GUIDELINE FOR HAND HYGIENE IN HEALTH-CARE SETTING RECOMMENDATIONS OF THE HEALTHCARE INFECTION CONTROL PRACTICES ADVISORY COMMITTEE AND THE HICPAC/SHEA/APIC/IDSA HAND HYGIENE TASK FORCE

Year 2002, Volume: 15 Issue: 4, 281 - 286, 03.12.2016

Hande Harmancı

Abstract

Regarding Hand Hygiene
Historical Perspective
For generations, handwashing with soap and water has been considered a measure of personal hygiene. The concept of cleansing hands with an antiseptic agent probably emerged in the early 19th century. As early as 1822, a French pharmacist demonstrated that solutions containing chlorides of lime or soda could eradicate the foul odors associated with human corpses and that such solutions could be used as disinfectants and antiseptics. In a paper published in 1825, this pharmacist stated that physicians and other persons attending patients with contagious diseases would benefit from moistening their hands with a liquid chloride solution.
In 1846, Ignaz Semmelweis observed that women whose babies were delivered by students and physicians in the First Clinic at the General Hospital of Vienna consistently had a higher mortality rate than those whose babies were
delivered by midwives in the Second Clinic. He noted that physicians who went directly from the autopsy suite to the obstetrics ward had a disagreeable odor on their hands despite washing their hands with soap and water upon entering the obstetrics clinic. He postulated that the puerperal fever that affected so many parturient women was caused by “cadaverous particles” transmitted from the autopsy suite to the obstetrics ward via the hands of students and physicians.