Hand washing

Dr.Sujnanendra Mishra MD (O&G)

Can you imagine ?: Hand is the
perfect germ farm .

Parasites
Bacteria
Dirty HANDS !!(see the
germs in your hands)

Virus fungus
For Proper hand washing all
that you need
 When to Wash hands
 • After using the bathroom
 • After changing a diaper — wash the diaper-wearer's
hands, too
 • After touching animals or animal waste
 • Before and after preparing food, especially raw meat,
poultry or fish
 • Before eating
 • After blowing your nose
 • After coughing or sneezing into your hands
 • Before and after treating wounds or cuts
 • Before and after touching a sick or injured person
 • After handling garbage
 • Before inserting or removing contact lenses
 • When using public restrooms, such as those in airports,
train stations, bus stations and restaurants.
DO YOU KNOW HOW TO
WASH YOUR HANDS????
Wet hands with running
water

1
Lather well with soap (regular soap is
just as good as antibacterial soap)

2
 Scrub hands thoroughly (Rub
vigorously ) Take at least 15 to
20 seconds. In Six Stages .

3
Stage 1. Palm to palm Stage 2. Backs of hands Stage 3. Between the fingers

Stage 4. Fingertips Stage 5. Thumbs and wrists Stage 6. Nails in the

palm of the hand

Step3/SIX stages
Rinse with running tap
water.

4
Dry Hands with clean towel

5
Turn off the tap with the
Towel

6
Throw away the Towel

7
 Hand washing ,Every Step is
Important

• Scrubbing w/ soap= 2-4 log virus

reduction
• Rinsing hands under running running
water increased effect in removing
viruses
• Drying hands = 1 log virus reduction
• Cross contamination by surfaces –
use the towel
 A word on Hand Sanitizers

Alcohol based – need at least 60% ethanol

Useful in health care settings between
patients
Useful on CLEAN HANDS not on DIRTY
HANDS
NOT USEFUL FOR KILLING ALL MICROBES .
Must remain in contact for 15 – 20 seconds
Wash so thorough that……
They can’t hide
They can’t hide
They can’t hide