are not

Hand Hygiene for Surgical Procedures

Soap and Antimicrobial Soap and Water Followed by

Hand Washing Technique

• Wet hands with water, apply soap,

Using an Alcohol-Based Hand Rub

• Apply to palm of one hand and rub

Surgical Hand Hygiene

• Antimicrobial soap—scrub hands and

Efficacy of Hand Hygiene Preparations in

GOOD BETTER BEST

REGULAR SOAP ANTIMICROBIAL SOAP ALCOHOL-BASED HAND RUB

Source: CDC Hand Hygiene Interactive Education Slide 12

antimicrobial action. visibly soiled.

Special Hand Hygiene Considerations

Reminders in the Workplace

• Reminders can be used to

Source: Clean Hands Count Promotional Materials

Hand Hygiene Resources

• CDC. Guideline for Hand Hygiene in Health-Care Settings

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