Effective Handwashing Techniques to Prevent Enterovirus and Other Infections - Pediatrics

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Prevention of Enterovirus


Hello, Doctor.
I would like to ask if it is feasible to pick up items that have fallen on the ground in public environments or public restrooms, and then wash my hands with hand sanitizer or soap? I am concerned about the possibility of not cleaning them thoroughly and risking infection from enteroviruses or other diseases, or causing urinary tract infections or infections in children's private areas.
Are there any other more effective handwashing methods? Thank you!

Cc, 20~29 year old female. Ask Date: 2023/04/19

Dr. Xiao Kaiwen reply Pediatrics


Before eating in public places, it is important to use the restroom and wash your hands properly with soap (proper handwashing involves specific steps).
Additionally, try to avoid touching your eyes, mouth, and nose, as these are good hygiene practices.

Reply Date: 2023/04/19

More Info


Effective handwashing techniques are crucial in preventing the spread of enterovirus and other infections, especially in public environments where the risk of contamination is higher. When you pick up items from public places, such as a restroom floor, it is essential to wash your hands thoroughly to minimize the risk of infection. Here’s a detailed explanation of effective handwashing techniques and additional preventive measures.


Importance of Handwashing
Handwashing is one of the most effective ways to prevent the spread of infections, including enteroviruses. These viruses can survive on surfaces for extended periods, and touching contaminated surfaces can lead to infection if you then touch your face, mouth, or eyes. Proper hand hygiene is especially important after handling items in public spaces, as they may harbor various pathogens.


Effective Handwashing Techniques
1. Use Soap and Water: The CDC recommends using soap and clean, running water for handwashing. While hand sanitizers can be effective, they are not a substitute for washing hands with soap and water, especially when hands are visibly dirty or greasy.

2. Scrub Thoroughly: When washing your hands, make sure to scrub all parts of your hands, including:
- Palms
- Backs of hands
- Between fingers
- Under nails
- Wrists
Scrub for at least 20 seconds. A good practice is to sing the "Happy Birthday" song twice to time your scrubbing.

3. Rinse Well: After scrubbing, rinse your hands under clean, running water to remove soap and any loosened germs.

4. Dry Properly: Use a clean towel or air dry your hands. If using a public restroom, it’s advisable to use a paper towel to turn off the faucet and open the door to avoid re-contaminating your hands.


Additional Preventive Measures
- Use Hand Sanitizer: If soap and water are not available, use an alcohol-based hand sanitizer that contains at least 60% alcohol. However, this should not replace handwashing when hands are dirty.

- Avoid Touching Your Face: After handling items in public places, try to avoid touching your face until you have washed your hands.

- Keep Your Environment Clean: Regularly disinfect commonly touched surfaces in your home, such as doorknobs, light switches, and mobile devices, to reduce the risk of infection.

- Educate Children: Teach children the importance of hand hygiene, especially after using the restroom, before eating, and after playing outside.


Addressing Concerns About Infections
Your concern about the risk of infections, particularly in children, is valid. Enteroviruses can cause various illnesses, and maintaining good hand hygiene is a key preventive measure. If you are worried about potential infections from handling items in public places, ensure that you wash your hands immediately afterward using the techniques mentioned above.

If you suspect that you or your child may have been exposed to an infection, monitor for symptoms such as fever, rash, or gastrointestinal issues. If any symptoms arise, consult a healthcare professional for further evaluation and guidance.

In conclusion, effective handwashing is a simple yet powerful tool in preventing the spread of enteroviruses and other infections. By following proper handwashing techniques and maintaining good hygiene practices, you can significantly reduce the risk of infection for yourself and your family.

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