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Alcohol preparation compared to traditional surgical hand antisepsis: acceptance by surgical team at a private hospital in Brazil

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Antimicrobial Resistance and Infection Control20154 (Suppl 1) :P163

https://doi.org/10.1186/2047-2994-4-S1-P163

  • Published:

Keywords

  • Chlorhexidine
  • Alcoholic Product
  • Administrative Support
  • Consumption Saving
  • Surveillance Agency

Introduction

Traditional surgical hand scrubbing (TSHS) has been replaced by alcohol-based formulation (ABF) in many countries due to antimicrobial efficacy, easy application, lower skin damage, time saver and no recontamination risk by rinsing hands with water [1]. In Brazil, chlorhexidine (CHG) and povidone-iodine (PVPI) are used for TSHS.

Objectives

Compare one ABF to TSHS, evaluating surgical team acceptance and time, water, products and waste savings.

Methods

This before-after intervention evaluation, quantitative study was conducted in two operating suites (26 rooms) at a 650-bed private hospital - São Paulo, Brazil. The ABF approved for surgical hand antisepsis by ASTM-E1115, CEN-EN 12791 and Brazilian Health Surveillance Agency was available for 12-week (May-July/2014). The subjects that met inclusion criteria answered two questionnaires: before and after ABF introduction, evaluating the following attributes: softness, dryness, irritation, skin feel, easiness in putting on surgical gloves, drying time, etc. Chi-square and McNemar tests were used. Time and water consumption were also measured.

Results

52 (55.9 %) subjects completed the study. The majority were male (34; 65.4%), age of 36–55 years and > 16 years performing surgery (31; 59.6%). ABF was considered excellent/good by 47 (90.4%). Procedure simplifier/time saver, good fragrance, soft/comfortable/hydrated hands skin, non-abrasive/non-irritating were evaluated positively, p < 0.001. There were per person/hand antisepsis: approximately 73 seconds’ time saving, an average of 33.1 liters of water consumption saving and waste saving (surgical brushes/sterile towels).

Conclusion

The ABF for surgical hand antisepsis had an excellent/good acceptance by the members of surgical team. It results in considerable savings in water and healthcare associated residues as the environment is concerned.

Disclosure of interest

J. Kawagoe Grant/Research support from: GOJO - Provision of alcoholic products and techinical and administrative support, A. Toniolo: None declared, C. Silva: None declared, F. Menezes: None declared, M. Hutter: None declared, P. Zimmer: None declared, L. Barbosa Employee of: GOJO - Provision of alcoholic products and techinical and administrative support, L. Correa: None declared.

Authors’ Affiliations

(1)
Nursing Post-graduation Course, Albert Einstein Nursing Faculty, Sao Paulo, Brazil
(2)
Infection Control Service, Hospital Israelita Albert Einstein, Sao Paulo, Brazil
(3)
Infection Control Service, Albert Einstein Hospital, São Paulo, Brazil
(4)
Surgical Center, Albert Einstein Hospital, São Paulo, Brazil
(5)
GOJO, Sao Paulo, Brazil

References

  1. Widmer AF, Rotter M, Voss A, Nthumba P, Allegranzi B, Boyce J, Pittet D: Surgical hand preparation: state-of-the-art. Journal of Hospital Infection. 2010, 74: 112e122-View ArticleGoogle Scholar

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