Effectiveness of Surgical hand Washing with Chlorhexidine, Providone iodine and Alcohol on Reducing the Microorganisms on the Hands: A Systematic Review
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Background: Postoperative infection is one of the causes of mortality and the hands of the surgical team are the most common cause. According to the The Center for Disease Control and Prevention (CDC), proper hand washing can reduce the occurrence of nosocomial infections by up to 30%. The aim of this study is to determine the effectiveness of surgical hand washing using chlorhexidine, providone iodine and alcohol in reducing the microorganisms on the hand.
Method: The data was collected from the following electronic databases: Science Direct, Springer link, Scopus and ProQuest. The search obtained 11 articles in accordance with the inclusion criteria and we obtained the literature in full text form.
Result: The results of the study found three articles that mentioned hand washing with an alcohol hand rub as being more effective than iodine and chlorhexidine providone. There was one article described that both alcohol hand rub and chlorhexidine are more effective than iodine providone, Another article mentioned that chlorhexidine, providone iodine and alcohol hand rub were equally effective at reducing microorganisms contaminating the hand.
Conclusion: The conclusion of the study is that surgical hand washing using chlorhexidine, providone iodine and alcohol are all effective at reducing microorganisms.
Abdollahi, L., Tabrizi, J. S., Jodati, A., Safaie, N., & Moradi-joo, M. (2017). Quality of surgical scrub in a heart hospital : Do not take it for granted. Journal of Cardiovascular and Thoracic Research, 9(3), 164–169. https://doi.org/10.15171/jcvtr.2017.28
Chen, S., Chou, C., Huang, J., & Tang, Y. (2014). Antibacterial effects on dry-fast and traditional water-based surgical scrubbing methods : A two-time points experimental study. 100(June 2013), 179–185. https://doi.org/10.1111/nhs.12082
Collection, M. (2003). The use of povidone-iodine in superficial partial-thickness burns.
Gaspar, G. G., Menegueti, M. G., Lopes, A. E. R., Santos, R. O. C., de Araújo, T. R., Nassiff, A., ... Bellissimo-Rodrigues, F. (2018). Alcohol-based surgical hand preparation: Translating scientific evidence into clinical practice. Antimicrobial Resistance and Infection Control, 7(1), 1–8. https://doi.org/10.1186/s13756-018-0372-7
Ghorbani, A., Shahrokhi, A., Soltani, Z., Molapour, A., & Shafikhani, M. (2012). Comparison of surgical hand scrub and alcohol surgical hand rub on reducing hand microbial burden. Journal of Perioperative Practice, 22(2), 67–70. https://doi.org/10.1177/175045891202200205
Hand, A., Weight, C. J., Lee, M. C., & Palmer, J. S. (2010). Issues in Surgical Management Scrub in 3600 Pediatric Urologic Procedures. URL, 76(1), 15–17. https://doi.org/10.1016/j.urology.2010.01.017
Hennig, T. J., Werner, S., Naujox, K., & Arndt, A. (2017). Chlorhexidine is not an essential component in alcohol-based surgical hand preparation: A comparative study of two handrubs based on a modified EN 12791 test protocol. Antimicrobial Resistance and Infection Control, 6(1), 1–7. https://doi.org/10.1186/s13756-017-0258-0
Howard, J. D., Jowett, C., Faoagali, J., & Mckenzie, B. (2014). New method for assessing hand disinfection shows that pre-operative alcohol / chlorhexidine rub is as effective as a traditional surgical scrub. Journal of Hospital Infection, 88(2), 78–83. https://doi.org/10.1016/j.jhin.2014.06.013
Kawagoe, J., Toniolo, A., Silva, C., Menezes, F., Hutter, M., Zimmer,
P., ... Gonçalves, P. (2015). Alcohol preparation compared to traditional surgical hand antisepsis: acceptance by surgical team at a private hospital in Brazil. Antimicrobial Resistance and Infection Control, 4(S1), 1–2. https://doi.org/10.1186/2047-2994-4-s1-p163
Oriel, B. S., Chen, Q., & Itani, K. M. F. (2016). A retrospective cohort study examining SDSSIs using VA Surgical Quality Improvement. The American Journal of Surgery. https://doi.org/10.1016/j.amjsurg.2016.09.058
Rn, C. C., Han, C., Rn, C. K., Chen, S., & Wei, P. (2012). American Journal of Infection Control Effect of surgical site infections with waterless and traditional hand scrubbing protocols on bacterial growth Scrub time. YMIC, 40(4), e15–e17. https://doi.org/10.1016/j.ajic.2011.09.008
Shen, N., Pan, S., Sheng, W., & Chen, Y. (2015). ScienceDirect Comparative antimicrobial efficacy of alcohol-based hand rub and conventional surgical scrub in a medical center. Journal of Microbiology, Immunology and Infection, 48(3), 322–328. https://doi.org/10.1016/j.jmii.2013.08.005
Suchomel, M., Brillmann, M., Assadian, O., Ousey, K. J., & Presterl, E. (2018). Chlorhexidine-coated surgical gloves influence the bacterial flora of hands over a period of 3 hours. 4–8.
Tsai, J., Lin, Y., Huang, Y., Loh, E., & Wen, H. (2016). Antiseptic Effect of Conventional Povidone – Iodine Scrub , Chlorhexidine Scrub , and Waterless Hand Rub in a Surgical Room : A Randomized Controlled Trial. https://doi.org/10.1017/ice.2016.296
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