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Manual for Male Circumcision under Local Anaesthesia

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<strong>Male</strong> circumcision <strong>under</strong> local anaesthesia<br />

Version 3.1 (Dec09)<br />

Clean water a should be available <strong>for</strong> hand hygiene in all health care settings<br />

providing services related to male circumcision (screening, surgery, and<br />

follow-up). All staff should wash their hands with soap and water be<strong>for</strong>e<br />

starting their clinic duties, and whenever hands are visibly soiled. In addition,<br />

staff should use an alcohol-based handrub frequently, particularly be<strong>for</strong>e and<br />

after direct contact with each patient.<br />

Hands should be washed or treated with a handrub:<br />

• be<strong>for</strong>e and after direct contact with each patient;<br />

• after removing gloves;<br />

• be<strong>for</strong>e handling an invasive device <strong>for</strong> patient care, whether or not<br />

gloves are used;<br />

• after contact with blood, blood products, body fluids or excretions,<br />

mucous membranes, non-intact skin, or wound dressings;<br />

• after using the toilet (normal personal hygiene).<br />

a If the tap water is contaminated, use either water that has been boiled <strong>for</strong> 10 minutes and filtered to<br />

remove particulate matter, or chlorinated water (water treated with a dilute solution of sodium<br />

hypochlorite (bleach) to give a final concentration of 0.001%).<br />

Prevention of Infection Chapter 8-4

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