An in-use microbiological comparison of two surgical hand disinfection techniques in cardiothoracic surgery: hand rubbing versus hand scrubbing.

An in-use microbiological comparison of two surgical hand disinfection techniques in cardiothoracic surgery: hand rubbing versus hand scrubbing. Research Abstract Details 

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An in-use microbiological comparison of two surgical hand disinfection techniques in cardiothoracic surgery: hand rubbing versus hand scrubbing. Abstract Text:

C Carro,L Camilleri,O Traore,L Badrikian,B Legault,K Azarnoush,C ,C De Riberolles,

Surgical site infection after heart surgery increases morbidity and mortality. The method of presurgical hand disinfection could influence the infection risk. From February to April 2003, we compared the microbiological efficacy of hand-rubbing (R) and hand-scrubbing (S) procedures. The surgical team alternately used hand-scrubbing or hand-rubbing techniques every two weeks. Fingertip impressions were taken before and immediately after hand disinfection, every 2h and at the end of the operation. Acceptability of hand rubbing was assessed by a questionnaire. Mean durations of surgical procedures were 259+/-68 and 244+/-69min for groups S and R respectively (P=0.43). Bacterial counts immediately after hand disinfection were comparable with the two techniques, but significantly lower in group R at the end of surgery. No differences were observed between the percentages of negative samples taken after 2h, 4h and at the end of surgery between the two groups. Bacterial skin flora reduction immediately after hand disinfection, after 2h and 4h of operating time and at the end of surgery was better in group R, but the difference was not statistically significant. Before surgery, the hand-rubbing method with alcohol solution preceded by hand washing with mild neutral soap is as effective as hand scrubbing to reduce bacterial counts on hands. It decreased the bacterial counts both immediately after hand disinfection and at the end of long cardiothoracic surgical procedures. The acceptability of hand rubbing was excellent and it can be considered to be a valid alternative to the conventional hand-scrubbing protocol.

An in-use microbiological comparison of two surgical hand disinfection techniques in cardiothoracic surgery: hand rubbing versus hand scrubbing. Publishing Authors By Initials

C Carro,L Camilleri,O Traore,L Badrikian,B Legault,K Azarnoush,C ,C De Riberolles,

For similar bacterial infections and mycoses: infection: wound infection: surgical wound infection research abstracts see: bacterial infections and mycoses: infection: wound infection: surgical wound infection research

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An in-use microbiological comparison of two surgical hand disinfection techniques in cardiothoracic surgery: hand rubbing versus hand scrubbing. Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: The Journal of hospital infection

VOLUME: 67

Page Numbers: 62-6

Journal Abbreviation: J. Hosp. Infect.

ISSN: 0195-6701

DAY: 24

MONTH: 08

YEAR: 2007

An in-use microbiological comparison of two surgical hand disinfection techniques in cardiothoracic surgery: hand rubbing versus hand scrubbing. Information

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LANGUAGE: eng

NlmUniqueID: 8007166

An in-use microbiological comparison of two surgical hand disinfection techniques in cardiothoracic surgery: hand rubbing versus hand scrubbing. Keywords Mesh Terms:

KEYWORDS: Surgical Wound Infection

MESH TERMS: prevention & control

Chemical & Substance for Abstract: An in-use microbiological comparison of two surgical hand disinfection techniques in cardiothoracic surgery: hand rubbing versus hand scrubbing. Information

Substance Name: 1-Propanol

Registry Number: 71-23-8

Grant and Affiliation Information for An in-use microbiological comparison of two surgical hand disinfection techniques in cardiothoracic surgery: hand rubbing versus hand scrubbing.

AFFILIATION: CHU Clermont-Ferrand, Cardiovascular Surgery Department, Gabriel Montpied University Hospital, Clermont Ferrand, France. ccarro@chu-clermontferrand.fr

Country: England

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MEDLINETA: J Hosp Infect

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