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<p>Tackling healthcare associated infections is complex and requires a strong patient
safety system that integrates cleanliness, infection prevention and control and antibiotic
use. Hand hygiene is an important component and we continuously review and enhance
national measures, systems and guidance. For example hand hygiene references in <em>The
Health and Social Care Act 2008 Code of Practice for prevention and control of infections
and related guidance</em>, were strengthened when it was revised in 2015. It will
also form part of forthcoming guidance on reducing Gram negative infections such as
E. coli.</p><p>Auditing of hand hygiene is a local responsibility and information
on hand hygiene compliance is not collected centrally. Therefore, no national assessment
has been made of the potential links between hand hygiene compliance levels and the
above infections.</p>
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