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Expert Q&A:
When is it safe to relax the "wash your hands before picking up baby" rule?

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Linda Jonides
Answered by Linda Jonides R.N., C.P.N.P.
"I have worked as a pediatric nurse practitioner (P.N.P.) for over 30 years," says Linda Jonides. "I continue to thoroughly enjoy forming new relationships with parents and newborns and working with them through infancy, childhood, and adolescence."

Linda Jonides is a pediatric nurse practitioner in a private pediatric practice in Ann Arbor, Michigan. She received her Diploma in Nursing and Certificate as a Pediatric Nurse Practitioner from The Johns Hopkins Hospital. She is a past recipient of the Michigan PNP of the Year Award. She has a B.S. in Nursing from Eastern Michigan University. She has published articles and lectured on childhood obesity, infant colic, role of the P.N.P., growth and development issues, and infectious diseases. She was an author of "Clinical Insights Column," published biannually in the Journal of Pediatric Health Care for nine years. Jonides is past president of NAPNAP. Currently, she is a steering group work member of NAPNAP's HEAT (healthy eating and activity together) project. One outcome of this group's work is the clinical practice guideline, "Identifying and Preventing Overweight in Childhood," that was published as a supplement to the March/April '06 issue of the Journal of Pediatric Health Care.

Ms. Jonides has been married to John, a university professor, since 1971.
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Question


I know thaI know that people handling infants should wash their hands before coming in contact with them, but when is it safe to relax those rules? I'm talking about just picking up a child and not putting hands on the face or skin. My husband seems to think that anyone coming in contact with our 8-month-old twin girls should have on full surgical gear. Please advise.

Answer


It is true that good hand-washing is the best thing we can all do to minimize the spread of germs. In your case, I would recommend that you wash your hands well often throughout the day, but especially before and after diaper changes with each girl, before handling any food, after you use the bathroom, etc. For any visitors, a good hand-washing before they pick up the girls is a reasonable request. The reality now with the age of your daughters is that they are undoubtedly getting around quite a bit, touching everything, and putting things in their mouth, so they are in greater contact with more germs. You want them to explore and learn, and you can't keep them in a germ-free bubble. But you can wash your hands often, wash the babies' hands often, and try to limit contact with people who are ill. I hope this helps.
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