• SHASHI PRAKASH
• MANDEEP M H MADIA
• NIDHI
• KAVITA MEENA
• PRADYOT PRAKASH

Handwashing the most important measure to prevent cross-transmission of nosocomial infections.1However,under routine hospital practice compliance with this measure is still unacceptably low, less than 50% in most studies published in the past 20 years.2,3This constant finding is worrying because recent studies have shown that this level of compliance will not reduce the risk of transmission of multiresistant bacteria in the hospital.4 Attempts to improve compliance have included increasing the number of accessible sinks5 and educating healthcare workers,6,7 but none of these interventions led to a marked and sustained improvement in compliance. Hand-rubbing with alcohol-based, waterless hand antiseptic seems to be the best method of increasing compliance with hand hygiene. Recent studies have shown a significant improvement in compliance after the introduction of hand-rubbing as a substitute for handwashing with plain soap and water.7,8Now we are practising hand washing with soap and dried with hand dryer then take alcohol based hand rubbing solution to increases the compliance for the health worker. However, the introduction of this new method as a substitute to standard handwashing after decades of enforcement of the latter can be a real challenge for infection control teams. Despite showing healthcare workers that only half of the opportunities of handwashing are completed, mainly because of lack of time, and that compliance can be improved by hand-rubbing, staff may be reluctant to use it. We surveyed in a representative sample of 500 healthcare workers in our hospital. The main reason raised for not adhering to the recommendation to use hand-rubbing was the lack of confidence in its efficacy.9It seems there is still a reluctance to accept hand-rubbing as a substitute for handwashing, even among some infection control practitioners. There is growing evidence from experimental studies on artificial contamination of volunteer’s hands that hand-rubbing is at least as effective as handwashing with either unmedicated soap or antiseptic agent.3To our knowledge only two clinical studies, one observational study and one randomised controlled trial, have evaluated handwashing with plain soap versus hand-rubbing in everyday practice, and both studies showed positive results in favour of handrubbing.10,11One randomised clinical study compared handwashing with an antiseptic soap versus hand-rubbing with an alcohol-based solution with the assessment of skin tolerance as the primary objective.12Hand-rubbing was better tolerated than handwashing and achieved comparable reduction in bacterial contamination. We performed a randomised clinical trial to assess the efficacy of an alcohol-based solution after handwashing with soap and dried, compared with standard handwashing with soap and only alcohol-based solution reducing hand contamination during routine patient care.

hand hygiene,alcohol rub,multi resistant bacterial infections,reduction in microbes

"A Comparative Study To See The Efficacy Of Hand-Rubbing With Alcohol-Based Solution, Standard Handwashing With Soap And Handwashing With Soap Plus Alcohol-Based Solution: A Randomised Clinical Trial", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.6, Issue 6, page no.48-58, June 2019, Available :http://www.jetir.org/papers/JETIR1907U46.pdf

"A Comparative Study To See The Efficacy Of Hand-Rubbing With Alcohol-Based Solution, Standard Handwashing With Soap And Handwashing With Soap Plus Alcohol-Based Solution: A Randomised Clinical Trial", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.6, Issue 6, page no. pp48-58, June 2019, Available at : http://www.jetir.org/papers/JETIR1907U46.pdf