Hand hygiene practices include:
(1) handwashing, especially after using the bathroom and before/after glove use
(2) hand alcohol rubs
(3) barriers such as gloves
(4) elimination of fomites (rings, other jewelry, artificial nails)
(5) training and education about food safety
Barriers to hand washing:
(1) laziness
(2) time pressure
(3) inadequate facilities and supplies
(4) lack of accountability
(5) failure to support proper hand washing by companies, managers and workers
(6) hand skin conditions (dermatitis, painful lesions, etc)
Problems with gloves:
(1) continuous wear allows for proliferation of bacteria inside and contamination outside
(2) pin-holes
(3) false sense of security
(4) potential for less frequent handwashing
