Influence of rub-in technique on required application time and hand coverage in hygienic hand disinfection
2008

How Different Hand Rubbing Techniques Affect Hand Disinfection

Sample size: 35 publication 10 minutes Evidence: moderate

Author Information

Author(s): Kampf Günter, Reichel Mirja, Feil Yvonne, Eggerstedt Sven, Kaulfers Paul-Michael

Primary Institution: BODE Chemie GmbH & Co. KG

Hypothesis

Can different rub-in techniques improve hand coverage during hygienic hand disinfection?

Conclusion

A 30-second application time is recommended for effective hand disinfection, as shorter times do not ensure complete coverage.

Supporting Evidence

  • The reference procedure took an average of 75 seconds but left 53% of subjects with untreated areas.
  • Five repetitions of the rub-in steps took 37 seconds and resulted in 67% of subjects having untreated areas.
  • One repetition lasted 17 seconds, and all subjects had untreated areas.
  • 'Responsible application' was effective, with 53% of non-healthcare workers and 55% of healthcare workers having untreated areas.

Takeaway

This study shows that taking 30 seconds to rub your hands with disinfectant is better than trying to do it in just 15 seconds, which might leave some spots unclean.

Methodology

The study involved testing various hand rub techniques with fluorescent dye to assess coverage under UV light.

Potential Biases

The study was conducted by employees of the hand rub manufacturer, which may introduce bias.

Limitations

The study's sample size was small, and the results may not apply to clinical situations where less than 3 mL of disinfectant is used.

Participant Demographics

The study included 15 non-healthcare workers and 20 healthcare workers, with a mean age of 39.9 years and 56.6% female.

Digital Object Identifier (DOI)

10.1186/1471-2334-8-149

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