National survey of hand antisepsis practices

Surgical hand antisepsis is routinely carried out prior to undertaking invasive procedures in an attempt to reduce surgical site infection. There are a number of components within hand antisepsis which include the choice of antiseptic agent, the method of application and the duration of the process. This article presents the findings of a postal survey of 1,471 (out of 8,000) perioperative practitioners identifying their surgical hand antisepsis practices. While a traditional scrub using chlorhexidine gluconate remains the preferred method of antisepsis, 20% of practitioners use alcohol rubs for repeated cases. Compliance with recommended guidelines is patchy (for example, only 3% of practitioners scrub for the recommended time of two minutes) and guidelines need to address more issues.