Modern approaches to ensure hand hygiene of medical staff in a measure complex for prevention of nosocomial infections in health facilities


  • E.V. Khandoga SI “Vasilievka Interdistrict Department of SI Zaporizhzhia District Laboratory Center of MH”, Vasilievka, Zaporizhzhia, Ukraine, Ukraine
  • I.V. Kochin SI “Zaporizhzhia Medical Academy of Postgraduate Education of Ministry of Health of Ukraine”, Zaporizhzhia, Ukraine, Ukraine
  • R.L. Terekhov SI “Zaporizhzhia Regional Laboratory Centre of Ministry of Health of Ukraine”, Zaporizhzhia, Ukraine, Ukraine
  • A.A. Ostapenko SI “Zaporizhzhia Medical Academy of Postgraduate Education of Ministry of Health of Ukraine”, Zaporizhzhia, Ukraine, Ukraine
  • V.V. Tsarjov Municipal non-profit enterprise “Zaporizhzhia Regional Clinical Children’s Hospital”, Zaporizhzhia, Ukraine, Ukraine



nosocomial infections, transient microflora, resident microflora, hand disinfection, antiseptics, review


Hand hygiene of medical staff plays a significant role in the prevention of nosocomial infections in healthcare facilities. Therefore, there is a need to identify approaches to facilitate proper adherence to hand hygiene. The study aims to substantiate the need for hand hygiene of medical staff, to explore modern methods for evaluating the effectiveness of hand hygiene supplies and problems associated with the use of these supplies along with their solutions. The authors have carried out the general and targeted analysis and expert evaluation of research results regarding measures for the prevention of nosocomial infections in health facilities. Analytical study of a large number of sources (over 50) on modern approaches to ensure hand hygiene of medical staff has been conducted with Content analysis and Open Source Intelligence methods. As a result of the study, authors have identified the need for further development of strategies to facilitate hand hygiene in health facilities and for the improvement of existing educational and motivational programs dedicated to hand hygiene of medical staff. Factors that may affect the effectiveness of antiseptics usage have been highlighted. The authors emphasize adverse reactions associated with the use of hand hygiene supplies (contact dermatitis and contact allergy) and the need for the development of measures to reduce risks of these adverse reactions among medical staff.


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