Hand Hygiene Guidelines

CDC Guidelines

The Guideline for Hand Hygiene in Health-Care Settings provides health-care workers (HCWs) with a review of data regarding handwashing and hand antisepsis in health-care settings. In addition, it provides specific recommendations to promote improved hand-hygiene practices and reduce transmission of pathogenic microorganisms to patients and personnel in health-care settings. It provides an in-depth review of hand-hygiene practices of HCWs, levels of adherence of personnel to recommended handwashing practices, and factors adversely affecting adherence. New studies of the in vivo efficacy of alcohol-based hand rubs and the low incidence of dermatitis associated with their use are reviewed. Recent studies demonstrating the value of multidisciplinary hand-hygiene promotion programs and the potential role of alcohol-based hand rubs in improving hand-hygiene practices are summarized. Recommendations concerning related issues (e.g., the use of surgical hand antiseptics, hand lotions or creams, and wearing of artificial fingernails) are also included. Source

SHEA / APIC Guidelines

This position paper addresses all levels of care in the LTCF. The focus is specifically the LTCF, also known as the nursing home, caring for elderly or chronically ill residents. These recommendations generally also should apply to special extended care situations (such as institutions for the mentally retarded, psychiatric hospitals, pediatric LTCFs, and rehabilitation hospitals). Source


This book has been written to help you and to enlist your help in correcting a deadly situation that kills well over 100,000 people in this country each year --- more deaths than from AIDS, breast cancer, and auto accidents combined.  The death toll is staggering.  So is the economic cost.  Hospital infections add over $30 billion a year to what the nation spends on hospital care, enough to pay for a large part of the Medicare Part D drug program. These infections are almost all preventable.  An increasing number of hospitals in the U.S. are proving it, reducing some of the deadliest types of infections by 90 percent.  Their achievements prove that we have the knowledge to solve this problem. Source

HHS Action Plan

The Department of Health and Human Services (HHS) "Action Plan to Prevent Healthcare-Associated Infections" (Plan) represents a culmination of several months of research, deliberation, and public comment to identify the key actions needed to achieve and sustain progress in protecting patients from the transmission of serious, and in some cases, deadly infections. Source

World Health Organization

This manual has been developed to be a practical, basic, resource which may be used by individuals with an interest in nosocomial infections and their control, as well as those who work in nosocomial infection control in health care facilities. It is applicable to all facilities, but attempts to provide rational and attainable recommendations for facilities with relatively limited resources. The information should assist administrators, infection control personnel, and patient care workers in such facilities in the initial development of a nosocomial infection control programme, including specific components of such programmes. Additional reading in specific areas is provided in the list of WHO relevant documents and infection control texts at the end of the manual (Annex 1), as well as relevant references in each chapter. Source