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Article: Surgical hand-washing

TitleSurgical hand-washing
Authors
KeywordsAntisepsis
Chlorhexidine
Hand-Washing
Iodine-Povidone
N-Duopropenide
Issue Date2004
PublisherBlackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ASH
Citation
Annals Of The College Of Surgeons Of Hong Kong, 2004, v. 8 n. 3, p. 71-75 How to Cite?
AbstractPre-operative hand-washing is essential for the reduction of surgical site infection (SSI) rate. This article aims to review the current literature regarding the issues on: (i) the duration of washing; (ii) the use of the brush; and (iii) the reagents used. Based on current evidence, preoperative hand-washing for 10 min is not recommended and 2-5 min is adequate. There is no evidence supporting the use of the brush, and washing without the brush may confer further advantages of reducing skin irritation and delayed colonization. The newly developed aqueous alcoholic solutions (AAS) are equally effective as conventional reagents such as chlorhexidine gluconate and povidone-iodine in preventing SSI. Aqueous alcoholic solutions have the advantage of better user compliance and causing fewer occupational hazards. The author concluded that a 1 min non-antiseptic hand-wash, followed by thorough rubbing with AAS until dry and without brushing is a safe and effective alternative to the conventional scrubbing technique.
Persistent Identifierhttp://hdl.handle.net/10722/172968
ISSN
References

 

DC FieldValueLanguage
dc.contributor.authorLung, DCen_US
dc.contributor.authorMan, JHKen_US
dc.contributor.authorTang, THCen_US
dc.contributor.authorWong, LKYen_US
dc.contributor.authorLeung, GKKen_US
dc.date.accessioned2012-10-30T06:26:07Z-
dc.date.available2012-10-30T06:26:07Z-
dc.date.issued2004en_US
dc.identifier.citationAnnals Of The College Of Surgeons Of Hong Kong, 2004, v. 8 n. 3, p. 71-75en_US
dc.identifier.issn1028-4001en_US
dc.identifier.urihttp://hdl.handle.net/10722/172968-
dc.description.abstractPre-operative hand-washing is essential for the reduction of surgical site infection (SSI) rate. This article aims to review the current literature regarding the issues on: (i) the duration of washing; (ii) the use of the brush; and (iii) the reagents used. Based on current evidence, preoperative hand-washing for 10 min is not recommended and 2-5 min is adequate. There is no evidence supporting the use of the brush, and washing without the brush may confer further advantages of reducing skin irritation and delayed colonization. The newly developed aqueous alcoholic solutions (AAS) are equally effective as conventional reagents such as chlorhexidine gluconate and povidone-iodine in preventing SSI. Aqueous alcoholic solutions have the advantage of better user compliance and causing fewer occupational hazards. The author concluded that a 1 min non-antiseptic hand-wash, followed by thorough rubbing with AAS until dry and without brushing is a safe and effective alternative to the conventional scrubbing technique.en_US
dc.languageengen_US
dc.publisherBlackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ASHen_US
dc.relation.ispartofAnnals of the College of Surgeons of Hong Kongen_US
dc.subjectAntisepsisen_US
dc.subjectChlorhexidineen_US
dc.subjectHand-Washingen_US
dc.subjectIodine-Povidoneen_US
dc.subjectN-Duopropenideen_US
dc.titleSurgical hand-washingen_US
dc.typeArticleen_US
dc.identifier.emailLeung, GKK: gilberto@hkucc.hku.hken_US
dc.identifier.authorityLeung, GKK=rp00522en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1111/j.1442-2034.2004.00215.xen_US
dc.identifier.scopuseid_2-s2.0-4444240637en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-4444240637&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume8en_US
dc.identifier.issue3en_US
dc.identifier.spage71en_US
dc.identifier.epage75en_US
dc.publisher.placeAustraliaen_US
dc.identifier.scopusauthoridLung, DC=36902110400en_US
dc.identifier.scopusauthoridMan, JHK=7005866839en_US
dc.identifier.scopusauthoridTang, THC=7401988879en_US
dc.identifier.scopusauthoridWong, LKY=7402092046en_US
dc.identifier.scopusauthoridLeung, GKK=35965118200en_US

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