Endoscopy 2013; 45(06): 416-418
DOI: 10.1055/s-0033-1344122
Editorial
© Georg Thieme Verlag KG Stuttgart · New York

Hand hygiene – an underestimated issue in endoscopy?

U. Beilenhoff
Scientific Secretariat, European Society of Gastroenterology and Endoscopy Nurses and Associates, Ulm, Germany
› Author Affiliations
Further Information

Publication History

Publication Date:
03 June 2013 (online)

Introduction

Nosocomial infections, also known as hospital-acquired infections, jeopardize patient safety and the quality of medical care worldwide. This global problem leads to significant mortality and a financial burden on virtually all economies.

Healthcare workers’ hands are the most likely vehicles for the transmission of pathogens from one patient to another, from the healthcare environment to a patient, and/or from staff to patients. Since Semmelweis’ day, it has been known that hand hygiene among healthcare workers is the simplest and most important measure to prevent the transmission of nosocomial infections. However, compliance with prescribed hand hygiene measures is often very poor [1] [2] [3].

In this issue of Endoscopy, Santos et al. address this topic in their evaluation of the impact of education interventions on hand hygiene compliance among endoscopy personnel [4].

 
  • References

  • 1 World Health Organization. WHO guidelines on hand hygiene in health care: first global patient safety challenge: Clean care is safer care. 2009 http://www.who.int/gpsc/en/ Accessed: 10 April 2013
  • 2 World Health Organization (WHO). Report on the burden of endemic health care-associated infection worldwide: a systematic review of the literature. Geneva: World Health Organization; 2011
  • 3 Erasmus V, Daha TJ, Brug H et al. Systematic review of studies on compliance with hand hygiene guidelines in hospital care. Infect Control Hosp Epidemiol 2010; 31: 283-294
  • 4 Santos LY, Souza Dias MB, Borrasca VL et al. Improving hand hygiene adherence in an endoscopy unit. Endoscopy 2013; 45: 416-418
  • 5 Spach DH, Silverstein FE, Stamm WE. Transmission of infection by gastrointestinal endoscopy. Ann Intern Med 1993; 118: 117-128
  • 6 Council of Europe. Guide to the preparation, use and quality assurance of blood components. 6th. edn. Strasbourg: Council of Europe; 2000
  • 7 Majumdar D, Roa JG, Kapur K et al. Recurrent methicillin-resistant Staphylococcus aureus septicaemia and pacemaker-lead-associated endocarditis following diagnostic gastroscopy. Gut 2010; 59: 277-278
  • 8 Mancao M, Estrade B, Wilson F et al. Methicillin-resistant Staphylococcus aureus hepatic abscess in a patient with sickle-cell disease. Int J Lab Hematol 2007; 29: 474-477
  • 9 Jung M. MRSA and endoscopy – a negligible topic?. Endoskopie Heute 2012; 25: 126-129
  • 10 von Baum H, Ober JF, Wendt C et al. Antibiotic-resistant bloodstream infections in hospitalized patients. Specific risk factors in a high-risk population?. Infection 2005; 33: 320-326
  • 11 Kampf G. Clostridium difficile – what should be considered for an effective disinfection [in German]?. Hygiene und Medizin 2008; 33: 153-159
  • 12 Pittet D, Hugonnet S, Harbarth S et al. Effectiveness of a hospitalwide programme to improve compliance with hand hygiene. Infection Control Programme. Lancet 2000; 356: 1307-1312
  • 13 Sax H, Uckay I, Richet H et al. Determinants of good adherence to hand hygiene among healthcare workers who have extensive exposure to hand hygiene campaigns. Infect Control Hosp Epidemiol 2007; 28: 1267-1274