Manual for Male Circumcision under Local Anaesthesia

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Male circumcision under local anaesthesia Version 3.1 (Dec09) Clean water a should be available for hand hygiene in all health care settings providing services related to male circumcision (screening, surgery, and follow-up). All staff should wash their hands with soap and water before starting their clinic duties, and whenever hands are visibly soiled. In addition, staff should use an alcohol-based handrub frequently, particularly before and after direct contact with each patient. Hands should be washed or treated with a handrub: • before and after direct contact with each patient; • after removing gloves; • before handling an invasive device for patient care, whether or not gloves are used; • after contact with blood, blood products, body fluids or excretions, mucous membranes, non-intact skin, or wound dressings; • after using the toilet (normal personal hygiene). a If the tap water is contaminated, use either water that has been boiled for 10 minutes and filtered to remove particulate matter, or chlorinated water (water treated with a dilute solution of sodium hypochlorite (bleach) to give a final concentration of 0.001%). Prevention of Infection Chapter 8-4
Male circumcision under local anaesthesia Version 3.1 (Dec09) Washing hands with soap and water The steps, procedures and technique for washing hands are shown in Fig. 8.1, which is also available as a WHO poster. If single-use disposable paper towels are not available, ensure that towels are not used more than once before laundering. Fig. 8.1 Correct hand washing technique for health care workers Prevention of Infection Chapter 8-5
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Manual for Male Circumcision under Local Anaesthesia

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