For generations, handwashing with soap and water has been considered as part of personal hygiene. The concept of hand hygiene emerged in the nineteenth century when in 1822 a French pharmacist demonstrated that chlorine was eradicated all the odors associated with bodies. In 1843, an American physician Oliver Wendell Holmes concluded that puerperal fever was transmitted from patient to patient by doctors and nurses who attended, later Ignaz Semmelweis Phillip health practice imposed as washing hands before and after care of patients and managed to reduce fever puerperal significantly, creating a big impact by demonstrating the importance of hand washing in preventing disease transmission, was the first to prove scientifically the importance of washing hands with antiseptic.
In 1878, Louis Pasteur introduced his report "Germ Theory and its application in medicine and surgery" over the years scientists continued to identify bacteria and their relationship to disease. Decades later in 1961 the Public Health Service of the United States, produces a film with tips and techniques for hand washing recommended for health workers, with common sense Maimonides characteristic, with the logic of Holmes and Science Semmelweis, hand washing practices will be followed religiously by any person responsible for caring for the sick.
Types of ANTISEPTIC SOLUTIONS:
In accordance with FDA specifications substances are used as anti-microbial agents are:
1. Alcohols & Glycerine : Most alcohol-based solutions used isoprophanol, ethanol, n-propanol or combinations of two products in concentrations of 65 to 90%. Start time has faster action, not used to remove dirt.It is normally used in hand sanitizer.
2. Chlorhexidine: chlorhexidine gluconate preparations in concentrations of 0.5 to 1.0%. It has a start-up period through action and long residual effect, Six (6) hours. Is inhibited by non ionic surfactants, inorganic and organic anions.
3. Clorhoxylenol : phenolic substance halogen substitute its effectiveness is good but its greatest strength is in its low absorption through the skin. Its concentration should be between 0.3 and 3.75%.
4. Iodine : It is recognized as an excellent antiseptic but can cause irritation of the skin. Iodine solutions are presented as an alternative but requires a concentration of 8% in soaps and 10% in disinfecting solutions.
5. Triclosan : non-ionic substance to be integrated into soaps in concentrations of 0.2 to 2% acts as an antimicrobial.
VARIOUS HAND WASHING TECHNIQUES:
Hand washing is the most simple, economical and important procedure for preventing hospital infections (NI), saving up to 50% of nosocomial infections, when the procedure is performed properly by all staff.
Remove dirt, organic material and reduce the concentration of bacteria or transient flora, acquired by recent contact with patients.
Sanitation is a complementary procedure for the proper aseptic hand, if you have already removed all visible dirt, not recommended for exposure to secretions, excretions and body fluids.Destroy microorganisms in transient bacterial flora, recently acquired by direct contact with patients, family members. As long as your hands are clean and without contamination with organic material.
Decrease the concentration of bacteria of the resident flora and transient flora completely remove acquired by recent contact with patients.
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