Abstract
Although hand hygiene (HH) is the most important measure for prevention of healthcare-associated infections, its compliance among healthcare workers (HCW) is extremely low with an average of 40% (World Health Organization, WHO guidelines on hand hygiene in health care: first global patient safety challenge clean care is safer care. World Health Organization, Geneva, p 16, 2009. Hand hygiene practices among health-care workers and adherence to recommendations. Available from: http://www-ncbi-nlm-nih-gov.proxy.library.vcu.edu/books/NBK144026/. Accessed March 16, 2014) even after simplifying the procedure by replacing soap and water with alcohol-based hand rubs (ABHR) – except in the case of confirmed or suspected Clostridium difficile infection (Jabbar U, Leischner J, Kasper D et al, Infect Control Hosp Epidemiol 31:565–570, 2010).
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