Acta Scientific Paediatrics (ISSN: 2581-883X)

Research Article Volume 4 Issue 2

Hands of Health Care Professionals as a Vehicle for the Transmission of Hospital Pathogens

Helena Maria Dias Xavier1, Gabriel Lopes Vieira da Silva1 and Denise Von Dolinger de Brito Röder2*

1Nursing Students at the Federal University of Uberlândia Medical School, Brazil
2Professor at the Institute of Biomedical Sciences at the Federal University of Uberlândia, Brazil

*Corresponding Author: Denise Von Dolinger de Brito Röder, Professor at the Institute of Biomedical Sciences at the Federal University of Uberlândia, Brazil.

Received: October 09, 2020; Published: January 28, 2020



  Health Care Related Infections associated with the hands of health professionals has shown high rates of morbidity and mortality as a public health problem. The objective was to synthesize information about the hands of health professionals as a vehicle for the contamination of microorganisms that affect HAIs in hospitalized patients, highlighting risk factors, which etiological agents, analysis of low knowledge and adherence, in addition to analyzing improvement strategies. Articles with the descriptors were searched: Hand Hygiene; Hand Sanitizers; Health Care Associated Infections; Healthcare Workers; Infectious Disease Transmission, Professional-to-Patient., In the databases and virtual libraries: Scielo, Google scholar, Pubmed, Science direct, Web of Science and Brazilian database Periódico Capes, in the last 5 years. In total, 11,939 articles were found, after exclusion criteria 26 were used to compose the review. Among the relevant risk factors are sepsis, pneumonia, gastrointestinal and urinary tract infections, as well as surgical site infections associated with the hands of professionals. Low knowledge and lack of adherence are related to high workload associated with inadequate resource facilities and training strategies and ineffective hand hygiene assessment. The etiologic agents most frequently detected were Staphylococcus aureus, Staphylococcus coagulase-negative, Staphylococcus epidermidis, Enterococcus spp, Acinetobacter baumannii and Klebsiella spp. Practices such as encouraging the training of professionals responsible for the prevention and control of HAIs in hospitals, surveillance with physical and electronic feedback on the correct execution of hand hygiene, has proven to be effective strategies.

Keywords: Hand Hygiene; Hand Sanitizers; Health Care Associated Infections; Healthcare Workers; Infectious Disease Transmission; Professional-to-Patient



  1. Khan Ahmed Hassan., et al. “Nosocomial infections: Epidemiology, prevention, control and surveillance”. Asian Pacific Journal of Tropical Biomedicine 5 (2017): 478-482.
  2. Tajjedin Elahe., et al. “The role of the intensive care unit environment and health-care workers in the transmission of bacteria associated with hospital acquired infections”. Journal of Infection and Public Health 1 ed. (2016): 13-23.
  3. Almeida Wagner., et al. “Infecção Hospitalar: Controle E Disseminação Nas Mãos Dos Profissionais De Saúde De Uma Unidade De Terapia Intensiva”. Revista Eletrônica Acervo Saúde2 (2018): e130.
  4. Blanco Natalia., et al. "Transmission pathways of multidrug-resistant organisms in the hospital setting: a scoping review”. Infection Control and Hospital Epidemiology4 (2019): 447.
  5. Russotto Vincenzo., et al. "What healthcare workers should know about environmental bacterial contamination in the intensive care unit”. BioMed Research International 2017 (2017).
  6. Ng Wai Khuan., et al. "Healthcare professionals’ hand hygiene knowledge and beliefs in the United Arab Emirates”. Journal of Infection Prevention3 (2017): 134-142.
  7. Toney-Butler Tammy J and Niki Carver. "Hand Washing (Hand Hygiene)” (2017).
  8. Ariza‐Heredia Ella J and Roy F Chemaly. "Update on infection control practices in cancer hospitals”. CA: A Cancer Journal for Clinicians5 (2018): 340-355.
  9. Querido Micaela Machado., et al. "Self-disinfecting surfaces and infection control”. Colloids and Surfaces B: Biointerfaces 178 (2019): 8-21.
  10. Gould Dinah J., et al. "Interventions to improve hand hygiene compliance in patient care”. Cochrane Database of Systematic Reviews 9 (2017).
  11. Kallam Brianne., et al. "Implementation science in low-resource settings: using the interactive systems framework to improve hand hygiene in a tertiary hospital in Ghana”. International Journal for Quality in Health Care9 (2018): 724.
  12. Vikke Heidi Storm., et al. “Compliance with hand hygiene in emergency medical services: international observational study”. Emergency Medicine Journal 3 (2019).
  13. BN Shan Zang., et al. “High nursing workload is a main associated factor of poor hand hygiene adherence in Beijing, China: An observational study”. International Journal of Noursing Pratice 2 ed. (2019): 12720.
  14. Presterl Elisabeth., et al. "Multiresistant Microorganisms and Infection Control”. Basic Microbiology and Infection Control for Midwives. Springer, Cham, (2019): 97-105.
  15. Shah Parul Dipak., et al. "Microorganisms isolated from mobile phones and hands of health-care workers in a tertiary care hospital of Ahmedabad, Gujarat, India”. Indian Journal of Public Health2 (2019): 147.
  16. Gouda NS., et al. "Bacterial contamination of white coats and hands of healthcare workers at mansoura university children’s hospital, Mansoura-Egypt”. African Journal of Clinical and Experimental Microbiology 1 (2018): 18-23.
  17. La Fauci V., et al. “Drug-resistant bacteria on hands of healthcare workers and in the patient area: an environmental survey in Southern Italy's hospital”. Revista Espanola De Quimioterapia: Publicacion Oficial De La Sociedad Espanola de Quimioterapia 4 (2019): 303-310.
  18. Larocque Mike., et al. "Acquisition of bacteria on health care workers' hands after contact with patient privacy curtains”. American Journal of Infection Control11 (2016): 1385-1386.
  19. Qasmi Shamsul Arfin., et al. "Guiding hand hygiene interventions among future healthcare workers: implications of knowledge, attitudes, and social influences”. American Journal of Infection Control9 (2018): 1026-1031.
  20. Santosaningsih Dewi., et al. "Intervening with healthcare workers’ hand hygiene compliance, knowledge, and perception in a limited-resource hospital in Indonesia: a randomized controlled trial study”. Antimicrobial Resistance and Infection Control1 (2017): 23.
  21. Sadule-Rios Nohemi and Graciela Aguilera. "Nurses’ perceptions of reasons for persistent low rates in hand hygiene compliance”. Intensive and Critical Care Nursing 42 (2017): 17-21.
  22. Woodard Jennifer A., et al. "Beyond entry and exit: hand hygiene at the bedside”. American Journal of Infection Control5 (2019): 487-491.
  23. Moghnieh, Rima., et al. "Health care workers' compliance to the My 5 Moments for Hand Hygiene: Comparison of 2 interventional methods”. American Journal of Infection Control1 (2017): 89-91.
  24. Tartari Ermira., et al. "Train-the-Trainers in hand hygiene: a standardized approach to guide education in infection prevention and control”. Antimicrobial Resistance and Infection Control1 (2019): 206.
  25. Reilly Jacqui S., et al. "A pragmatic randomized controlled trial of 6-step vs 3-step hand hygiene technique in acute hospital care in the United Kingdom”. Infection Control and Hospital Epidemiology6 (2016): 661-666.
  26. Mutters R and S L Warnes. "The method used to dry washed hands affects the number and type of transient and residential bacteria remaining on the skin”. Journal of Hospital Infection4 (2019): 408-413.


Citation: Denise Von Dolinger de Brito Röder.,et al. “Hands of Health Care Professionals as a Vehicle for the Transmission of Hospital Pathogens". Acta Scientific Paediatrics 4.2 (2021): 41-46.


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