ANTT Clinical Practice Framework

ANTT is based upon a set of foundation Principles & Safeguards set out in the ANTT Clinical Practice Framework. 

The Framework is used for all clinical procedures....

  From surgery to

    community care’

The Framework underpins the ‘ANTT-Approach’ to aseptic technique. For a free copy of the Framework publication please email

Copyright © 2019 Aseptic Non Touch Technique (ANTT®). All rights reserved.

  ....the international standard for aseptic technique


  ‘A Practice Framework    for all invasive procedures’

                              Clinical   Practice

Principle 1

The aim of ANTT for invasive clinical procedures or maintenance of invasive medical

devices is always asepsis

Principle 2

Asepsis is achieved by protecting Key-Parts and Key-Sites from microorganisms

transferred from the healthcare worker & the immediate environment

Principle 3

ANTT needs to be efficient as well as safe

(Surgical-ANTT is used for complicated procedures and Standard-ANTT for uncomplicated  procedures – ‘From Surgery to Community Care’)

Principle 4

Choice of Surgical or Standard-ANTT is based on ANTT Risk Assessment - according to

the technical difficulty of protecting Key-Part and Key-Site Asepsis

Safeguard 1

Basic Infective Precautions

Basic infective precautions such as hand cleaning and environmental controls significantly

reduce the risk of contaminating Key-Parts and Key-Sites

Safeguard 2

Identification of Key-Parts & Key-Sites

Key-Parts are the critical parts of the procedure equipment that if contaminated are most likely to

cause infection. Key-Sites are open wounds and medical device access sites.

Safeguard 3

Non-Touch Technique

Non-Touch Technique is a critical skill that protects Key-Parts & Key-Sites from the healthcare

worker and the procedure environment – in both Surgical and Standard-ANTT

Safeguard 4

Aseptic Field Management

Aseptic Fields protect Key-Parts and Key-Sites from the immediate procedure environment.

Surgical and Standard-ANTT require different aseptic field management

              Clinical and Organizational Management

Principle 5

Aseptic practice should be standardized

Principle 6

Safe aseptic technique is reliant upon effective healthcare worker training

and environments and equipment that are fit for purpose.