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Updated: Jul 5, 2026

A Method to Test the Efficacy of Handwashing for the Removal of Emerging Infectious Pathogens
Published on: June 7, 2017
Evidence-based recommendations for hand hygiene for health care workers in New Zealand
Peter J Larmer1, Trish M Tillson, Faye M Scown
1School of Physiotherapy, AUT University Private Bag 92006 Auckland 1020, New Zealand. peter.larmer@aut.ac.nz
Aim:
The aim of this systematic review is to establish evidence-based recommendations for hand hygiene for health care workers in New Zealand.
Methods:
Using a systematic approach to literature searching, relevant studies were retrieved and evaluated using a standardised tool. The 23 studies that met the inclusion criteria were categorised into subgroups depending on the type of comparison: hand hygiene product; skin condition; hand drying method. A 'best-evidence synthesis' was utilised for classifying the evidence.
Results:
Included studies provided evidence to support the use of alcohol-based hand rub as the preferred hand hygiene product. There was conflicting evidence for the use of medicated or plain soap, or any particular method to dry hands.
Conclusions:
Hand hygiene is a crucial component of risk management for both health care workers and their patients. It is important that hand hygiene practice is based on the best current evidence. As a result of a systematic review, evidence-based recommendations for hand hygiene for health care workers are proposed.
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