The Journal of hospital infection
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The lack of standardization of efficient procedures to clean and disinfect laryngoscope blades and handles, which may be important sources of infection during their clinical use, has been reported previously, revealing contamination with blood, body fluids and micro-organisms. This paper aimed to evaluate the evidence available in the literature regarding the risk of laryngoscope blades and handles as a source of patient contamination. ⋯ The studies demonstrated risk of cross-infection and no consensus in current guidelines regarding cleaning and disinfection of this equipment. It was concluded that there are important gaps to be filled and urgent investigations required in order to facilitate standardization of efficient procedures to clean and disinfect laryngoscope blades and handles, and in turn to reduce the potential risk to which the patient and/or health team is exposed.
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Predictors of hand-hygiene compliance have not been re-evaluated in the alcohol-based hand rinse (ABHR) era. ⋯ In the ABHR era a higher frequency of hand-hygiene opportunities is no longer the primary barrier to achieving optimal hand-hygiene compliance. However, heterogeneous use of ABHR by ward may still provide a target for improvement.