Surgical Hand Scrub Practices In Orthopaedic Surgery

Khan, Adnan; McLaren, Sandra G.; Nelson, Carl L.

doi:10.1097/01.blo.0000084404.53464.17

Cited by 6 publications

(2 citation statements)

References 19 publications

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“…Scrubbing for 3 minutes produced statistically significant decrease in bacterial count than scrubbing for 2 minutes. 5,6 Our mean scrub time of 4.8 minutes agrees with 3 to 5 minutes recommended by others. 6 A mean WT of 1.4 minutes shows that water was used in washing the hands in only about one-third of the ST. Of the 200,283 liters used during the study only 58,498.5 liters (29.2%) was necessary.…”

Section: Discussionsupporting

confidence: 75%

Surgical hand scrub: Lots of water wasted

Ahmed

2007

Ann Afr Med

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Background: Surgical hand scrub (SHS) is an important antisepsis measure before participating in surgical operation. It reduces the risk of microbial contamination of the surgical wound by skin flora. SHS is usually performed in a scrub sink with taps that have hand operated handles. During the scrub process large volume of water is wasted. The aim of this study was to determine the volume of water used during SHS in comparison to the actual volume necessary. Method: Unknown to them various cadre of the operation team were timed during their first scrubbing of the day for scheduled operations. Duration of scrubbing (ST) and that during which the hands were being washed with flowing water (WT) were recorded. The amount of water flowing through the tap per minute was also recorded. Using the mean ST, WT and water flow per minute the total volume of water used during scrubbing and that necessary to wash the hand were calculated. Results: Overall, the ST ranged between 3 and 7 minutes with a mean of 4.8 ± 0.5 SD minutes. Mean WT was 1.4 ± 0.4 SD minutes. The mean water flow was 4,217mls per minutes. The volume of water used per scrubbing was 20.2 litres while only 5.9 litres was used for washing the hands. Between January and December 2002, the volume of water used for scrubbing was 200,283 litres while only 58,498.5 litres (29.2%) was necessary. Conclusion: Plenty water is wasted during SHS. Reducing the amount of water flowing unused would provide cost saving to the hospital. The use of taps operated with foot pedal would reduce the waste.Key words: Operation, hand scrub, water, wastage Résumé Introduction : Brosse chirurgicale pour se frotter les mains (BCM) est une mesure antisepsie importante avant une participation dans une opération chirurgicale. Elle reduit le danger de la contamination microbiale des blessures chirurgicales par la flore de peau. Le BCM est opéré dans un evier à se frotter avec des robinets qui a des mains avec des manches d'opération. Pendant le processus de se frotter les mains une grande quantité de l'eau est perdue. L'objet de cette étude était de décider le volume de l'eau utilisée pendant le BCM par rapport au volume normal exigé. Méthodes : Chaque cadre des équipes d'opération ne savaient pas que l'on les avait mesuré le temps pendant la prémière fois de se frotter de la journée pour des opérations calculées. La durée de se frotter (DF) et celle pendant laquelle les mains se sont lavées avec de l'eau au cours rapide (LC) ont été notées. La somme de l'eau qui coule dans le robinet par minute était également notée. Avec l'utilisation du moyen, DF, LC et l'eau coulé par minute le volume total de l'eau utilisée pendant le frottement et le volume total nécessaire pour se laver les mains ont été calculés Résultats : Dans l'ensemble, la (DF) varie de 3 à 7 minutes avec un moyen de 4,8+-0,5 SD minutes. Moyen LC était 1,4+-0,4 SD minutes. Le moyen de coulement de l'eau utilisée par le frottement était 20,2 litres tandis que 5,9 litres seulement était utilisé pour se laver les main. Ent...

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Section: Discussionsupporting

confidence: 75%

Surgical hand scrub: Lots of water wasted

Ahmed

2007

Ann Afr Med

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“…Bacteria are present on the hands of most surgeons before the surgical scrub, and it is vitally important that proper hand scrubbing procedures are followed [25,89,118]. Unfortunately, compliance with proper handwashing and scrubbing is poor [65,67,139].…”

Section: Avoiding Dressing Changesmentioning

confidence: 99%

Myths and Legends in Orthopaedic Practice: Are We All Guilty?

Tejwani

Immerman

2008

Clinical Orthopaedics &Amp; Related Research

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Over years of practice, many beliefs and practices become entrenched as tried and tested, and we subconsciously believe they are based on scientific evidence. We identified nine such beliefs by interviewing orthopaedic surgeons in which studies (or lack thereof) apparently do not support such practices. These are: changing the scalpel blade after the skin incision to limit contamination; bending the patient's knee when applying a thigh tourniquet; bed rest for treatment of deep vein thrombosis; antibiotics in irrigation solution; routine use of hip precautions; routine use of antibiotics for the duration of wound drains; routine removal of hardware in children; correlation between operative time and infection; and not changing dressings on the floor before scrubbing. A survey of 186 practicing orthopaedic surgeons in academic and community settings was performed to assess their routine practice patterns. We present the results of the survey along with an in-depth literature review of these topics. Most surgeon practices are based on a combination of knowledge gained during training, reading the literature, and personal experience. The results of this survey hopefully will raise the awareness of the selected literature for common practices.

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Basic Surgical Technique and Aftercare

Wright¹

2008

Campbell's Operative Orthopaedics

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Surgical Hand Scrub Practices In Orthopaedic Surgery

Cited by 6 publications

References 19 publications

Surgical hand scrub: Lots of water wasted

Surgical hand scrub: Lots of water wasted

Myths and Legends in Orthopaedic Practice: Are We All Guilty?

Basic Surgical Technique and Aftercare

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