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Related Concept Videos

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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Healthcare Associated Infections II: Preventive Measures01:22

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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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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...
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Handwashing III: During the Procedure and Post-Procedure Steps01:15

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To wash hands properly, follow these steps:
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Handwashing I: Introduction and Types of Equipment01:18

Handwashing I: Introduction and Types of Equipment

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Handwashing is hand hygiene with plain or antimicrobial soap and water to physically remove dirt, organic material, and microorganisms. However, it may not kill all microorganisms. The handwashing procedure requires a hand wash basin, liquid soap, paper towels, a domestic waste bin, and disposable nail cleaner as optional equipment.
Hand wash basins in clinical areas should have faucets that can be turned on and off without using the hands; that is, they should be non-touch or lever-operated....
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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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Updated: Jul 26, 2025

A Method to Test the Efficacy of Handwashing for the Removal of Emerging Infectious Pathogens
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A Method to Test the Efficacy of Handwashing for the Removal of Emerging Infectious Pathogens

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Evidence-Based Antibiotic Prophylaxis in Clean Hand Surgeries: An Educational Intervention to Decrease Use.

Kevin M McKay1, Raoul Burchette2, Jiaxiao M Shi2

  • 1Department of Orthopedic Surgery, Loma Linda University Health, Loma Linda, CA.

The Journal of Hand Surgery
|June 15, 2023
PubMed
Summary
This summary is machine-generated.

A surgeon-led program significantly reduced antibiotic prophylaxis in carpal tunnel release surgery, decreasing use from 51% to 14%. This highlights barriers to implementing evidence-based practices in surgical antibiotic use.

Keywords:
Antibiotic prophylaxiscarpal tunnel releaseclean hand surgeryeducational interventionevidence-based medicinesurgical site infectiontranslational research

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PRP as a New Approach to Prevent Infection: Preparation and In vitro Antimicrobial Properties of PRP
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Area of Science:

  • Surgical Infection Prevention
  • Evidence-Based Medicine
  • Antibiotic Stewardship

Background:

  • Prophylactic antibiotic use in clean hand surgery lacks strong evidence.
  • Surgeons frequently administer antibiotics despite limited indications.
  • Postoperative infections remain a concern in surgical procedures.

Purpose of the Study:

  • To evaluate a program aimed at reducing antibiotic prophylaxis for clean hand surgeries.
  • To identify reasons for the continued use of prophylactic antibiotics.
  • To assess the impact of an intervention on antibiotic prescribing in carpal tunnel release surgery.

Main Methods:

  • A surgeon-led intervention program was implemented across 10 medical centers over one year.
  • The program included surgeon education and monthly antibiotic use audits.
  • Carpal tunnel release served as a proxy for clean hand surgery to track antibiotic use.

Main Results:

  • Antibiotic prophylaxis use decreased from 51% to 21% during the intervention year, reaching 14% in the final month.
  • Diabetes mellitus and older surgeon age were associated with higher antibiotic use post-intervention.
  • Surgeon willingness to prescribe antibiotics correlated with patient BMI and HbA1c levels.

Conclusions:

  • A surgeon-led initiative effectively reduced prophylactic antibiotic use in carpal tunnel release.
  • Barriers to adopting evidence-based practices in surgical antibiotic prophylaxis were identified.
  • Patient factors and surgeon perceptions influence antibiotic prescribing decisions.