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Pre-surgical hand preparation in veterinary practice.

K R Crosse1

  • 1School of Veterinary Science, Massey University, Palmerston North, New Zealand.

New Zealand Veterinary Journal
|September 29, 2021
PubMed
Summary

Alcohol-based rubs are the preferred method for surgical hand preparation in veterinary practice. They offer superior efficacy, safety, and compliance compared to traditional scrubs, making them ideal for veterinarians.

Keywords:
Hand asepsisalcohol-based rubchlorhexidinepovidone iodinesurgicalsurgical site infection

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Area of Science:

  • Veterinary Medicine
  • Surgical Hygiene
  • Infection Control

Background:

  • Surgical hand preparation is critical for veterinarians to prevent surgical site infections.
  • Historically, protocols have evolved, with traditional methods including chlorhexidine gluconate and povidone-iodine scrubs.
  • Assessing efficacy, safety, and compliance is crucial for selecting appropriate preparation methods.

Purpose of the Study:

  • To review evidence on various surgical hand preparation methods for veterinary use.
  • To compare traditional scrub methods with alcohol-based rubs in a veterinary context.
  • To provide recommendations for optimal pre-surgical hand preparation in veterinary practice.

Main Methods:

  • Review of existing scientific literature comparing different surgical hand preparation agents and protocols.
  • Analysis of data on efficacy (immediate and prolonged), safety, user compliance, cost, and water usage.
  • Extrapolation of human medical data to veterinary surgical settings, with specific considerations for veterinary practice.

Main Results:

  • Alcohol-based rubs demonstrate significant benefits over traditional scrubs.
  • Comparative data highlights advantages in immediate and prolonged efficacy, safety, and user compliance for alcohol-based rubs.
  • Considerations such as theatre furniture requirements, cost, and water usage also favor alcohol-based protocols.

Conclusions:

  • Alcohol-based rubs are recommended as the preferred method for pre-surgical hand preparation for veterinarians.
  • The benefits of alcohol-based rubs support their adoption across all types of veterinary practices.
  • Evidence suggests alcohol-based rubs enhance surgical hygiene and patient safety in veterinary medicine.