Your hands - your two most precious instruments - require the highest level of care. That's why Hu-Friedy is proud to offer Hu-Friedy Hand Essentials, a full line of hand care products to help you perform at your best and aid in infection control. Our moisturizers, soaps and sanitizers will be there for every glove change, disinfecting hand wash and day-ending skin routine.
2. • In this tutorial you will learn:
• Background information on transmission and hand hygiene
• Hu-Friedy’s new offering in hand hygiene
• CDC recommendations when choosing hand hygiene products
• Proper hand hygiene protocol for
Hand washing
Hand sanitizing
Hand moisturizing
Agenda
3. 1
Chain of transmission
Most pathogens can persist on inanimate surfaces for
several months.
Klebsiella spp. up to 30 months
Pseudomonas aeruginosa up to 16 months
Escherichia coli up to 16 months
Staphylococcus aureus, incl. MRSA up to 7 months
Enterococcus spp. incl. VRE and VSE up to 4 months
Vacciniavirus up to 5 months
Adenovirus up to 3 months
HAV up to 2 months
Norovirus up to 7 days
Klebsiella spp. up to 30 months
Pseudomonas aeruginosa up to 16 months
Escherichia coli up to 16 months
Staphylococcus aureus, incl. MRSA up to 7 months
Enterococcus spp. incl. VRE and VSE up to 4 months
Vacciniavirus up to 5 months
Adenovirus up to 3 months
HAV up to 2 months
Norovirus up to 7 days
Chain of Transmission
6. Contact with water is the #1
antagonist of healthy skin
Action: Prolonged
washing destroys the
protective function of the
stratum corneum – natural
skin oils are dissolved and
washed off.
Result: irritant contact
dermatitis can develop.1) natural skin oils
2) skin surface
3) water
Affects of Washing
8. Cracked and scaly skin
provides microorganisms
ideal niches
Antiseptics cannot reach
hidden non-socomial
pathogens
Hand disinfection is in
danger of not being
effective enough
VAST MAJORITY of situations
in clinical practice calls for
hand disinfection - not hand
washing!
Affects of Washing
9. The company who’s invested in the performance of your
hands for over 100 years, now offers you a full line of
hand care products to help with program compliance.
10. Product Offering
• Lotions
Hand Essentials Skin Repair Cream
Hand Essentials Moisturizing Lotion
• Hand Sanitizers
Sterillium® Comfort Gel™ Hand
Antiseptic
Hand Essentials Instant Antiseptic Gel
• Soaps
Hand Essentials Antibacterial Soap
Hand Essentials Lotion Soap
11. Hand Essentials
Skin Repair Cream
• Scientifically proven to moisturize and repair damaged skin
• Helps restore and maintain the skin’s natural moisture balance
• Delivers vital nutrients to the skin (amino acids, Antioxidants,
vitamins, MSM)
Methylsulfonylmethane (MSM) supports amino acid utilization and
offers antioxidant properties
• Contains dimethicone to provide a breathable moisture barrier
to help prevent damage related to dehydration and dryness
due to frequent hand washing
• Compatible with CHG and Latex
12. Features and Benefits
Skin Repair Cream
Feature Benefit
Contains Nutritional Blend – Olivamine® Skin with soft and moisturized feel and appearance – once absorbed, the natural
oils (olive, canola, etc) and essential fatty acids aid the skin repair process. MSM
supports amino acid utilization and offers antioxidant properties.
Does not contain petrolatum or mineral oil Safe to use with latex gloves and CHG. Soft, moist skin. Long lasting and
moisturizing.
Contains natural oils Long lasting moisturization
Contains organic aloe vera Aloe vera is a natural ingredient that soothes and conditions the skin
Contains active ingredient Dimethicone 1.5% Long lasting protection for soft, moisturized skin. Dimethicone provides
breathable protection to the skin from external moisture elements and aids in the
retention of ideal hydration.
Concentrated product Cost effective
Supported by multiple scientific studies Credibility
Only small amount needed per use Cost effective. Lasts longer and save money
Non-allergenic, Non-irritating, Non-sensitizing Less potential for reactions means improved peace of mind
Non-Greasy Leaves no greasy residue; allows for normal functions after use (no slippery
grips)
No synthetic fragrances Pleasant, natural scent
Available in tubes or a pump bottle Individual tubes fit nicely in an operatory drawer. 32oz pump bottle is perfect for
counter top use.
13. Sterillium® Comfort Gel™
• Scientifically proven hand sanitizer that moisturizes
• Requires less per use (2.4 mL vs. 3.6 mL) than leading
competitive hand sanitizers
• Kills ≥ 99.999 percent of a broad range of nosocomial pathogens
within 15 seconds, without water
• Significantly increases skin hydration after only one week of
product usage compared to untreated skin
• Non-irritating
• Compatible with CHG and Latex
14. Features and Benefits
Sterillium® Comfort Gel™ Hand Antiseptic
Feature Benefit
Fast and Effective (Germ Killing). 85% w/w ethyl alcohol kills
≥ 99.999% of germs in 15 seconds.
Confidence that hands are clean and sanitized. Effective
disinfection of hands for the most common disease causing
germs.
Moisturizing emollients Safe for continuous use. Won’t dry skin. Contributes to soft,
moisturized skin.
Clinical studies on file Complies with the CDC, FDA, Tentative Final Monograph
(TFM) and WHO guidelines and recommendations.
Meets 2009 WHO Hand Hygiene Guidelines While this product as well as all competition meets the current
FDA guidelines, when the US gets on board with the rest of
the world, this product will already meet the standards. Also,
the EN testing is more stringent than the US tests.
Less product needed per use Cost effective. Lasts longer and saves time.
Non-irritating Safe for continuous use.
Easy to use and available in multiple sizes Can be placed in any location to meet the needs of the user
whether it be a table top or personal carry.
15. Hand Essentials Moisturizing Lotion
• Perfect for end of the day moisturizing
• Non-greasy, fragrance-free formula
• Nurtures and soothes skin with colloidal oatmeal, aloe
vera, and vitamin E
• Contains dimethicone and allantoin to help retain
moisture on skin
• Tested to be compatible with CHG and Latex
• Economically priced compared to leading competitive
products
16. Features and Benefits
Moisturizing Lotion
Feature Benefit
Contains Dimethicone Long lasting skin conditioning ingredient that promotes
moist skin
CHG and Latex compatible Will not compromise the persistent effect of CHG
Non-greasy Better feel and will not feel sticky or tacky in gloves
No synthetic fragrances Fragrance free
Contains colloidal oatmeal, aloe vera, and Vitamin E Nurturing and soothing
17. Hand Essentials Antiseptic Gel
• Contains 70% ethyl alcohol to disinfect hands of most
common disease-causing germs
• Contains aloe vera and vitamin E to moisturize and soothe
skin
• Economically priced compared to leading competitive
products
• Compatible with CHG and Latex
18. Features and Benefits
Hand Antiseptic Gel
Feature Benefit
Active Ingredient Ethyl Alcohol 70% v/v Effective at decreasing bacteria on skin when soap and
water are not available
Aloe Vera and Vitamin E Moisturize the hands for soft feeling hands
Clinical Studies on file Complies with CDC Guidelines and is compliant with the
FDA’s TFM Hand Antiseptic products
Cost Effective Affordable
19. Hand Essentials Antibacterial Soap
• Contains 0.5% triclosan to help decrease a variety of
bacteria on skin
• Rinses quickly – ideal for repeated use
• Compatible with CHG and Latex
20. Features and Benefits
Antibacterial Soap
Feature Benefit
Active Ingredient Triclosan 0.5% Decreases bacteria on hands of staff, reduces risk of
cross-contamination to patients
Dermatologist tested Ideal for repeated use.
Rich lathering soap No filmy feeling left on the skin.
Cost effective Affordable
21. Hand Essentials Lotion Soap
• Gentle formula and soothing fragrance nurture both the
skin and senses
• Excellent for dental professionals who frequently wash
their hands
• pH-balanced to help maintain proper skin and moisture
ratio
• Compatible with CHG and Latex
22. Features and Benefits
Lotion Soap
Feature Benefit
Gentle formula Ideal for repeated use.
Soothing fragrance Pleasant scent.
Cost effective Affordable.
pH-balanced Less likely to elicit skin irritation.
23. CDC on Hand Hygiene
• For routine dental exams and nonsurgical procedures, hand washing
and hand antisepsis is achieved by:
Using plain or antimicrobial soap and water
Using an alcohol-based hand rub if hands are not visibly soiled
Source: CDC MMWR Guidelines for Infection Control in Dental Heath-Care Settings - 2003
24. CDC on Hand Hygiene
• Considerations when selecting appropriate antiseptic agents
Essential performance characteristics (i.e., spectrum and persistence of
activity and whether the agent is fast acting)
Reliable vendor, support, and supply
The needs of the health care professional (i.e., allergies, compatibility with
lotions, scents, etc.)
Alcohol based rubs should contain 60%-95% ethanol or isopropanol
Delivery system
Cost per use
Source: CDC MMWR Guidelines for Infection Control in Dental Heath-Care Settings - 2003
25. CDC on Hand Hygiene
• Lotions
“The potential of detergents to cause skin irritation varies considerably, but
can be reduced by adding emollients”
“Petroleum-based products can weaken latex gloves and increase
permeability”
Source: CDC MMWR Guidelines for Infection Control in Dental Heath-Care Settings - 2003
26. The Elements of Hand
Hygiene
WashingWashing Skin CareSkin CareDisinfectionDisinfection
27. Step by Step Hand Care
HANDWASHING
1. Turn on water to a comfortable temperature to
moisten hands and wrists.
2. Apply soap.
3. Generate heavy lather and wash well for about
15 seconds, paying particular attention to areas
between the fingers, around nail beds, under
fingernails and back of hands.
4. Rinse well under soaking water, keeping hands
low in the sink to prevent splashing.
5. Hold hands so the water flows from wrist to fingertips.
6. Dry hands completely with a clean disposable towel.
7. Use the disposable towel to turn off faucet so your
hands remain clean from any contaminants that
may be on the faucet.
28. Step by Step Hand Care
USING HAND ANTISEPSIS
1. Rub backward and forward with clasped fingers of
right hand in left palm (and then) with clasped
fingers of left hand in right palm. Thoroughly work
hand rub under nails and into cuticles.
2. Rub hands palm to palm, including wrists.
3. Right palm over left back of hand with interlaced
fingers and left palm over right back of hand with
interlaced fingers.
4. Palm to palm with fingers interlaced.
5. Tops of fingers to opposing palms with fingers
interlocked.
6. Rotational rubbing of left thumb clasped in right
palm and rotational rubbing of right thumb clasped
in left palm.*
* Technique adapted from: European committee for Standardization. EN 1500, chemical disinfectants and
antiseptics—hygienic hand rub: test method and requirements (phase 2, step 2). Brussels, Belgium; 1997.
29. Step by Step Hand Care
Lotion Application
1. Spread product evenly between backs of
both hands.
2. Massage the lotion completely into the skin,
right palm over left back of hand with interlaced
fingers and left palm over right back of hand with
interlaced fingers.
3. Massage lotion completely into the cuticles
and fingertips.
4.Massage lotion completely into the wrists.*
* Technique adapted from: Berufsgenossenschaft für Gesundheitsdienst und Wohlfahrtspflege. Essential skin protection.
2006:6.
30. Clarifying Question
• Thank you for taking the time to learn more about Hu-Friedy Hand
Essentials Hand Care products
• To earn your Hu-Points towards a product evaluation, please exit
and answer the following question on the Member Resources Page:
In this presentation, the CDC’s recommendation for alcohol
content in alcohol based hand rubs is:
a) Less than 50%
b) 10-25%
c) 60-95%
d) 70-85%
e) 85-95%
Notes de l'éditeur
Given the patient safety goals, we must address the issues associated with hand hygiene and the role it plays in disease transmission. It is well documented that good hand hygiene protocols are the first and best defense against healthcare associated infections (HAIs). The reason this is so is because disease is so easily transmitted via the hands. The chain of transmission depicted here between the patient, the clinicians and inanimate objects is never-ending. The only way to break this chain is to interrupt it via hand disinfection. And, we must do so without jeopardizing the skins integrity because damaged skin yield yet another venue for infection.
But, the by its very nature, hand washing with soap and water is quite often the most damaging thing you can do to your skin. When the natural oils inherent in our skin is removed via friction and washed away via rinsing, we are left with less protection and it is quite common to develop irritant contact dermatitis.
And, when this dermatitis does manifest itself, we invite infection. As you can see here, damaged skin provides pathways for bacteria to penetrate beyond where antiseptic agents like antibacterial soap - or even alcohol-based hand rubs - can penetrate. So, if our skin is damaged by excessive use of soap and water, it may very well be that hand disinfection with any antiseptic is simply not enough. And, while most clinical situations now call for the use of alcohol based hand rubs over soap and water, we can see how we might be vulnerable if our skin is compromised.
So, when we speak of good hand hygiene protocols, we must speak of the three things that the CDC and all respected experts agree upon and that are required: Cleansing (via hand washing of visible soil) , Antisepsis or disinfection and general Skin Care with moisturizing lotions.