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Published on: June 7, 2017
Clinical implementation of a scrubless chlorhexidine/ethanol pre-operative surgical hand rub
Richard Marchand1, Sylvie Theoret, Danielle Dion
1Service of Microbiology and Infectious Diseases, Dept. of Medical Biology, Montréal Heart Institute, Montréal, Québec.
Abstract:
The objective of surgical scrubbing is to reduce the bioburden on the hands of the surgical team in hope that if gloves are punctured or torn, the number of bacteria released at the operation site will be minimal and therefore reduce the risk of site infection. Long procedures with scrubbing and soaping can, however, be counterproductive because with repetition they tend to cause skin abrasions, damages and injuries without further reducing the risk of bacterial release. Within a general review of OR processes, it was decided to substitute to the standard surgical scrub a "new" scrubless pre-op surgical hand rub procedure. This article summarizes the results.
Insights
Surgical hand rubs offer a scrubless alternative to traditional surgical scrubbing. This method aims to reduce surgical site infections without causing skin damage from repetitive washing.
Area of Science:
- Healthcare
- Infection Control
- Surgical Procedures
Background:
- Traditional surgical scrubbing aims to minimize surgical site infections by reducing hand bioburden.
- Repetitive surgical scrubbing can lead to skin damage, potentially counteracting its benefits.
Purpose of the Study:
- To evaluate a novel scrubless pre-operative surgical hand rub procedure as an alternative to standard surgical scrubbing.
- To assess the efficacy of the new procedure in reducing bacterial release and infection risk.
Main Methods:
- A review of operating room processes led to the decision to implement a new scrubless hand rub procedure.
- The study involved substituting the standard surgical scrub with this "new" pre-op surgical hand rub.
Main Results:
- The study summarized the results of implementing the scrubless surgical hand rub procedure.
- The article focuses on the findings related to bacterial reduction and infection risk compared to traditional scrubbing.
Conclusions:
- The scrubless surgical hand rub procedure was introduced as an alternative to standard surgical scrubbing.
- The findings of this procedural change are presented in the article.
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