Comparison of the efficiency of nail pick and brush used for nail cleaning during surgical scrub on reducing bacterial counts

Alcan, Aliye Okgün; Korkmaz, Fatma Demir

doi:10.1016/j.ajic.2011.10.021

Cited by 11 publications

(8 citation statements)

References 9 publications

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“…It is preferable that sinks have electronic sensor controls or be operated by the knee or foot 14 . In addition, the evidence indicates that surgical hand scrubs should not be performed using a brush, because scrubbing with a brush may damage skin and increase bacterial shedding from the hands 3,4,24‐26 …”

Section: Key Takeaways Discussionmentioning

confidence: 99%

Guideline Implementation: Hand Hygiene

Goldberg¹

2017

AORN Journal

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Performing proper hand hygiene and surgical hand antisepsis is essential to reducing the rates of health care-associated infections, including surgical site infections. The updated AORN "Guideline for hand hygiene" provides guidance on hand hygiene and surgical hand antisepsis, the wearing of fingernail polish and artificial nails, proper skin care to prevent dermatitis, the wearing of jewelry, hand hygiene product selection, and quality assurance and performance improvement considerations. This article focuses on key points of the guideline to help perioperative personnel make informed decisions about hand hygiene and surgical hand antisepsis. The key points address the necessity of keeping fingernails and skin healthy, not wearing jewelry on the hands or wrists in the perioperative area, properly performing hand hygiene and surgical hand antisepsis, and involving patients and visitors in hand hygiene initiatives. Perioperative RNs should review the complete guideline for additional information and for guidance when writing and updating policies and procedures.

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Section: Key Takeaways Discussionmentioning

confidence: 99%

Guideline Implementation: Hand Hygiene

Goldberg¹

2017

AORN Journal

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“…Techniques involving brushes and scrubbing cause small excoriations, consequently damage the skin, and increase the risk of skin colonisation by pathogenic bacteria species without providing any additional effect on instant bacterial reduction (Larson et al . ; Okgün Alcan and Demir Korkmaz ). If hands are visibly soiled and surgical scrub is to be carried out, current recommendations are to use a soft sponge for forearms and hands, and a soft brush for the fingertips, if any aids are to be used (WHO ).…”

Section: Evidence‐based History: Cleaning Hands Saves Livesmentioning

confidence: 99%

“…However, due to the relatively high number of hand hygiene procedures that healthcare staff are subjected to perform on a daily basis, hand washing can more quickly result in dermatitis and subsequent increased skin colonisation by pathogenic bacterial species (Larson et al . ; Okgün Alcan and Demir Korkmaz ). Emphasis on maintaining the intactness and moisture of the skin is therefore crucial for the efficacy aspect, but probably even more for compliance to hand hygiene acts.…”

Section: Evidence‐based History: Cleaning Hands Saves Livesmentioning

confidence: 99%

The World Health Organization's Clean Hands Save Lives: A concept applicable to equine medicine as Clean Hands Save Horses

Verwilghen

2016

Equine Veterinary Education

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Summary Even before the discovery of germs, the practice of hand hygiene had revealed itself as a crucial element in the fight against infectious diseases. In fact, supported by the historical discoveries and more recent evidence based data, the World Health Organization considers hand hygiene as the pillar of infection control, particularly when related to nosocomial infections. Therefore, the World Health Organization has a strong focus on “Clean Hands Save Lives” campaigns, a principle that is easily translatable into “Clean Hands Save Horses”. Considering the recognised importance given to skin health and integrity as the first principle of good hand hygiene, using decontamination methods and products that are the least harmful to the skin is mandatory. This is why the currently accepted presurgical hand preparation methods do not involve aggressive brushing and disinfecting soaps anymore. Rather, hands should be washed with a neutral pH friendly soap first before a hydroalcoholic solution is applied. Although the principles and benefits of proper hand hygiene have been recognised in the healthcare world, one of the major drawbacks remains the lack of compliance with established protocols. To increase compliance, equine clinics should work on improving product accessibility, enhancing staff and client education as well as helping each other to remember to actually do it. This article reviews historical and current facts on hand hygiene and relates it to equine practice. Clean equine care is safer equine care: it's all in your hands!

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“…H and hygiene forms the basis of antiseptic techniques aimed at reducing the incidence of nosocomial and surgical site infections. [1][2][3] The contaminated hands of health workers are known to result in nosocomial and surgical site infections. These infections lead to severe morbidity and mortality, prolonged hospital stay, and increased hospital costs.…”

mentioning

confidence: 99%

“…These infections lead to severe morbidity and mortality, prolonged hospital stay, and increased hospital costs. [1][2][3][4] Surgical hand washing has an important place in preventing the development and transfer of nosocomial infections, and also in the development of surgical site infections. [2,4] Cleaning of hand and arms with an antiseptic solution was first initiated in the 1860s by Joseph Lister' s surgical team, which used carbonic acid for hand disinfection.…”

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confidence: 99%

Surgical hand washing: A systematic review

Gök¹

2016

Int J Antisep Disinfect Steril

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Objective: Hand antisepsis has an important place in the prevention of surgical site infections. In this review, we aimed to systematically examine the studies on the comparison between the efficiency of surgical hand washing method and the antiseptics being used. Methods: Between August 2009 and September 2014, 23,450 studies which were published were screened. The databases of "EBSCO", "Pubmed", "Medline", "Cochrane Library", "Science Direct," "Google Academic" and "ULAKBIM" were screened by using the keywords "Surgical hand washing" "comparison of surgical hand scrubbing solutions" and "operating room". Among the acquired studies, only 14 randomized-controlled (RC) and experimental articles were examined. These articles were given in a chronological order containing the authors, years, titles, objectives, samples, methods, findings, discussions and conclusions. Results: Considering the findings that were acquired according to this systematic examination, we observed that majority of studies preferred alcohol-based washing products instead of traditional hand washing products (scrubbing with a soap or a povidone iodine), as traditional methods causes less and even no complications such as hand cracks and scrapes, saves time and, above all, it shows an antibacterial effect in a short time. Recent experimental studies suggest that scrubbing fingernails and hands with an antiseptic solution has no use in surgical decontamination; thus, it is sufficient to scrub until the hand dries and the most efficient alcohol-based hand washing product is chlorhexidine gluconate. Efficiency of antiseptics used in surgical hand washing differs according to the technique of surgical hand washing and the sample group being used. Conclusion: Procurement of surgical hand antisepsis is one of the most important principles in preventing the surgical site infections. Efficiency and preference of surgical hand washing solutions is still a disputable issue. Thus, it is recommended to repeat relevant randomized-controlled and experimental studies in a different sample group.

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Comparison of the efficiency of nail pick and brush used for nail cleaning during surgical scrub on reducing bacterial counts

Cited by 11 publications

References 9 publications

Guideline Implementation: Hand Hygiene

Guideline Implementation: Hand Hygiene

The World Health Organization's Clean Hands Save Lives: A concept applicable to equine medicine as Clean Hands Save Horses

Surgical hand washing: A systematic review

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