Manual for Male Circumcision under Local Anaesthesia
Manual for Male Circumcision under Local Anaesthesia
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