To the Editor: The recent editorial by Collignon and colleagues emphasised the importance of infection control mechanisms in reducing patient harm from antibiotic-resistant organisms.1 It focused on disinfection of the hands of health care workers in hospitals. However, a vigorous education and surveillance program in a hospital in Victoria failed to achieve compliance among health care workers of even 50%.2 Top of the list of self-reported factors leading to poor compliance is “skin irritation and dryness associated with the use of hand hygiene agents”.3
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