Cover Page

Hospital Medicine: Current Concepts

Scott A. Flanders and Sanjay Saint, Series Editors

 

Hospitalist's Guide to the Care of the Older Patient 1e

Brent C. Williams, Preeti N. Malani, David H. Wesorick, Editors, 2013

 

Inpatient Anticoagulation

Margaret C. Fang, Editor, 2011

 

Hospital Images: A Clinical Atlas

Paul B. Aronowitz, Editor, 2012

 

Becoming a Consummate Clinician: What Every Student, House Officer, and Hospital Practitioner Needs to Know

Ary L. Goldberger and Zachary D. Goldberger, Editors, 2012

 

Perioperative Medicine: Medical Consultation and Co-Management

Amir K. Jaffer and Paul J. Grant, Editors, 2012

 

Clinical Care Conundrums: Challenging Diagnoses in Hospital Medicine

James C. Pile, Thomas E. Baudendistel, and Brian J. Harte, Editors, 2013

 

Inpatient Cardiovascular Medicine

Brahmajee K. Nallamothu and Timir S. Baman, Editors 2013

 

Hospital-Based Palliative Medicine: A Practical, Evidence-Based Approach

Steven Pantilat, Wendy Anderson, Matthew Gonzales and Eric Widera, Editors, 2015

Hand Hygiene

A Handbook for Medical Professionals

 

Edited by

 

Didier Pittet

Infection Control Program and WHO Collaborating Centre on Patient Safety,
University of Geneva Hospitals and Faculty of Medicine,
Geneva, Switzerland

 

John M. Boyce

Hospital Epidemiology and Infection Control, Yale-New Haven Hospital,
and Yale University School of Medicine,
New Haven, CT, USA

 

Benedetta Allegranzi

Infection Prevention and Control Global Unit,
Department of Service Delivery and Safety,
World Health Organization, and Faculty of Medicine, University of Geneva,
Geneva, Switzerland

 

Series Editors

Scott A. Flanders, MD, MHM

Sanjay Saint, MD, MPH, FRCP

 

 

 

Wiley Logo

Contributors

Benedetta Allegranzi, Infection Prevention and Control Global Unit, Department of Service Delivery and Safety, World Health Organization, and Faculty of Medicine, University of Geneva, Geneva, Switzerland

Jaffar A. Al-Tawfiq, Saudi Aramco Medical Services Organization, Dhahran, Saudi Arabia

Hanan H. Balkhy, Infection Prevention and Control Department, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia

Fernando Bellissimo-Rodrigues, Infection Control Program and WHO Collaborating Centre on Patient Safety, University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland

Anne Marie Benedicto, The Joint Commission, Oakbrook Terrace, USA

Pascal Bonnabry, University of Geneva Hospitals and Faculty of Medicine, and Univeristy of Lausanne, Geneva and Lausanne, Switzerland

John M. Boyce, Hospital Epidemiology and Infection Control, Yale-New Haven Hospital, and Yale University School of Medicine, New Haven, USA

Barbara I. Braun, The Joint Commission, Oakbrook Terrace, USA

Enrique Castro-Sánchez, National Institute for Health Research, Health Protection Research Unit in Healthcare Associated Infection and Antimicrobial Resistance, Imperial College London, London, UK

Mark R. Chassin, The Joint Commission, Oakbrook Terrace, USA

Marie-Noëlle Chraïti, Infection Control Program and WHO Collaborating Centre on Patient Safety, University of Geneva Hospitals, Geneva, Switzerland

Lauren Clack, Division of Infectious Diseases and Infection Control, University Hospitals of Zurich, Zürich, Switzerland

Ben S. Cooper, Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand and Centre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, UK

Benjamin J. Cowling, Department of Pathology, Hong Kong Baptist Hospital, Kowloon Tong, Hong Kong SAR, China

Nizam Damani, Infection Prevention and Control, Southern Health and Social Care Trust, Portadown, and Queen's University, Belfast, UK

Katherine Ellingson, Oregon Health Authority, Public Health Division, Healthcare-Associated Infections Program, Portland, USA

Angèle Gayet-Ageron, Infection Control Program and WHO Collaborating Centre on Patient Safety, University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland

Nicholas Graves, School of Public Health and Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia

M. Lindsay Grayson, Infectious Diseases Department, Austin Hospital and University of Melbourne, Melbourne, Australia

Stephan Harbarth, Infection Control Program and WHO Collaborating Centre on Patient Safety, University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland

Alison Holmes, National Institute for Health Research, Health Protection Research Unit in Healthcare Associated Infection and Antimicrobial Resistance, Imperial College London, London, UK

Gürkan Kaya, Dermatology and Venereology Service, University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland

Claire Kilpatrick, Infection Prevention and Control Global Unit, Department of Service Delivery and Safety, World Health Organization, Geneva, Switzerland

Caroline Landelle, Infection Control Unit, Centre Hospitalier Universitaire Grenoble Alpes, and University Grenoble Alpes/CNRS, THEMAS TIM-C UMR 5525, Grenoble, France

Elaine Larson, Columbia University School of Nursing, New York, USA

Yves Longtin, Infection Control and Prevention Unit, Jewish General Hospital, and McGill University, Montreal, Canada

Nantasit Luangasanatip, Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, and School of Public Health, Queensland University of Technology, Brisbane, Australia

Jean-Christophe Lucet, Infection Control Unit, Bichat-Claude Bernard Hospital, Paris, France

Maryanne McGuckin, Patient-Centered Outcomes Research Institute, Washington, USA

Mary-Louise McLaws, Healthcare Infection and Infectious Diseases Control, University of New South Wales, Sydney, Australia

Shaheen Mehtar, Unit for Infection Prevention and Control, Division of Community Health, Stellenbosch University, Cape Town, South Africa

Ziad A. Memish, Former Deputy Health Minister, College of Medicine, Alfaisal University, Riyadh, Kingdom of Saudi Arabia

Maria Luisa Moro, Health and Social Agency Emilia-Romagna Region, Bologna, Italy

Eleanor Murray, Saïd Business School, University of Oxford, Oxford, UK

Sepideh Bagheri Nejad, Department of Service Delivery and Safety, World Health Organization, Geneva, Switzerland

Eli Perencevich, Department of Internal Medicine, University of Iowa, Carver College of Medicine, Iowa City, USA

Daniela Pires, Infection Control Programme and WHO Collaborating Centre on Patient Safety, University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland

Didier Pittet, Infection Control Program and WHO Collaborating Centre on Patient Safety, University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland

Peter Pronovost, Armstrong Institute for Patient Safety and Quality, Johns Hopkins, and Patient Safety and Quality, The Johns Hopkins University School of Medicine, Baltimore, USA

Manfred L. Rotter, Institute of Hygiene and Applied Immunology, Medical University of Vienna, Vienna, Austria

Philip L. Russo, Hand Hygiene Australia, Melbourne, Australia

Matthew Samore, Department of Epidemiology, University of Utah School of Medicine, Salt Lake City, USA

Syed A. Sattar, Department of Biochemistry, Microbiology and Immunology, Faculty of Medicine, University of Ottawa, Ottawa, Canada

Hugo Sax, Division of Infectious Diseases and Infection Control, University Hospital of Zurich, Zürich, Switzerland

Wing-Hong Seto, World Health Organization Collaborating Centre for Infectious Disease, Epidemiology and Control, School of Public Health, The University of Hong Kong, Hong Kong SAR, China

Susan E. Sheridan, World Alliance for Patient Safety, World Health Organization, Geneva, Switzerland

Joseph Solomkin, University of Cincinnati College of Medicine, Cincinnati, USA

François Stéphan, Réanimation Adulte, Centre Chirurgical Marie Lannelongue, Le Plessis Robinson, France

Andrew J. Stewardson, Infectious Diseases Department, Austin Health and Hand Hygiene Australia, Melbourne, Australia and Infection Control Program and WHO Collaborating Centre on Patient Safety, University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland

Julie Storr, Infection Prevention and Control Global Unit, Department of Service Delivery and Safety, World Health Organization, Geneva, Switzerland

Miranda Suchomel, Institute of Hygiene and Applied Immunology, Medical University of Vienna, Vienna, Austria

Andreas Voss, Radboud University Medical Centre and Canisius-Wilhelmina Hospital, Nijmegen, The Netherlands

Robert M. Wachter, Department of Medicine, University of California, and University of California San Francisco Medical Center, San Francisco, USA

Andreas F. Widmer, Division of Infectious Diseases and Hospital Epidemiology, University Hospital of Basel, Basel, Switzerland

Walter Zingg, Infection Control Program and WHO Collaborating Centre on Patient Safety, University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland

Preface

  1. Do we need another medical textbook?
  2. Does a textbook of hand hygiene exist?
  3. Does hand hygiene deserve a textbook?

These are some of the questions I asked myself when I was invited to consider such a project. I write “project,” when, in fact, I mean “journey.” Editing Hand Hygiene was a journey; in the same way, hand hygiene promotion is a journey. But what a fantastic journey it is!

Together with my dear friends and colleagues John M. Boyce and Benedetta Allegranzi, we have had the unique privilege to ask the world's pre-eminent scholars and clinicians on hand hygiene, infection control, and patient safety to contribute to the first comprehensive, single-source overview of best practices in hand hygiene. Hand Hygiene fully integrates the World Health Organization (WHO) guidelines and policies, and offers a global perspective in tackling challenges in both developed and developing countries. A total of fifty-five chapters includes coverage of basic and highly complex clinical applications of hand hygiene practices, and considers novel and unusual issues in hand hygiene, such as religious and cultural aspects, social marketing, campaigning, and patient participation. It also provides guidance on the best approaches to achieve behavioral change in healthcare workers that can also be applied in fields other than hand hygiene.

We asked authors to be concise, to review the evidence as well as what is unknown, and to highlight unique research perspectives in their own field. Each chapter reads easily and contains major issues summarized as bullet points, key figures, and tables. These are also available for download by accessing the e-version of Hand Hygiene, together with all of the instruments referenced in the book. My co-editors and I are extremely pleased by the work and commitment of the authors in this team effort, and take this opportunity to warmly thank them all.

Excellence is an attitude and excellence in hand hygiene, a journey.

May Hand Hygiene drive excellence in hand hygiene practices, research, and attitudes for many years to come, and contribute to save many more millions of lives every year worldwide.

Professor Didier Pittet, MD, MS, CBE
Infection Control Programme and World Health Organization Collaborating Centre on Patient Safety,
The University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland