Successful hand hygiene in hospital.

Healthy skin and especially hand skin is a good individual barrier. On terms of healthy skin the hand washing and disinfection methods will effectively remove transient and lower resident flora if needed. Disturbed skin on the other hand may harbor pathogens like gram negative rods or Staphylococcus aureus strains as part of resident flora. Even the best hand hygiene methods will fail. There for other more gentle hand hygiene methods should be tested in use situations too. The alternatives are especially important for those layable to skin problems during dry and cold periods. Preliminary emulsion cleansing and then rinsing to traditional water and soap washing has shown to be a possibly hand skin caring alternative, which results in good reduction of bacteria when connected with alcohol disinfection.