KRINKO Recommendation: Hand Hygiene in Healthcare Facilities
In 2016, the Commission for Hospital Hygiene and Infectious Disease Prevention (KRINKO) at the Robert Koch-Institute (RKI) updated its recommendations for hand hygiene.
In 2016, the Commission for Hospital Hygiene and Infectious Disease Prevention (KRINKO) at the Robert Koch-Institute (RKI) updated its recommendations for hand hygiene.
Science has proved the benefits of hand hygiene; however, in clinical routine, compliance with hygiene protocols often lacks. In a 2019 publication , the Geneva-based “Infection Prevention and Control” (IPC) think tank headed by Didier Pittet identifies implementation skills training as the most important element in teaching hygiene practices.
Prof. Dr. Ojan Assadian, President of the Austrian Society for Hospital Hygiene (ÖGKH) and Medical Director at the State Hospital Neunkirchen, was co-author of an expert opinion paper of the "Initiative Sicherheit im OP" (SIOP) on infection prevention in hip and knee endoprosthetics. In an interview, he provides insights into the most important points of the paper.
Every year more than half a million patients in Europe suffer surgical site infections (SSIs). Wearing two layers of surgical gloves, called double gloving, can reduce the risk of SSI and protects patients as well as healthcare staff. If damage to the top surgical glove occurs, an underglove provides a second barrier to contamination. But are two gloves really better than one? We look at the results of relevant studies.
Choosing the optimal surgical gown for each type of surgical procedure is complex. Many aspects including hygienic requirements, wearing comfort, and cost-effectiveness have to be considered, so as to optimise infection control. Recent studies show that disposable surgical gowns could offer better protection during high-risk surgeries.
Joint replacement surgeries are of significant therapeutic benefit for many patients, relieving pain and improving mobility. However, the advantages of such surgeries can be greatly hampered by orthopaedic surgical site infections (SSIs), which are associated with high patient morbidity. Reduction of the SSI-associated risk factors and strict adherence to infection control protocols before, during and after surgery are crucial to minimise infections and ensure a positive outcome.
Wound cleansing and the application of adequate phase-oriented wound dressings are an important line of defence against surgical site infections (SSI), a serious complication which affects millions of patients every year. Dressings not only act as a physical barrier to avoid wound contamination but can actively support the healing process.
Along with hygienic hand disinfection, medical gloves are an essential measure for infection control – if used correctly. Hygiene expert Dr Günter Kampf explains when and why gloves should be worn.