Advertisement

Gesunde Haut als Voraussetzung für eine effektive Händedesinfektion

  • P. Mäkelä

Zusammenfassung

Die Haut erfüllt insbesondere an den Händen eine wichtige Funktion als mechanische, chemische und mikrobielle Barriere (s. Kap. 20). Ihre äußere Schicht unterliegt dabei einer ständigen basalen Regeneration.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. Albert RK, Condia F (1981) Handwashing patterns in medical intensive care units. N Engl J Med 304: 1465–1466PubMedCrossRefGoogle Scholar
  2. Anonymous (1987) The epidermal barrier. Lancet 1: 1414Google Scholar
  3. Conly JM, Hill S, Ross J, Lerzman J, Louie TJ (1989) Handwashing practices in an intensive care unit: The effects of an educational program and its relationship to infection rates. Am J Inf Contr 6: 330–339Google Scholar
  4. Gall H (1986) Hautschäden durch Desinfektionsmittel. Hyg Med 11: 13–16Google Scholar
  5. Garner JS, Favero MS (1986) Guideline for handwashing and hospital environmentalGoogle Scholar
  6. control. 1985 (CDC guidelines for the prevention and control of nosocomial infections) Am J Inf Contr 14:110–115, 126–129Google Scholar
  7. Kauppinen K, Kolho L, Mäkelä P, Pirilä V, Turjanmaa K (1979) Hand eczema of hospital Aids. Suomen Lääkärilehti 26: 2088–2090Google Scholar
  8. Kolari PJ, Ojajärvi J, Lauharanta J, Mäkelä P (1989) Cleansing of hands with emulsion —a solution to skin problems of hospital staff’? J Hosp Inf 13: 377–386CrossRefGoogle Scholar
  9. Kuokkanen K, Grönroos P, Mäkinen H, Yrjänäinen R (1982) Hand-dermatics of hospital employees. Suomen Lääkärilehti 22: 1948–1950Google Scholar
  10. Lammintausta K (1982) Risk factors for hand dermatitis in wet work. Doctorar Thesis, Med Fac Univ TurkuGoogle Scholar
  11. Larson E (1988) Guideline for use of topical antimicrobial agents. APIC guidelines for infection control practice. Am J Inf Contr 16: 253–266CrossRefGoogle Scholar
  12. Larson E (1985) Handwashing and skin; physiologic and bacteriologic aspects. Inf Contr 6: 14–23Google Scholar
  13. Larson E, Leyden JJ, Mc Ginley KJ, Grove GL, Talbot GH (1986) Physiologic and microbiologic changes in skin related to frequent hand washing. Inf Contr 7: 59–63Google Scholar
  14. Larson E, McGinly KJ, Grove GL, Leyden JJ, Talbot GH (1986) Physiologic, microbiologic and seasonal effects of handwashing on the skin of health care personnel. Am J Inf Contr 14: 51–59CrossRefGoogle Scholar
  15. Lauharanta J, Ojajärvi J, Sarna S, Mäkelä P (1991) Prevention of dryness and eczema of the hands of hospital staff by emulsion cleansing instead of washing with soap. J Hosp Inf 17: 207–215CrossRefGoogle Scholar
  16. Leyden JJ, MacKingley K, Webster G (1983) Cutaneous Microbiology. Goldsmith LH (ed) Biochemistry and Physiology of the Skin. Oxford, Oxford Univ PressGoogle Scholar
  17. Marples MJ (1965) The Ecology of the Human Skin. Thomas, SpringfieldGoogle Scholar
  18. Mayer JA, Dubbert PM, Miller M, Burkett PA, Chapman SW (1986) Increasing handwashing in an intensive care unit. Inf Contr 5: 259–262Google Scholar
  19. Montagna W, Parakkal PF (1974) The structure and function of the skin. Academic Press, N.Y.Google Scholar
  20. Morales C, Basomba A, Carreira P, Sastre A (1989) Anaphylaxis produced by rubber glove contact. Case reports and immunological identification of the antigens involved. Clin Exp All 19: 425–430Google Scholar
  21. Noble WC, Sommerville P (1981) Microbiology of Human Skin. 2nd ed, Lloyd-Luke, London Series. Lloyd-Luke, LondonGoogle Scholar
  22. Reybrouck G (1986) Handwashing and hand disinfection. J Hosp Inf 8: 5–23CrossRefGoogle Scholar
  23. Turjanmaa M, Reunala T (1988) Contact urticaria from rubber gloves. Derm Clin 6: 47–51Google Scholar
  24. Ummenhofer B (1981) Hornschicht-physiologische Grundlagen der Prävention and Rehabi-litation von Berufsekzemen. Dermatosen 29: 102Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1993

Authors and Affiliations

  • P. Mäkelä

There are no affiliations available

Personalised recommendations