HAND HYGIENE USE ALCOHOL BASED ANTISEPTICS (HANDRUB)

HAND HYGIENE USE ALCOHOL BASED ANTISEPTICS (HANDRUB)

On the implementation of hand hygiene, washing your hands often can not be done because of the condition or because of limited resources. The number of patients who are in contact with officers at a time, or the difficulty of finding sources of clean, potable water is a constraint in implementing hand hygiene by washing hands. For this reason, WHO recommends other alternatives in performing hand hygiene, ie with an alcohol-based handrub.

  A.      The advantage of hand rub

    WHO recommends an alcohol-based handrub for some of the following:

1.       Based on the evidence, the intrinsic advantages of quick action, effective against a broad spectrum of microbial activity with minimal risk to resistance mikrobakterial

2.       Suitable for use in areas or health facilities with access and support resources are limited in terms of hand hygiene facilities (including clean water, tissue, towels, etc.)

3.       Ability greater promotion in the context of hand hygiene because the process is faster and more convenient to do

4.       The financial advantages, reduce costs that need to be issued by the hospital.

5.       minimal risk of the adverse event due to increased security, with regard to the acceptability and tolerance compared to other products.

  B.      Hand washing technique using a hand rub

Implementation of cleaning hands with alcohol-based handrub effectively takes about 20-30 seconds with 6 (six) hand hygiene measures. This procedure starts with 3-5 ml handrub pour into the palm of the hand, and then start the 6-step technique:

1.       Rub the inside of the palm of the hand

2.       Rub the back of the hand alternately

3.       Rub between fingers

4.       Rub knuckles linking hands with both hands

5.       Rubbing thumb, alternately  

6.       Rub fingertips

   C.      Making way Alcohol-Based Hand Rub

There are several techniques in the manufacture of alcohol-based handrub that can be made fairly easily in a hospital institution. Such techniques include:

1.       Formula 1
To produce final concentrations of ethanol 80% v / v, glycerol 1.45% v / v, hydrogene peroxide (H2O2) 0.125% v / v
Pour into a 1000 ml flask:

a.       Ethanol 96% v / v as much as 833.3 ml

b.      H2O2 3%, as much as 41.7 ml

c.       Glycerol 98%, 14.5 ml

Add distilled aqua or water that has been cooked into the flask up to 1000ml, shake gently until the solution is completely mixed.

2.       Formula 2

To produce a final concentration of isopropyl alcohol 75% v / v, glycerol 1.45% v / v, hydrogene peroxide (H2O2) 0.125% v / v
Pour into a 1000 ml flask:

a.       Isopropyl alcohol (purity 99.8%) 751.5 ml

b.      H2O2 3%, as much as 41.7 ml 

c.    Glycerol 98%, 14.5 ml

                        Add distilled aqua or water that has been cooked into the flask up to 

                1000ml, shake gently until the solution is completely mixed

According to WHO, recommended the production of hand rub performed by trained pharmacy staff in the pharmaceutical unit. This is because the undiluted ethanol is highly flammable, and even still be triggered to burn while the temperature below 10oC. WHO also recommends for security reasons, the manufacture of alcohol-based handrub in one, no more than 50 liters. Storage area ideally a room with air conditioner (AC) and covered, and protected from direct sunlight.
To avoid contamination of pathogenic organisms and spores, disposable bottles (disposable) are preferred although reusable bottles that can also be used as a container after sterilization. To prevent evaporation, maximum recommended capacity is 500 ml in the treatment room (inpatient) or outpatient, and 1000 liters in the operating room.