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Within the Challenge framework, international infection control experts and consultative taskforces met to develop new WHO Guidelines on Hand Hygiene in Healthcare.
When possible, we classified hand hygiene promotion activities according to WHO guidelines on hand hygiene in healthcare.
More recently, the WHO "guidelines" on hand hygiene in health care [ 3] also included information on economic burden of poor hygiene, cost-effectiveness and resource implications of recommendations.
The WHO guidelines on hand hygiene (2009) promote the use of ABHR as an easy and effective way to ensure clean safe hands at the point of care.
A locally adapted hand hygiene program for RCHE was developed based on the WHO guidelines on hand hygiene in health care.
However, the recommended method to monitor hand hygiene compliance, according to the WHO Guidelines on Hand Hygiene in Health Care, is by direct observations.
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This is bound to influence both operational and demand dimensions of service delivery because of challenges to comply with prescribed guidelines on one hand and conformity to or cooperation with the social norms on the other.
This development was enforced after the publication of the CDC guideline on hand hygiene [ 2] and will be even further enforced after publication of the upcoming WHO guideline on hand hygiene [ 3].
After publication of the new CDC guideline on hand hygiene, hospital hygiene practices are currently changing in many countries [ 1].
The new CDC guideline on hand hygiene has indicated that the efficacy of alcohols is superior to many other active agents such as chlorhexidine gluconate or povidone iodine, also on the resident hand flora [ 1].
That is why is has been recommended in the new CDC guideline on hand hygiene that they may well be used for surgical hand disinfection [ 1] although it remains unclear if the use of preparations with a higher effect on the hand flora has an additional impact on the incidence of surgical site infections [ 24].
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