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PJ Online homeThe Pharmaceutical Journal
Vol 279 No 7461 p63
21 July 2007

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Alcohol gel supplies for patients suggested

Personal hand cleanser

Personal hand cleanser could be offered

Hospital patients could be given personal supplies of alcohol-based hand cleanser to be offered to health professionals before they treat them as a way of tackling hospital-acquired infections.

In his 2006 chief medical officer’s report on the state of public health in England, Sir Liam Donaldson says: “Patients and their families would be educated on the correct use of this handrub and empowered to supply it to health care professionals before every consultation and to utter those challenging words — ‘Have you cleaned your hands?’.”

Currently, 8 per cent of all adult patients in hospital at any one time have a health care-associated infection. The National Audit Office estimated that there are 300,000 such infections each year and that 5,000 patients may die as a result. This equates to an infection of a patient every two minutes and the death of a patient every two hours. The annual cost to the NHS is approximately £1bn. Professor Donaldson contrasts this with the estimated £3,000 annual cost of providing hand cleanser at every bedside in a 500-bed hospital.

Another change advocated by Professor Donaldson is intended to increase the supply of organs for transplantation. His proposal is to create an opt-out system so that everyone’s organs can be used for transplantation after death unless they have registered an objection.

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