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Hand hygiene as long been considered to be the single most important preventative measure in the transmission of infectious agents. Measures to undertake hand hygiene are surprisingly straightforward and effective decontamination can be achieved through the use of soaps or detergents and a compatible disinfectant. But compliance in health care facilities across all employees and the public, even in full sight of hand hygiene instructions, is often poor. What compliance and surveillance studies that have been conducted have indicated a complex picture of many different practices, working cultures, management motivation and different educational strategies.

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