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The Germzapper Press Room the movement of possible disease-causing, opportunistic, transient microorganisms moving from surface to surface (i.e., nursing staff hand-to-hand; from the patient to the hands of the nursing staff and back again to nursing staff hands; another patient; hospital equipment surfaces). Nursing professionals can manage this problem by establishing and maintaining an "intact aseptic link" to inhibit a chain of septic flow from occurring.4

A major challenge for the healthcare worker in managing this problem though is the ability to maintain moist and intact skin on hands during a patient care day. Since patient care protocols require handwashing episodes exceeding 25 times per day, this becomes a difficult task. 		Maintaining intact skin during handwashing is a natural "first line barrier defense" and helps to preserve an intact aseptic link in the chain of septic flow against this opportunistic and pathogenic microorganism threat. Maintaining intact caregiver skin could be disruptive to any potential chain of septic flow during patient handling episodes and would be an additional safeguard to the caregiver. Noted professionals in the field of infection control and handwashing have already discussed the problem of necessary skin integrity during daily-required handwashing.5

The Centers for Disease Control and Prevention (CDC) in Atlanta, Ga, and other professionals in the field of infection control suggest that individual caregivers represent the most effective


Maintaining Intact Skin During Handwashing:

The First Line of Defense Against the Chain of Septic Flow

By Thomas L. Kovach, MA

Intact Skin: The First Line of Defense.

Infection control professionals conclude that proper handwashing by nursing staff, physicians, and patients is the single most effective method for controlling cross-contamination potential in healthcare institutions-especially in acute care areas of the hospital.1,2,3 Most patient handling episodes expose the healthcare worker to potential infection by opportunistic microorganisms establishing and moving into a "chain of septic flow." A chain of septic flow is defined as

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