Hand Hygiene Adverse Events among the Health Care Givers

Skin hygiene, particularly of hands, is a primary mechanism for reducing contact transmission of infectious agents. Widespread use of antimicrobial products has prompted concern about emergence of resistance to antiseptics and damage of skin barrier as associated with frequent hand washing. This study was focused on the hand hygiene (HH) practices and its adverse events (AEs) on skin integrity. As well as highlight for the urgency recommendations regarding the HH and skin care protocol to minimize or prevent its resulting AEs.In addition, choices of hygienic skin care products have never been more numerous, and the public has increasing access to health-care givers and product related information. This study was assessed the relationship between HH practices, the most frequent skin AEs, as well as drawing the urgent recommendations for proper skin care practices. This study is prospective type based on our experience during working in different health care setting, and the poor compliance of caregivers to hand hygiene. Thus, we must be focused on what the most frequent (HH) AEs among (HCGs) as well as understanding their frustrations or non-compliance causes related to (HH) policy. We hope that, this study can help to answer the main question regarding the cause of non compliance to (HH) policy and identify the most frequent (AEs) that usually facing the HCG's as well as its negative impact on the quality of care. Subject: - A convenient sample of 90 nurses, both sex, their ages were ranged from 18- 50 years, and approved to be included in the current study, with different educational level and at least they have one year experience working in the field of nursing. The study was conducted in the all units at the Ebn - Elhythm hospital in Jordon for period of 8 months. They selected randomly and were appreciate to participate in the study. Assessment sheet was developed by researcher and utilized for data collection about the most frequent adverse events of HH practices among (HCGs) in selecting areas. The tool was comprised 10 items regarding the causes of non-compliance as misconception, lack of knowledge, time or resources as well as AEs which affecting their compliance for hand hygiene practices; As well as checking the presence of any skin events as dryness, burning, erythematic, scaling, fissuring, and the subjective sensation of roughness or any allergic reaction or skin irritation of the hands as eczemas. This study revealed that, the ages of subjwere ranged from18 to 50 years old. The majority of them were females 75% & one quarter were males and 50% were achieved a university level of education and 76% were working in wards. As regards the hand AEs it was noticed that dryness, irritation or burning sensations and eczema among (61%, 30%&1%) respectively. Furthermore, there is a highly statistical significance correlation was detected between the work areas and AEs of