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HealtHcare Hygiene






                   The overarching vision of the   communications, and prioritizing   practices by categorizing them as
                  GSIPC is to ensure that, by 2030,   research and development.   “essential practices”, underlining
                  everyone involved in healthcare   The GSIPC is designed to be   their importance for all HAI
                  — whether as a provider or    an aspirational, strategic, and   programs in acute-care hospitals.
                  recipient — is safeguarded    programmatic initiative, to be   These practices include
                  against associated infections. The   complemented by an associated   promoting the maintenance of
                  GSIPC delineates three principal   action plan and monitoring   healthy hand skin and fingernails,
                  objectives: preventing infection   framework set to be developed in   selecting appropriate products,
                  in healthcare, ensuring the   2023-2024.                     ensuring the accessibility
                  implementation of IPC programs,                              of hand hygiene supplies,
                  and coordinating IPC activities   The Society for Healthcare   ensuring proper glove use to
                  with other relevant sectors. These   Epidemiology of America   reduce contamination, taking
                  objectives are further supported   (SHEA)/ Infectious Diseases   steps to reduce environmental
                  by eight strategic directions   Society of America (IDSA)/   contamination associated with
                  that serve as a comprehensive   Association for Professionals   sinks and sink drains, and
                  framework guiding country-    in Infection Control (APIC)    monitoring adherence to hand
                  specific actions for GSIPC    Practice Recommendation        hygiene. Timely and meaningful
                  implementation. These strategic   published in February 2023   feedback is also highlighted as
                  directions include political   also serves as a vital update to a   a crucial component to enhance
                  commitment and policies, active   previous set of recommendations   a culture of safety within
                  IPC programs, IPC integration   titled “Strategies to Prevent   healthcare settings.
                  and coordination, knowledge   Healthcare-Associated Infections
                  enhancement of health and care   in Acute Care Hospitals through   The 2023 update provides
                  workers in IPC, establishment   Hand Hygiene,” which was     “additional approaches” that
                  of career pathways for IPC    initially published in 2014. The   may be considered in specific
                  professionals, data utilization   2023 update emphasizes the   locations or populations within
                  for action, advocacy and      foundational nature of certain   hospitals during outbreaks or
                                                                               when HAIs are not controlled
                                                                               despite implementing
                                                                               essential practices. These
                                                                               additional approaches include
                                                                               considerations for educating
                                                                               healthcare personnel (HCP)
                                                                               using structured approaches
                                                                               like the WHO Steps for hand
                                                                               washing or hand sanitizing,
                                                                               evaluating HCP adherence to
                                                                               technique, disinfecting sink
                                                                               drains for waterborne pathogens,
                                                                               and encouraging specific hand
                                                                               hygiene practices for certain
                                                                               infections like Clostridioides
                                                                               difficile and norovirus.
                                                                                The document also delineates
                                                                               practices that should not be
                                                                               considered routine parts of
                                                                               hand hygiene, emphasizing
                                                                               that certain approaches may
                                                                               not contribute positively to
                                                                               infection prevention. These
                                                                               include avoiding the supply of
                                                                               individual pocket-sized alcohol-





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