Hand Hygiene Practice Sub Saharan Africa, Patient Safety Implications

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Hand hygiene practice in Sub Saharan Africa, patient safety implications Outline • Introduction • Part I: The problem o Magnitude of health care-associated infection burden o Health care-associated infection in developing countries o Health care-associated infection among health-care workers • Part II: The role of hand hygiene to reduce the burden of HCAI o Transmission of health care-associated pathogens through hands Hand hygiene compliance among health-care workers o Strategies to improve hand hygiene compliance o Impact of hand hygiene promotion on health care-associated infection o Cost-effectiveness of hand hygiene promotion o Monitoring & implementations • Summary Introduction Health care-associated infection (HCAI), also referred to as “nosocomial” or “hospital” infection, is defined as: “An infection occurring in a patient during the process of care in a health-care facility which was not present or incubating at the time of admission. This includes infections acquired in the hospital but appearing after discharge, and also occupational infections among staff. Healthcare workers’ hands are the most common vehicles for the transmission of microbes, causing health care associated infections, from patient to patient and within the healthcare environment. It is estimated that 50% of health care associated infection occurs due to hand of health care providers (HCPs). Hence, hand hygiene is the leading measure for preventing the spread of antimicrobial

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