Choose wisely: compliant hand sanitizer guideline in a nutshell

In the era of the COVID-19 pandemic hand hygiene became something we got used to living with on a daily basis. From one day to another we found ourselves equipped with an alcohol-based hand-rub (ABHR). Today, hand-rubbing for 30 seconds grew into an unmistakable gesture. However, we should not omit the fact that ABHR is essential not exclusively during the virus epidemic. It’s a solution to get rid of the pathogens or simply clean your hands when far from the source of water.
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Novel coronavirus (2019-nCoV) outbreak

2019-nCoV is an enveloped virus that belongs to the Coronaviruses group. Coronaviruses can cause respiratory infections in mammals and birds, going from common colds to pneumonia and bronchitis. Coronaviruses have the particularity to cause both upper (nasal cavity, pharynx, larynx) and lower (lungs) respiratory tract infections. They can be transmitted from human to human when there is close contact via droplets when sneezing and coughing. Those droplets can reach the nasal cavity, the mouth or directly the lungs at a distance of 1.8 m. Infected people can be contagious during the viral incubation period, even if they are asymptomatic, and they become more contagious when symptoms start to appear.
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Emerging pathogens: Are we ready for the new MDRO era?

The situation is getting worse every year, causing countless MDROs outbreaks worldwide, and tens of thousands of victims. It is estimated that by the year 2050, more people will die because of MDRO infections than because of cancer. MDROs infections also have an « economic burden » in healthcare institutions, due to expensive treatments that sometimes do not work, longer hospital stays, etc. 
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Overcoming the limitations of manual disinfection

There is now evidence that several pathogenous microorganisms such as Clostridioides Difficile and Vancomycin-resistant Enterococcus (VRE) can persist on contaminated surfaces for several months, therefore, they can be spread by patients or healthcare workers to other surfaces or directly to other patients, potentially causing cross infections or at a higher scale, outbreaks.
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Towards a better hospital environmental hygiene: where do we start?

Similarly to hand hygiene, environmental hygiene is a real challenge, which can be overcome by playing on different elements: the choice of the right surface disinfection product, understanding better the human factor, and how to facilitate the implementation of such changes.
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