i did not want to really get involved in this discussion,but the hospitel i work in has all the procedure in force for the bug MRSA ,and all anti-bacteria gel is on the door to the wards and everyone must use it and if they don't they are reported regardless of position,i agree with what lindacarl says and it is very hard to get rid of as we carry it,so hopefully all patients if they can will ask the doctor/nurse if they have used the gel or can they use it in front of the patient before they are touched this reassure the patient, i know that we have increased the cleaning schedules on each ward by taking on more domestics and we have a team that goes round each ward inspecting the cleanest of the bays and they do report back any problems.