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HAND DISINFECTANT FOR SENSITIVE SKINSofta-Man ViscoRub / Softalind ViscoRubPROPERTIESFor hygienic and surgical hand disinfectionCombination of alcohols as active ingredients withunique consistency which is as effective as a liquid rubFree of perfume and colourantsExcellent skin tolerability········EFFICACY (in vitro tests)Bacteria (incl. TbB, MRSA)YeastEnveloped viruses (incl. HBV, HCV, HIV)Rotavirus, Norovirus1········LISTINGDGHM2 / VAH3 / IHO List of virucidal products4··APPLICATION TIMEHygienic hand disinfection: 30 secSurgical hand disinfection: 90 sec····PRODUCT SIZE hand disinfectant with gel-like consistencyREF75 ml bottle100 ml bottle500 ml bottle500 ml bottle with pump1000 ml bottle1000 ml bottle with pump1000 ml airless bottleSofta-Man ViscoRub / Softalind ViscoRub – ingredients100 ml solution contains active ingredients: 45 g ethanol (100 %), 18 g 1-propanol (Ph.Eur.); Other excipients: Purified water, 2-butanone, glycerin, isopropyl myristate, (cetearylethylhexanoate), Tetrahydroxypropyl ethylenediamine, acrylates/C10-30 alkyl acrylatecrosspolymer, octyldodecanol, bisabolol.Unique consistency1) MNV model virus, 2) DGHM German Society for Hygiene and Microbiology, 3) VAH Association for Applied Hygiene, 4) IHO German Association of Hygiene and Surface Protection Industries15

HIGH PERFORMANCE DISINFECTANTSofta-Man acute / Softalind 999 for Outbreak ManagementEFFICACY (in vitro tests)Bacteria (incl. TbB, MRSA)YeastEnveloped viruses (incl. HBV, HCV, HIV)Adenovirus, Norovirus1, Polyomavirus and PoliovirusPROPERTIESFor hygienic and surgical hand disinfectionComprehensive virucidal actionFree of perfume and colourantsDermatologically tested················APPLICATION TIMEHygienic hand disinfection: 30 secSurgical hand disinfection: 60 secLISTINGDGHM2 / VAH3, RKI4 / IHO List of virucidal products5····PRODUCT SIZE··REF100 ml bottle500 ml bottle500 ml bottle with pump1000 ml bottle1000 ml bottle with pumpSofta-Man acute / Softalind 999 – ingredients100 mL solution contains active ingredients: 45 g ethanol (100 %), 18 g 1-propanol(Ph. Eur.); Other excipients: Purified water, Macrogol 4000, 2-butanol, octyldodecanol(Ph. Eur.), glycerin, phosphoric acid (85 %)Comprehensive virucidal1) FCV model virus, 2) DGHM German Society for Hygiene and Microbiology, 3) VAH Association for Applied Hygiene, 4) RKI Robert Koch-Institute5) IHO German Association of Hygiene and Surface Protection Industries16

HAND HYGIENE EXCELLENCE AWARDHand HygieneExcellence AwardThe Award is conceived as a platform to identify, recognize,honour and celebrate those hospitals and health care work groupswho have contributed to improving patient safety through theirexcellence, enthusiasm and innovatory methods. A unique processhas been developed for the awards. The chairman Prof. DidierPittet (director, infection control programme and WHO Collaborating Centre on Patient Safety, Lead Adviser, Clean Care is SaferCare programme, University of Geneva Hospitals & Faculty ofMedicine and WHO, Geneva) as well as an international panelof leading infection control experts are evaluating the candidatures and assess the finalists during a visit in the hospital inorder to elect the winning hospitals.Apply now on www.hhea.infoPROCESS HAND HYGIENE EXCELLENCE AWARDHospital appliesonwww.hhea.infoHospitalreceivessubmission formHospital sendscompletedsubmission formExpertpaneldecides onfinalistsAuditvisit bydelegates ofthe expertpanelExpertpaneldecides onwinnersWinners getrewarded atcontinentalcongress17

SAVE LIVES: CLEAN YOUR HANDSWHO’s global annual call to action for health workersEach year on the 5th of May the SAVE LIVES: Clean Your Handscampaign aims to progress the goal of maintaining a globalprofile on the importance of hand hygiene in health care and to"bring people together” in support of hand hygiene improvementglobally.5th May World Health Organization 2016. All rights reserved.Visit the webpage http://www.who.int/gpsc/5may/en/ for more information and campaign resources.18

HAND DISINFECTIONWHO GUIDELINES ON HAND HYGIENEIN HEALTH CAREFirst Global Patient Safety Challenge Clean Care is Safer CareA new approach to strengthen national and international capacity, improve practices and change behaviour, to achievesafer, high quality patient care. This work is now being led bya new Infection Prevention and Control Global Unit at WHO.WHO Guidelineson Hand Hygiene in Health CareFirst Global Patient Safety ChallengeClean Care is Safer Care World Health Organization 2016. All rights reserved.Visit the http://www.who.int/gpsc/en/ for more information.19

HAND CARE

HAND CAREWHEN?a hand care lotion when necessary··Uselong breaks and after work··Beforein dry skin are reservoirs for bacteria and thus sources··Cofracksinfectioneeping hands in good condition is an essential part of good··Khandhygiene and helps stop the transmission of infection 21

FAST-ABSORBING MOISTURE LOTIONTrixo classic care from B. BraunPROPERTIESOil-in-water emulsionFree of colourantsSkin-neutral pHGentle, mild perfumes and �·····APPLICATIONTrixo can be used as needed After handwashing After completing the OR program After hands are exposed to severe c onditions For moisturizing the entire body after showering and bathing Whenever the skin needs moisturizing and care············ADDITIONAL INFORMATION FOR USERSWITH ALLERGIESAllergy testedFree of colourants Can be used by people with allergies to longchain aliphatic alcohols and lanolin derivatives······PRODUCT SIZEREF100 ml tube500 ml bottle500 ml bottle with pumpTrixo – ingredientsAqua, cyclomethicone, sorbitol, methylglucose sesquistearate, paraffinum liquidum,cetearyl ethylhexanoate, glyceryl stearate, phenoxyethanol, stearic acid, panthenol,fragrance, polyacrylamide, C13-14 isoparaffin, laureth-7, bisabolol, citric acid,butylphenyl methylpropional, citronellol, alpha methyl ionone, benzyl salicylate, linalool,limonene.22High-quality care

HAND CARERICH, ALLERGY-TESTED MOISTURE LOTIONTrixo -lind moisture lotion for extremely dry, irritated skinPROPERTIESOil-in-water emulsionFree of colourantsSkin-neutral pHEspecially suitable for extremely sensitive skinProvides the skin with intensive careSkin-soothing ingredientsAllergy tested··············APPLICATIONTrixo -lind can be used as neededAfter handwashingAfter completing the OR programAfter hands are exposed to severe c onditions For moisturizing the entire body after showering and bathing, particularly with dry skin Whenever the skin needs moisturizing andprotection··········ADDITIONAL INFORMATION FOR USERSWITH ALLERGIESAllergy testedFree of colourants Can be used by people with allergies to longchain aliphatic alcohols and lanolin derivatives······PRODUCT SIZEREF20 ml tube100 ml tube500 ml bottle500 ml bottle with pumpTrixo -lind – ingredientsAqua, paraffinum liquidum, sorbitol, methylglucose sesquistearate, cetearyl ethylhexanoate,glyceryl stearate, phenoxyethanol, stearic acid, panthenol, allantoin, fragrance, polyacrylamide, C13-14 isoparaffin, laureth-7, citric acid, butylphenyl methylpropional, benzylsalicylate, linalool, hexyl cinnamal, citronellol, alpha methyl ionone, limonene.Allergy tested23

LOW-ALLERGENIC MOISTURE LOTIONTrixo -lind pure skin care with lower allergenic potentialPROPERTIESOil-in-water emulsion Free of perfume and colourants Skin-neutral pH Suitable for especially sensitive skin Panthenol and allantoin soothe skin irritation··········APPLICATIONTrixo -lind pure can be used as neededAfter handwashingAfter completing the OR program After hands are exposed to severeconditions For moisturizing the entire body after showeringand bathing, particularly with dry skin Whenever the skin needs moisturizing andprotection··········ADDITIONAL INFORMATION FOR USERSWITH ALLERGIESAllergy tested Free of colourants Free of perfume Can be used by people sensitive to long-chainaliphatic alcohols and lanolin derivatives········PRODUCT SIZEREF100 ml tube500 ml bottle500 ml bottle with pumpTrixo -lind pure – ingredientsAqua, paraffinum liquidum, sorbitol, methylglucose sesquistearate, cetearyl ethylhexanoate, glycerylsterarate, phenoxyethanol, stearic acid, panthenol, allantoin, polyacrylamide, C13-14 isoparaffin, laureth-7, citric acid.24Free of perfume and colourants

HAND CAREHand / Skin CarePersonal Hygiene Free of PerfumeDry, sensitive Skin Bacteriacidal MRSA Levurocidal (C. albicans) Tuberculocidal (M. terrea)Enveloped viruses (incl. HBV, HCV, HIV)1AdenovirusRotavirus Norovirus (FCV / MNV)) Personal CareFree of ColourantsTrixo -lind pure Trixo -lind Trixo Softalind 999 Hand / Skin CleansingNormal SkinEFFICACYSofta-Man acute/Softa-Man ViscoRub / Softaskin Softalind ViscoRubSoftalind pureSofta-Man pure/Promanum pure Lifosan pure Lifosan softTHERAPEUTIC INDICATIONSHand DisinfectionSoftalind HandsanitizerSofta-Man /HAND HYGIENE PRODUCTS AT A GLANCE Polyomavirus Poliovirus APPLICATIONINGREDIENTSActives:Ethanol 1-Propanol 2-Propanol Excipients:Skin Care Compounds Moisturizers Emollients Hygienic hand disinfection EN 150015 s15 s15 s30 s15 sSurgical hand disinfection EN 1279160 s90 s60 s90 s60 sOutbreak management (virucidal) 60 s11) According RKI-List (Domaine B)25

ACCESSORIESIncreased compliance of infection control procedures results in a higher safety level for patients, staff and the community.Therefore, disinfectants must be quickly and easily available and safe to use wherever they are required. To ensure thatdisinfectants are accessible at the point of care and at the same time meet individual user requirements, B. Braun hasdeveloped a comprehensive range of accessories.26

ACCESSOIRESB. Braun System – Dispenser················Modular system with drip tray,lever, back plateFor 500 ml and 1000 ml bottlesEasy to clean – dishwasher proof(up to 60 C)LockableEasy to installIncludes a volume indicatorCustomizable – label it – changecolor your choice!Adaptable dosing volume··············Airless system with uniquecollapsible bottlesReady for a smart upgrade(compliance monitoring tool)Materials usedDispenser Cover: ABS / SANDrip Tray: ABSLever: stainless steelBackplate: ABSNEWTouchless Dispenser··············Sensor operated dispenser improves hygienic safetyFor all B. Braun hand disinfectants, liquid soaps andskin care lotionsAutoclavable pump (max. 123 C)Scratch resistant casing made of anodized aluminiumBattery operatedWith emergency operating leverAdjustable dosing 0.75 – 1.5 mlWall Dispenser Plus········For 500 ml or 1000 ml bottleWith plastic or metallic pumpLever arm length 100 mm or 170 mmAdjustable dosing from 0.5 ml to 1.5 mlWall Dispenser plus with counter······The integrated counter function of the new Wall Dispenser plusreliably measures the number of performed hand disinfectionsAdjustable dosing from 0.5 ml to 1.5 mlFor 500 ml or 1’000 ml bottle27

ACCESSORIESAccessories for Plus Dispenser····Locking plat for manually operated dispenser incl. lock and keyWith white plastic tray prevents the dripping onto the floorLockable Wall Bracket System········Made of clear alcohol resistant translucent polycarbonateOffered as a lockable wall dispenser or wall bracket onlyFor 500 or 1000 ml bottleStainless steel lever for the 500 ml dispenser availableWall Bracket······For 500 ml or 1000 ml bottleMade of stainless steelDouble-sided adhesive pad allows convenient fixation28

ACCESSOIRESBed Bracket····To hang 500 ml or 1000 ml bottle on bedsMade of stainless steelClipsCrocodile ClipCrocodile clip for 75 ml and 100 ml bottleDevice to hang a bottle on one’s pocket····Jojo ClipTo make hand rubs accessible at the point of careReturn spring is specially adjusted to the weightof a 100 ml bottle····Hand Pump········For 500 ml or 1000 ml bottleReflux valveSingle useDosage approx. 2 mlMore items you can find in our range brochure accessories29

EDUCATION30

Health Care Associated Infections (HAI) challenge health caresettings all over the world. Hygiene plans, hand hygiene programs,trainings, quality systems as well as compliance monitoring etc.show only a part of their responsibilities.Following you find some educational material for hand hygiene.B. Braun is dedicated to knowledge dissemination and interdisciplinary dialogue in line with international standards as well asbest practices to ensure patient safety.31

YOUR 5 MOMENTS FOR HAND HYGIENEClean hands are safer hands. Are yours clean?Based on the „My 5 moments for Hand s/en/index.html World Health Organization 2009. All rights reserved.WHEN?12fobebeforetouchinga patient31234532idfluydaf ter boske riruse xpolean / aseptre cicdproce ure4aftertouchinga patient5after touchingpatientsurroundingsbefore touchinga patientWHEN? Clean your hands before touching a patient when approaching him / her.WHY? To protect the patient against harmful germs carried on your hands.before clean /asepticprocedureafter body fluidexposure riskWHEN? Clean your hands immediately before performing a clean / aseptic procedure.WHY? To protect the patient against harmful germs, including the patient‘s own, from enteringhis / her body.WHEN? Clean your hands immediately after an exposure risk to body fluids (and after glove removal).WHY? To protect yourself and the health-care environment from harmful patient germs.after touchinga patientWHEN? Clean your hands after touching a patient and her / his immediate surroundings,when leaving the patient’s side.WHY? To protect yourself and the health-care environment from harmful patient germs.WHEN? Clean your hands after touching any object or furniture in the patient’s immediatesurroundings, when leaving – even if the patient has not been touched.WHY? To protect yourself and the health-care environment from harmful patient germs.after touchingpatientsurroundings

EDUCATION5 MOMENTS GAMEYou want to train the 5 Moments for hand hygiene?Use the B. Braun 5 Moment GamePLAY NOW ONwww.bbraun.ch/5momentsgame/33

HOW TO HANDWASH?Wash hands when visibly soiled! Otherwise, use handrub.Duration of the entire proedure: 40 – 60 seconds1Wet hands with water5Palm to palm with fingers interlaced9Rinse hands with water2Apply enough soap to cover allhand surfaces634Rub hands palm to palm74Right palm over left dorsum with interlaced fingers and vice versa8Backs of fingers to opposing palmswith fingers interlockedRotational rubbing of left thumbclasped in right palm and vice versaRotational rubbing, backwards andforwards with casped fingers ofright hand in left palm and vice versa101112Dry hands thoroughly with a singleuse towelUse towel to turn off faucetYour hands are now safeHAND CARE Take care of your hands by regularly using a protectivehand cream or lotion, at least daily. Do not routinely wash hands with soap and water immediately before or after using an alcohol-based handrub. Do not use hot water to rinse your hands. After handrubbing or handwashing, let your hands drycompletely before putting on gloves.········3PLEASE REMEMBERDo not wear artificial fingernails or extenders whenin direct contact with patients. Keep natural nails short.····

EDUCATIONHOW TO HANDRUB?Rub hands for hand hygiene! Wash hands instead when visibly soiled.Duration of the entire procedure: 20 – 30 seconds1a1bApply a palmful of the product in a cupped hand, enough to cover all hand surfaces3Rub hands palm to palm6Rotational rubbing of left thumb claspedin right palm and vice versa4Right palm over left dorsum with interlacedfingers and vice versa7Rotational rubbing, backwards and forwardswith casped fingers of right hand in left palmand vice versa2Backs of fingers to opposing palms with fingersinterlocked5Palm to palm with fingers interlaced8Once dry, your hands are safePires, D., Bellissimo-Rodrigues, F., Soule, H., Gayet-Ageron, A., & Pittet, D. (2017). Revisiting the WHO “How to Handrub” Hand Hygiene Technique: Fingertips First?Infection Control & Hospital Epidemiology, 38(2), 230-233. doi:10.1017/ice.2016.24135

SURGICAL HAND PREPARATIONTechnique with an alcohol-based handrub formulationThe handrubbing technique for surgical hand preparation must be performed on perfectly clean, dry hands. On arrival in the operating theatre and after having donned theatre clothing (cap / hat / bonnet and mask), hands must be washed with soap and water.After the operation when removing gloves, hands must be rubbed with an alcohol-based formulation or washed with soap andwater if any residual talc or biological fluids are present (e.g. the glove is punctured).Surgical procedures may be carried out one after the other without the need for handwashing, provided that the handrubbingtechnique for surgical hand preparation is followed (images 1 to 17).1Put approx. 5 ml (3 doses) of alcoholbased handrub in the palm of your lefthand, using the elbow of your other armto operate the dispenser.4See legend for image 3.7See legend for image 3.362Dip the fingertips of your right hand inthe handrub to decontaminate under thenails (5 sec).5See legend for image 3.8Put approx. 5 ml (3 doses) of alcoholbased handrub in the palm of your righthand, using the elbow of your other armto operate the dispenser.3Images 3 –7: Smear the handrub on theright forearm up to the elbow. Ensure thatthe whole skin area is covered by usingcircular movements around the forearmuntil the handrub has fully evaporated(10 –15 sec).6See legend for image 3.9Dip the fingertips of your left hand in thehandrub to decontaminate under the nails(5 sec).

EDUCATION1011Smear the handrub on the left forearmup to the elbow. Ensure that the wholeskin area is covered by using circularmovements around the forearm until thehandrub has fully evaporated(10 –15 sec).Put approx. 5 ml (3 doses) of alcohol-basedhandrub in the palm of your left hand, usingthe elbow of your other arm to operate thedistributor. Rub both hands at the sametime up to the wrists and ensure that all thesteps represented in images 12 –17 are followed (20 – 30 sec).Repeat the below-illustrated sequence (average duration, 60 sec) according

THE HAND AND SKIN CARE PRODUCTS OF B. BRAUN Over a period of years, B. Braun has developed and implemented a simple and convincing concept for profes-sional hand hygiene. Mutually compatible products guarantee a particularly high level of skin tolerance. OUR CONCEPT YOUR BENEFIT SKIN TOLERANCE Potential risk factors are eliminated in the