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Table 1 Events associated with the risk of patient cross-colonization or infection

From: “First-person view” of pathogen transmission and hand hygiene – use of a new head-mounted video capture and coding tool

 

Origin HSE surface

Destination HSE surface

Patient Colonization Event; corresponding to WHO moment 1a

Any HSE outside patient zone

Any surface inside patient zone (including fomites and intact patient skin, excluding critical sites)

Examples

Door handle, keyboard of mobile computer

Patient bedside monitor, patient arm

Patient Infection Event; corresponding to WHO moment 2a

Any HSE (except the same critical site as arrival HSE surface)

Any critical site

Examples

Patient arm, bedside monitor

Central venous catheter insertion site, wound, sterile needle to be used on the patient

  1. Legend: HSE hand-to-surface exposure. The symbol ➔ denotes the direct sequence of two HSE. aWHO moment 1 with the modification that touching a surface inside the patient zone with or without touching the patient counts as Patient Colonization Event