| Contributors |
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xi | |
| Preface |
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xv | |
| Foreword |
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xvii | |
| 1 The Burden of Healthcare-Associated Infection |
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1 | (7) |
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| 2 Historical Perspectives |
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8 | (4) |
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| 3 Flora and Physiology of Normal Skin |
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12 | (6) |
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| 4 Dynamics of Hand Transmission |
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18 | (10) |
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| 5 Mathematical Models of Handborne Transmission of Nosocomial Pathogens |
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28 | (8) |
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| 6 Methodological Issues in Hand Hygiene Science |
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36 | (6) |
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| 7 Statistical Issues: How to Overcome the Complexity of Data Analysis in Hand Hygiene Research? |
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42 | (9) |
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| 8 Hand Hygiene Agents |
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51 | (7) |
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| 9 Methods to Evaluate the Antimicrobial Efficacy of Hand Hygiene Agents |
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58 | (12) |
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| 10 Hand Hygiene Technique |
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70 | (6) |
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| 11 Compliance with Hand Hygiene Best Practices |
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76 | (9) |
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| 12 Barriers to Compliance |
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85 | (4) |
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| 13 Physicians and Hand Hygiene |
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89 | (5) |
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| 14 Surgical Hand Preparation |
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94 | (7) |
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| 15 Skin Reaction to Hand Hygiene |
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101 | (4) |
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| 16 Alcohol-Based Handrub Safety |
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105 | (4) |
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| 17 Rinse, Gel, Foam, Soap ... Selecting an Agent |
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109 | (6) |
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| 18 Behavior and Hand Hygiene |
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115 | (8) |
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| 19 Hand Hygiene Promotion Strategies |
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123 | (11) |
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| 20 My Five Moments for Hand Hygiene |
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134 | (10) |
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| 21 System Change |
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144 | (8) |
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| 22 Education of Healthcare Professionals |
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152 | (4) |
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| 23 Glove Use and Hand Hygiene |
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156 | (6) |
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| 24 Monitoring Hand Hygiene Performance |
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162 | (10) |
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| 25 Performance Feedback |
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172 | (8) |
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| 26 Marketing Hand Hygiene |
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180 | (5) |
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| 27 Human Factors Design |
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185 | (8) |
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| 28 Institutional Safety Climate |
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193 | (8) |
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| 29 Personal Accountability for Hand Hygiene |
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201 | (5) |
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| 30 Patient Participation and Empowerment |
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206 | (10) |
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| 31 Religion and Hand Hygiene |
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216 | (5) |
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| 32 Hand Hygiene Promotion from the US Perspective: Putting WHO and CDC Guidelines into Practice |
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221 | (9) |
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| 33 WHO Multimodal Promotion Strategy |
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230 | (14) |
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| 34 Monitoring Your Institution (Hand Hygiene Self-Assessment Framework) |
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244 | (5) |
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| 35 National Hand Hygiene Campaigns |
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249 | (7) |
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| 36 Hand Hygiene Campaigning: From One Hospital to the Entire Country |
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256 | (7) |
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| 37 Improving Hand Hygiene through Joint Commission Accreditation and the Joint Commission Center for Transforming Healthcare |
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263 | (12) |
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| 38 A Worldwide WHO Hand Hygiene in Healthcare Campaign |
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275 | (10) |
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| 39 The Economic Impact of Improved Hand Hygiene |
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285 | (9) |
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| 40 Hand Hygiene: Key Principles for the Manager |
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294 | (5) |
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| 41 Effect of Hand Hygiene on Infection Rates |
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299 | (18) |
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| 42A Hand Hygiene in Specific Patient Populations and Situations: Critically Ill Patients |
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317 | (7) |
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| 42B Hand Hygiene in Specific Patient Populations and Situations: Neonates and Pediatrics |
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324 | (5) |
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| 42C Hand Hygiene in Long-Term Care Facilities and Home Care |
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329 | (8) |
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| 42D Hand Hygiene in Ambulatory Care |
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337 | (7) |
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| 42E Hand Hygiene in Hemodialysis |
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344 | (6) |
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| 42F Hand Hygiene in Specific Patient Populations and Situations: Anesthesiology |
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350 | (7) |
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| 43 Hand Hygiene in Resource-Poor Settings |
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357 | (10) |
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| 44A Role of Hand Hygiene in MRSA Control |
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367 | (6) |
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| 44B Role of Hand Hygiene in Clostridium difficile Control |
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373 | (5) |
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| 44C Role of Hand Hygiene in Respiratory Diseases Including Influenza |
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378 | (7) |
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| 44D Handborne Spread of Noroviruses and its Interruption |
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385 | (6) |
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| 45 Conducting a Literature Review on Hand Hygiene |
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391 | (9) |
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Fernando Bellissimo-Rodrigues |
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| Appendix |
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400 | (9) |
| Index |
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409 | |