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Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

2.8K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
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Hand hygiene01:23

Hand hygiene

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Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...
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Standard Precaution01:26

Standard Precaution

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Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
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Handwashing II: Pre-procedure and Initial Procedure Steps01:19

Handwashing II: Pre-procedure and Initial Procedure Steps

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The pre-procedure steps of handwashing include removing jewelry and rolling up sleeves. However, many organizations allow staff to wear wedding rings.
The hand washing procedure itself includes the following steps. First, cover cuts, if any, on hands with a waterproof dressing. Cuts and abrasions can become contaminated with bacteria hindering the ability to clean the area thoroughly. In addition, repeated hand washing can worsen an injury.  The nails must be short and clean, without nail...
1.0K
Handwashing III: During the Procedure and Post-Procedure Steps01:15

Handwashing III: During the Procedure and Post-Procedure Steps

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To wash hands properly, follow these steps:
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Asepsis01:28

Asepsis

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The condition of being free from disease-causing living pathogens is asepsis. Aseptic techniques include a set of standard practices to achieve asepsis. An example is the regular environmental cleaning of all parts of the healthcare facility and hand hygiene at home before preparing or eating food. Medical and surgical asepsis in healthcare practice protects patients from harmful pathogens, minimizes the risk of contamination of susceptible sites, and reduces the risk of infection transmission.
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Related Experiment Video

Updated: Aug 27, 2025

Mitigation of Blood Borne Cell Attachment to Metal Implants through CD47-Derived Peptide Immobilization
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Is Iatrogenic Implant Contamination Preventable Using a 16-Step No-Touch Protocol?

Dylan Singh1, Ruixue Zhang1, Kaitlin H Hori2

  • 1University of Hawaii, John A Burns School of Medicine, Honolulu, HI.

Eplasty
|September 26, 2022
PubMed
Summary

A no-touch surgical technique significantly reduced aesthetic breast augmentation implant infections compared to the standard approach over 18 years. This method effectively prevents contamination, lowering infection rates in breast implant surgery.

Keywords:
biofilm in implant surgerybreast augmentationbreast implant infectionchange in implant surgeryno-touch implant surgerypovidone-iodine in implant surgery glove

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Area of Science:

  • Plastic Surgery
  • Surgical Infection Prevention

Background:

  • Intraoperative contamination during aesthetic breast augmentation can lead to severe implant infections.
  • A 30-year study compared a standard surgical approach (1992-2004) with a no-touch protocol (2004-2022).

Purpose of the Study:

  • To evaluate the effectiveness of a no-touch surgical approach in reducing implant infection rates in aesthetic breast augmentation.
  • To compare infection rates between standard and no-touch techniques over a long-term period.

Main Methods:

  • A single senior surgeon performed aesthetic breast augmentations over 30 years.
  • Patients were divided into two groups: standard approach (1992-2004) and no-touch approach (2004-2022).

Main Results:

  • The no-touch approach resulted in zero implant infections.
  • The standard approach group experienced an infection rate of 3.54% (P = .017).

Conclusions:

  • The no-touch approach effectively reduced implant infection rates in aesthetic breast augmentation.
  • Further multicenter studies are needed to validate perioperative contamination causes and optimal prevention strategies.