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Laundering Methods for Reusable Surgical Scrubs: A Literature Review

Christina M Vera, Tony Umadhay, Marquessa Fisher

    AANA Journal
    |December 4, 2018
    PubMed

    Insights

    Facility-laundered surgical scrubs may reduce surgical site infections compared to home laundering. This review evaluates scrub laundering practices to prevent bacterial contamination and improve patient safety.

    Area of Science:

    • Infection Control
    • Healthcare Epidemiology
    • Surgical Safety

    Background:

    • Surgical site infections (SSIs) are common and severe postoperative complications.
    • High bacterial loads in the operating room, potentially from scrub uniforms, can cause SSIs.
    • Common pathogens include Staphylococcus, Streptococcus, and Pseudomonas.

    Purpose of the Study:

    • To compare the efficacy of facility-laundered versus home-laundered surgical scrubs in preventing SSIs.
    • To assess the safety and appropriateness of home laundering surgical scrubs.
    • To provide evidence-based recommendations for laundering reusable surgical scrubs.

    Main Methods:

    • Literature review of studies on surgical scrub contamination and laundering practices.
    • Evaluation of evidence regarding bacterial carriage on surgical uniforms.
    • Analysis of existing recommendations and consensus on scrub laundering.

    Main Results:

    • Evidence suggests surgical scrubs can harbor bacteria, posing a risk for SSIs.
    • Debate exists regarding optimal laundering methods and locations (facility vs. home).
    • Lack of consensus among healthcare providers on safe and effective scrub laundering.

    Conclusions:

    • Facility laundering may offer superior prevention of SSIs compared to home laundering.
    • Further research and standardized guidelines are needed for surgical scrub laundering.
    • Implementing best practices in scrub laundering is crucial for patient safety.

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