An effective procedure for disinfection of the hands of healthcare workers based on the "7/5/2" principle for the prevention of healthcare-associated infections

Khamatkhanova E.M., Chuchalina L.Yu., Titkov K.V., Khlestova G.V., Marchuk N.P., Priputnevich T.V., Sibiryakova G.N.

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of the Russian Federation, Moscow, Russian Federation
Objective. To improve hand hygiene practice for healthcare workers in order to protect them from contamination in the performance of their professional duties and to prevent healthcare-associated infections
Subjects and methods. The investigators conducted a bacteriological study of hand wipes from healthcare personnel (n=30) and carried out tests for the distribution of an antiseptic with the UV-black light handy training tool (Derma LiteCheck Box) using a disinfectant containing a fluorescent test concentrate (Visirub conc.) (n=290) after employing the procedure for disinfection of the hands of healthcare workers based on the "7/5/2"principle.
Results. The procedure for disinfection of the hands of a healthcare worker based on the "7/5/2" principle ensures even distribution of the antiseptic agent on the skin of the hands, with the greatest contrast agent accumulation in the area of the nail bones and interdigital folds, which is confirmed by a UV-blacklight fluorescent test. This bacteriological study of hand wipes from a healthcare worker showed that the skin lacked bacteria, such as Escherichia coli, Proteus, and Staphylococcus aureus, or the total bacterial number.
Conclusion. The proposed procedure for disinfecting the hands of healthcare workers using the “7/5/2” principle, which is based on current approaches to antiseptic treatment, has shown its effectiveness in studies and can be recommended for use in healthcare facilities.

Keywords

hand hygiene for healthcare personnel
nosocomial infections
hand disinfection
hand treatment techniques

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Received 03.09.2020

Accepted 02.11.2020

About the Authors

Elizaveta M. Khamatkhanova, Dr. Med. Sci., Head of the Department of Educational Simulation Technologies in Medicine, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia. Tel.: +7(495)438-75-83. E-mail: liz39@yandex.ru.
4, Oparina str., Moscow, Russian Federation, 117997.
Larisa Yu. Chuchalina, PhD of Medical Sciences, Head of the Methodological Accreditation and Simulation Center, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia. Tel.: +7(495)438-75-83. E-mail: chuchalina2008@mail.ru.
4, Oparina str., Moscow, Russian Federation, 117997.
Konstantin V. Titkov, PhD of Medical Sciences, Director of Accreditation and Simulation Center, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia. Tel.: +7(495)438-75-83. E-mail: k.v.titkov@gmail.com. 4, Oparina str., Moscow, Russian Federation, 117997.
Galina V. Khlestova, PhD of Medical Sciences, Doctor, Specialist of Simulation and Training Center, Academician V.I. Kulakov National Medical Research Center
for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia. Tel.: +7(495)438-75-83. E-mail: Galina200189@gmail.com.
4, Oparina str., Moscow, Russian Federation, 117997.
Nina P. Marchuk, PhD of Medical Sciences, Deputy Head of Simulation and Training Center, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia. Tel.: +7(495)438-75-83. E-mail: gms1037@mail.ru. 4, Oparina str., Moscow, Russian Federation, 117997.
Tatyana V. Priputnevich, Dr. Med. Sci., Director of the Institute of Microbiology, Antimicrobial Therapy and Epidemiology, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia. Tel.: +7(495)438-25-10. E-mail: t_priputnevich@oparina4.ru.
4, Oparina str., Moscow, Russian Federation, 117997.
Gulnara N. Sibiryakova, epidemiologist at the Department of Clinical Epidemiology, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia. Tel.: +7(495)438-49-72. E-mail: Gulua08@mail.ru. 4, Oparina str., Moscow, Russian Federation, 117997.

For citation: Khamatkhanova E.M., Chuchalina L.Yu., Titkov K.V., Khlestova G.V., Marchuk N.P., Priputnevich T.V., Sibiryakova G.N. An effective procedure for disinfection of the hands of healthcare workers based on the "7/5/2" principle for the prevention of healthcare-associated infections.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2021; 3: 183-188 (in Russian)
https://dx.doi.org/10.18565/aig.2021.3.​183-188

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