Hand washingHand washingDr.Sujnanendra Mishra MD (O&G)Dr.Sujnanendra Mishra MD (O&G)

Dirty HANDS !!(see the germs in your hands)

fungusVirus

BacteriaParasites

Can you imagine ?: Hand is the perfect germ farm .

For Proper hand washing all For Proper hand washing all that you need that you need

When to Wash hands When to Wash hands

• • After using the bathroomAfter using the bathroom • • After changing a diaper — wash the diaper-After changing a diaper — wash the diaper-

wearer's hands, toowearer's hands, too • • After touching animals or animal wasteAfter touching animals or animal waste • • Before and after preparing food, especially raw Before and after preparing food, especially raw

meat, poultry or fishmeat, poultry or fish • • Before eatingBefore eating • • After blowing your noseAfter blowing your nose • • After coughing or sneezing into your handsAfter coughing or sneezing into your hands • • Before and after treating wounds or cutsBefore and after treating wounds or cuts • • Before and after touching a sick or injured personBefore and after touching a sick or injured person • • After handling garbageAfter handling garbage • • Before inserting or removing contact lensesBefore inserting or removing contact lenses • • When using public restrooms, such as those in When using public restrooms, such as those in

airports, train stations, bus stations and restaurants.airports, train stations, bus stations and restaurants.

DO YOU KNOW HOW TO WASH YOUR HANDS????DO YOU KNOW HOW TO WASH YOUR HANDS????

Wet hands with running Wet hands with running waterwater

1

Lather well with soap (regular Lather well with soap (regular soap is just as good as soap is just as good as

antibacterial soap)antibacterial soap)

2

Scrub hands thoroughly Scrub hands thoroughly (Rub vigorously ) Take at (Rub vigorously ) Take at least 15 to 20 seconds. In least 15 to 20 seconds. In

Six Stages .Six Stages .

3

Stage 1. Palm to palmStage 2. Backs of handsStage 3. Between the fingers

Stage 4. FingertipsStage 5. Thumbs and wrists Stage 6. Nails in the palm of the hand

Step3/SIX stages

Rinse with running tap Rinse with running tap water.water.

4

Dry Hands with clean Dry Hands with clean toweltowel

5

Turn off the tap with the Turn off the tap with the TowelTowel

6

Throw away the TowelThrow away the Towel

7

Hand washing ,Every Step Hand washing ,Every Step is Importantis Important

• • Scrubbing w/ soap= 2-4 log virus Scrubbing w/ soap= 2-4 log virus reductionreduction

• • Rinsing hands under running Rinsing hands under running running water increased effect in running water increased effect in removing virusesremoving viruses

• • Drying hands = 1 log virus Drying hands = 1 log virus reductionreduction

• • Cross contamination by surfaces Cross contamination by surfaces – use the towel– use the towel

Alcohol based – need at least 60% ethanolUseful in health care settings between patientsUseful on CLEAN HANDS not on DIRTY HANDSNOT USEFUL FOR KILLING ALL MICROBES .Must remain in contact for 15 – 20 seconds

A word on Hand Sanitizers

Wash so thorough that……They can’t hideThey can’t hideThey can’t hide