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Rather than Infection Control Today’s non-peer reviewed report on this study here is the reference, abstract and link to the brief report published today in AJIC. The forum responses here have been interesting – my take is we have to keep open minds and be more innovative as we are a long long long way from solving problems, reducing, controlling and all the other words that are part of our everyday lexicon.
1. Mela S, Whitworth DE. The fist bump: A more hygienic alternative to the handshake. American Journal of Infection Control;42:916-7.
The handshake is a commonplace greeting in many cultures, but it has the potential to transmit infectious organisms directly between individuals. We developed an experimental model to assay transfer of bacteria during greeting exchange, and show that transfer is dramatically reduced when engaging in alternative so-called dap greetings known as the high five and fist bump compared with a traditional handshake. Adoption of the fist bump as a greeting could substantially reduce the transmission of infectious disease between individuals.
http://www.ajicjournal.org/article/S0196-6553(14)00659-2/abstract
For a truly innovative approach also check out the article below in AJIC released today on use of flashing red flights and how they doubled HH compliance (baseline rates were very low though). Hyperlink embedded so you should be able to click on it.
A study of the efficacy of flashing lights to increase the salience of alcohol-gel dispensers for improving hand hygiene compliance
Background
Many interventions have been implemented to improve hand hygiene compliance, each with varying effects and monetary costs. Although some previous studies have addressed the issue of conspicuousness, we found only 1 study that considered improving hand hygiene by using flashing lights.
Method
Our attention theory-based hypothesis tested whether a simple red light flashing at 2-3 Hz affixed to the alcohol gel dispensers, within the main hospital entrance, would increase hand hygiene compliance over the baseline rate. Baseline and intervention observations were completed over five 60-minute periods (Monday-Friday) from 7:30 to 8:30 AM using a covert observation method.
Results
Baseline hand hygiene compliance was 12.4%. Our intervention increased compliance to 23.5% during cold weather and 27.1% during warm weather. Overall, our pooled compliance rate increased to 25.3% (P < .0001).
Conclusions
A simple, inexpensive flashing red light affixed to alcohol gel dispensers was sufficiently salient to approximately double overall hand hygiene compliance within the main hospital entrance. We hypothesize that our intervention drew attention to the dispensers, which then reminded employees and visitors alike to wash their hands. Compliance was worse during cold days, presumably related to more individuals wearing glovesRegards
CathDr Cathryn Murphy RN MPH PhD CIC
Executive Director
Infection Control Plus Pty LtdAdjunct Professor
Griffith University, School of Nursing and Midwifery
http://www.infectioncontrolplus.com.au
[Description: twitter logo][Description: FB logo][Description: icp icon]I have to comment that I originally posted this study in wonderment: have we all completely now given up on teaching HCW’s to practise hand hygiene before touching patients? Have we lost already? And this will be the result?
Cheers
MichaelMichael Wishart
Infection Control Coordinator
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3607 2226
e: Michael.Wishart@svha.org.au
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this email[http://www.interactivejam.com.au/images/ACIPC-conference.jpg]
Maybe we should go with the chest bump and keeps hands out of it all together. With a bit of singing along the way we can turn our facilities into an episode of Scrubs! Anyone want to do a research project on it?
Cheers Matt
Matt Mason RN, CICP, BNSci, M Rural Health, M Advanced Practice (IC)
Lecturer School of Nursing & Midwifery
Faculty of Science, Health, Education and Engineering University of the Sunshine Coast
University of the Sunshine Coast, Locked Bag 4, Maroochydore DC, Queensland, 4558 Australia.
CRICOS Provider No: 01595D
Please consider the environment before printing this email.
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Hi Michael,
I can see consultants fist-bumping if they wear their trousers low! Seriously, the research was well conducted and well-written and actually got space in our NZ newspaper – I’ve never had press like that with any of my papers!Best regards, Terry
Terry Grimmond FASM, BAgrSc, GrDpAdEd
Consultant Microbiologist
Grimmond and Associates
Ph/Fx (NZ): +64 7 856 4042
Mob (NZ): +64 274 365 140
E: terry@terrygrimmond.com
[Twitter_logo_blue]: @terrygrimmond
W: http://terrygrimmond.com
[cid:image002.gif@01CFABE3.55EAF0A0]
“This email (including any attachments) is intended only for the use of the individual or entity named above and may contain information that is confidential and privileged. If you are not the intended recipient, you are reminded that any dissemination, distribution or copying of this email or attachments is prohibited. If you have received this email in error, please notify me immediately by return email or telephone and destroy the original message. Thank you.”We saw a call before to ban handshaking in healthcare as a way to reduce transmission of organisms. Now a study suggest ‘fist bumping’ is the best greeting to replace a hand shake. Can we all see our consultants fist pumping their patients each morning? 🙂
Cheers
MichaelMichael Wishart
Infection Control Coordinator
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3607 2226
e: Michael.Wishart@svha.org.au
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this email[http://www.interactivejam.com.au/images/ACIPC-conference.jpg]
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Please consider the environment before printing this email.
This email is confidential. If received in error, please delete it from your system.______________________________________________________________________
For the purposes of protecting the integrity and security of the SVHA network and the information held on it, all emails to and from any email address on the “svha.org.au” domain (or any other domain of St Vincent’s Health Australia Limited or any of its related bodies corporate) (an “SVHA Email Address”) will pass through and be scanned by the Symantec.cloud anti virus and anti spam filter service. These services may be provided by Symantec from locations outside of Australia and, if so, this will involve any email you send to or receive from an SVHA Email Address being sent to and scanned in those locations.
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For the purposes of protecting the integrity and security of the SVHA network and the information held on it, all emails to and from any email address on the “svha.org.au” domain (or any other domain of St Vincent’s Health Australia Limited or any of its related bodies corporate) (an “SVHA Email Address”) will pass through and be scanned by the Symantec.cloud anti virus and anti spam filter service. These services may be provided by Symantec from locations outside of Australia and, if so, this will involve any email you send to or receive from an SVHA Email Address being sent to and scanned in those locations.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
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Sorry for the late arrival to the discussion but I have only two thoughts I would like to share.
Let’s not focus on whether to shake hands or not, rather lets just remain consistent with the message “clean your hands before and after” (if caught on the hop – both clean hands after!
Lets not become so paranoid about infection risk that we forget that we are human and touch is a natural human response and it is healing. It is this fear that is driving HCWs to be obsessed with glove use just to touch a patient.
Here ends my soapbox rant …. apologies to all.
Beth
Beth BintInfection Prevention and Control Clinical Nurse Consultant | Infection Management and Control Service
Level 1 Lawson House Wollongong Hospital
Tel 02 4222 5898 |beth.bint@SESIAHS.HEALTH.NSW.GOV.AU
http://www.health.nsw.gov.au
________________________________________
From: ACIPC Infexion Connexion [AICALIST@AICALIST.ORG.AU] On Behalf Of Cath Murphy [cath@INFECTIONCONTROLPLUS.COM.AU]
Sent: Friday, 1 August 2014 8:53 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: AJIC Handshake vs Bump & Bright LightsRather than Infection Control Todays non-peer reviewed report on this study here is the reference, abstract and link to the brief report published today in AJIC. The forum responses here have been interesting my take is we have to keep open minds and be more innovative as we are a long long long way from solving problems, reducing, controlling and all the other words that are part of our everyday lexicon.
1. Mela S, Whitworth DE. The fist bump: A more hygienic alternative to the handshake. American Journal of Infection Control;42:916-7.
The handshake is a commonplace greeting in many cultures, but it has the potential to transmit infectious organisms directly between individuals. We developed an experimental model to assay transfer of bacteria during greeting exchange, and show that transfer is dramatically reduced when engaging in alternative so-called dap greetings known as the high five and fist bump compared with a traditional handshake. Adoption of the fist bump as a greeting could substantially reduce the transmission of infectious disease between individuals.
http://www.ajicjournal.org/article/S0196-6553(14)00659-2/abstract
For a truly innovative approach also check out the article below in AJIC released today on use of flashing red flights and how they doubled HH compliance (baseline rates were very low though). Hyperlink embedded so you should be able to click on it.
A study of the efficacy of flashing lights to increase the salience of alcohol-gel dispensers for improving hand hygiene compliance
Background
Many interventions have been implemented to improve hand hygiene compliance, each with varying effects and monetary costs. Although some previous studies have addressed the issue of conspicuousness, we found only 1 study that considered improving hand hygiene by using flashing lights.
Method
Our attention theorybased hypothesis tested whether a simple red light flashing at 2-3 Hz affixed to the alcohol gel dispensers, within the main hospital entrance, would increase hand hygiene compliance over the baseline rate. Baseline and intervention observations were completed over five 60-minute periods (Monday-Friday) from 7:30 to 8:30 AM using a covert observation method.
Results
Baseline hand hygiene compliance was 12.4%. Our intervention increased compliance to 23.5% during cold weather and 27.1% during warm weather. Overall, our pooled compliance rate increased to 25.3% (P < .0001).
Conclusions
A simple, inexpensive flashing red light affixed to alcohol gel dispensers was sufficiently salient to approximately double overall hand hygiene compliance within the main hospital entrance. We hypothesize that our intervention drew attention to the dispensers, which then reminded employees and visitors alike to wash their hands. Compliance was worse during cold days, presumably related to more individuals wearing glovesRegards
CathDr Cathryn Murphy RN MPH PhD CIC
Executive Director
Infection Control Plus Pty LtdAdjunct Professor
Griffith University, School of Nursing and Midwifery
Ph: +61 428 154 154
http://www.infectioncontrolplus.com.au
[cid:image001.jpg@01CFAD66.077066B0][cid:image002.jpg@01CFAD66.077066B0][cid:image003.jpg@01CFAD66.077066B0]From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Michael Wishart
Sent: Wednesday, 30 July 2014 10:09 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Handshake vs ‘fist bump’I have to comment that I originally posted this study in wonderment: have we all completely now given up on teaching HCWs to practise hand hygiene before touching patients? Have we lost already? And this will be the result?
Cheers
MichaelMichael Wishart
Infection Control Coordinator
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3607 2226
e: Michael.Wishart@svha.org.au
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this email[cid:image001.jpg@01CFABDE.401103A0]
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Matthew Mason
Sent: Wednesday, 30 July 2014 9:37 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Handshake vs ‘fist bump’Maybe we should go with the chest bump and keeps hands out of it all together. With a bit of singing along the way we can turn our facilities into an episode of Scrubs! Anyone want to do a research project on it?
Cheers Matt
Matt Mason RN, CICP, BNSci, M Rural Health, M Advanced Practice (IC)
Lecturer School of Nursing & Midwifery
Faculty of Science, Health, Education and Engineering University of the Sunshine Coast
Ph: +61 7 5456 5191 | Fax: +61 7 5456 5940 | Email:mmason1@usc.edu.au | Web:www.usc.edu.au
University of the Sunshine Coast, Locked Bag 4, Maroochydore DC, Queensland, 4558 Australia.
CRICOS Provider No: 01595D
Please consider the environment before printing this email.
This email is confidential. If received in error, please delete it from your system.________________________________
From: ACIPC Infexion Connexion <AICALIST@AICALIST.ORG.AU> on behalf of Terry Grimmond <terry@TERRYGRIMMOND.COM>
Sent: 30 July 2014 08:45
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Handshake vs ‘fist bump’Hi Michael,
I can see consultants fist-bumping if they wear their trousers low! Seriously, the research was well conducted and well-written and actually got space in our NZ newspaper Ive never had press like that with any of my papers!Best regards, Terry
Terry Grimmond FASM, BAgrSc, GrDpAdEd
Consultant Microbiologist
Grimmond and Associates
Ph/Fx (NZ): +64 7 856 4042
Mob (NZ): +64 274 365 140
E: terry@terrygrimmond.com
[cid:image001.png@01CFABE3.55EAF0A0]: @terrygrimmond
W: http://terrygrimmond.com
[cid:image002.gif@01CFABE3.55EAF0A0]
“This email (including any attachments) is intended only for the use of the individual or entity named above and may contain information that is confidential and privileged. If you are not the intended recipient, you are reminded that any dissemination, distribution or copying of this email or attachments is prohibited. If you have received this email in error, please notify me immediately by return email or telephone and destroy the original message. Thank you.”From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Michael Wishart
Sent: Wednesday, July 30, 2014 10:17 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Handshake vs ‘fist bump’We saw a call before to ban handshaking in healthcare as a way to reduce transmission of organisms. Now a study suggest fist bumping is the best greeting to replace a hand shake. Can we all see our consultants fist pumping their patients each morning?
Cheers
MichaelMichael Wishart
Infection Control Coordinator
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3607 2226
e: Michael.Wishart@svha.org.au
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this email[cid:image001.jpg@01CFABCE.A02BEE40]
______________________________________________________________________
For the purposes of protecting the integrity and security of the SVHA network and the information held on it, all emails to and from any email address on the svha.org.au domain (or any other domain of St Vincents Health Australia Limited or any of its related bodies corporate) (an SVHA Email Address) will pass through and be scanned by the Symantec.cloud anti virus and anti spam filter service. These services may be provided by Symantec from locations outside of Australia and, if so, this will involve any email you send to or receive from an SVHA Email Address being sent to and scanned in those locations.
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Please consider the environment before printing this email.
This email is confidential. If received in error, please delete it from your system.______________________________________________________________________
For the purposes of protecting the integrity and security of the SVHA network and the information held on it, all emails to and from any email address on the svha.org.au domain (or any other domain of St Vincents Health Australia Limited or any of its related bodies corporate) (an SVHA Email Address) will pass through and be scanned by the Symantec.cloud anti virus and anti spam filter service. These services may be provided by Symantec from locations outside of Australia and, if so, this will involve any email you send to or receive from an SVHA Email Address being sent to and scanned in those locations.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
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______________________________________________________________________
For the purposes of protecting the integrity and security of the SVHA network and the information held on it, all emails to and from any email address on the svha.org.au domain (or any other domain of St Vincents Health Australia Limited or any of its related bodies corporate) (an SVHA Email Address) will pass through and be scanned by the Symantec.cloud anti virus and anti spam filter service. These services may be provided by Symantec from locations outside of Australia and, if so, this will involve any email you send to or receive from an SVHA Email Address being sent to and scanned in those locations.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
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