Monday, August 07, 2006

Wash Your Hands

More than a century and a half has passed since the discovery by the great Hungarian physician Ignaz Semmelweis that handwashing prevents disease transmission. And yet, even today, his name is unknown to many medical professionals and his simple but effective mandate is inconsistently followed. Unheeded in life, forgotten after death.

A quote from the excellent review I linked above:

Ignatz Semmelweis, whose story this is, was a pioneer in medical prophylaxis, the innovator of hand-washing and antiseptic solutions for surgeons and obstetricians. Unbelievable as it seems, professors and their students in medical universities went from the dissecting room, where they demonstrated and practiced delivering babies from cadavers, to the Lying In rooms where they examined women about to give birth — all without washing or disinfecting their hands. A gratuitous rubbing of their bloody hands on their lab coats was considered ample readiness, and in fact the presence of bloody matter on their coats was deemed almost a badge of honor. Semmelweis turned that all around in a revolution that was to save millions of new mothers' lives all over the world. Did the majority of the doctors take kindly to removing their "badges of honor" for the sake of saving lives? One would think so, and one would be very wrong.

There are many lessons we can learn from this man's remarkable story. But it seems we still haven't learned the most important one of all: wash your hands.

Labels: ,

2 Comments:

Blogger Catherine Bronte said...

I have minor OCD, so I'm a little afraid of germs to begin with. I don't like to handle doorknobs or other things that have been touched by lots of people. But, one thing I can't stand is going into the bathroom and seeing other people leave without washing their hands.

8/07/2006 07:34:00 AM  
Blogger scalpel said...

Observational studies show that people typically wash after going to the restroom at best 75% of the time, and often less than half the time. Medical staff compliance is even worse:

Handwashing Compliance Depends on Professional Status [Lipsett PA, Swoboda SM. Surg Infect 2001;2:241]: The authors determined handwashing behavior among professional staff in an observational study in a surgical unit. There were a total of 493 handwashing opportunities including 173 considered high-risk interactions. The overall rate of handwashing was 44%. The probability of handwashing was 15% for physicians and 50% for nurses.
Comment: Unfortunately, there are no surprises here. Multiple studies have shown that compliance with handwashing recommendations are less than 50% by medical care providers and nurses always do better than physicians.

8/07/2006 02:22:00 PM  

Post a Comment

<< Home