Research for infection protection

Proper dispenser placement increases compliance

Hand hygiene campaign recognised with the “M&K AWARD 2014”

Studies have shown that wide availability of hand disinfectants improves compliance (see also Chan B et al. 2013). Minimum requirements for the proper availability are integral part of multi-modal intervention campaigns such as the WHO “Clean Care is Safer Care” campaign and its national implementation, for example by the German “AKTION Saubere Hände” hand hygiene campaign. The recommended minimum requirements are one dispenser per two patient beds in normal wards and one dispenser per patient bed in intensive care units.

Beyond availability, it is important to consider the right location – for example right at the point of care – in order to improve hand hygiene compliance. Consequently, the dispenser locations should imperatively be linked to the “5 Moments for Hand Hygiene”.

Dispenser positioning on the basis of the 5 Moments

  • Before patient contact

    • right at the patient bed (between beds in shared rooms)
    • on ward and dressing trolleys
    • in front of patient rooms (units at risk of infection)

  • Before an aseptic task

    • right at the patient bed (between beds in shared rooms)
    • in nursing stations
    • in treatment rooms
    • in laboratories

  • After body fluid exposure risk

    • right at the patient bed (between beds in shared rooms)
    • on ward and dressing trolleys
    • in patient rooms (next to the door)
    • in treatment rooms

  • After patient contact

    • right at the patient bed (between beds in shared rooms)
    • in patient rooms (next to the door)
    • in treatment rooms

Checklists "Placement of hand disinfectant dispensers" ( for geriatric care facilities, hospitals, primary health care)

checklist for geriatric care facilities
checklist for hospitals
checklist for primary health care