The Antiseptic Outcome of Traditional Hand Scrubbing Versus Hand Rubbing in Surgical Room
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Hand Disinfection
- Sponsor
- Taipei Medical University Shuang Ho Hospital
- Enrollment
- 236
- Primary Endpoint
- Microorganisms on Hands Before Scrubbing
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
Hand hygiene is the cornerstone of aseptic techniques to reduce surgical site infection. The traditional surgical antisepsis involves scrubbing the skin with povidone-iodine or chlorhexidine gluconate. Recently, a waterless surgical hand rub formulation containing 61% ethyl alcochol, 1% chlorhexidine and moisturizers was developed to provide a comparable antiseptic effect. The investigators perform a randomized controlled trial to compare the antiseptic effectiveness of the waterless hand rubbing, the classic surgical handwashing with povidone-iodine and chlorhexidine solutions.
Detailed Description
This single centre, randomized trial recruited surgical team members in Taipei Medical University-Shuang Ho Hospital at November 2014. 255 episodes of hand washing are enrolled. The participants are assigned equally to use either a waterless hand rub (Group R), or traditional scrub formation with 10 % povidone-iodine (Group I) and 4% chlorhexidine (Group C). Hand washing time, microorganisms on hands before and after scrubbing is recorded. The primary outcome is the colonies grown on bacterial culture plates and expressed as colony-forming units (CFU) on plates after hand washing. The secondary outcomes is hand microbial flora after surgery and duration of hand washing.
Investigators
Ka-Wai Tam
Director of Center for Evidence-Based Health Care
Taipei Medical University Shuang Ho Hospital
Eligibility Criteria
Inclusion Criteria
- •Surgical staff members, both surgeons and scrub nurses
Exclusion Criteria
- •Participants were excluded if they were medical or nursing students
- •Allergy to the experimental materials
Outcomes
Primary Outcomes
Microorganisms on Hands Before Scrubbing
Time Frame: 2 days after sampling
The primary outcome is the colonies grown on bacterial culture plates and expressed as colony-forming units (CFU) on plates
Secondary Outcomes
- Duration of Hand Washing(Immediately)
- Microorganisms on Hands After Scrubbing(2 days after sampling)
- Microorganisms on Hands After Surgery(2 days after sampling)