PMID: 15226610Jul 1, 2004Paper

A new surgical handwashing and hand antisepsis from scrubbing to rubbing

Journal of Nippon Medical School = Nippon Ika Daigaku Zasshi
Kiyonori FurukawaTakashi Tajiri

Abstract

In 2002, the Centers for Disease Control and Prevention (CDC) published guidelines for surgical handwashing and hand antisepsis on the Internet. According to these guidelines, we revised our surgical handwashing method from scrubbing with brushes to rubbing with antiseptic. The new method consists of scrubbing around the nails with brushes and rubbing the hands and arms with antiseptic from the elbow to the antebrachium. A total of 182 surgeons and operating-room nurses participated in the current study. Bacterial contamination was investigated using the glove-juice method. The new surgical handwashing method is simple, and requires only a short time to perform (2 minutes 50 seconds). The bacterial examination confirmed that rubbing the hands with antiseptic was significantly more effective than scrubbing with brushes. In terms of sterilization or prolonged effects, 4% chlor-hexidine gluconate (CHG) was superior to 7.5% povidone-iodine (PVI) throughout a 3-hour period after hand antisepsis. Although bacterial counts were increased 3 hours after the beginning of surgery, additional hand rubbing with 0.2% chlorhexidine-83% ethanol (Hibisoft(TM)) was effective in suppressing the number of bacteria. Hibisoft(TM) successfully prolon...Continue Reading

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Citations

Apr 7, 2010·Urology·Christopher J WeightJeffrey S Palmer
Apr 20, 2006·Contact Lens & Anterior Eye : the Journal of the British Contact Lens Association·Ryoji YanaiTeruo Nishida
Feb 19, 2005·The Veterinary Clinics of North America. Food Animal Practice·André Desrochers
Jul 28, 2005·Journal of Nippon Medical School = Nippon Ika Daigaku Zasshi·Kiyonori FurukawaYoshihiro Norose
Feb 24, 2006·Dermatology : International Journal for Clinical and Investigative Dermatology·Chieko Nishimura
May 1, 2009·International Journal of Cancer. Journal International Du Cancer·Mauting LinChristoph Plass
Sep 1, 2005·Clinical Orthopaedics and Related Research·Christopher BibboSheldon S Lin
Jun 26, 2012·Journal of Perioperative Practice·Azam GhorbaniMahin Shafikhani
May 25, 2021·American Journal of Infection Control·Emine Arici ParlakOrhan Bedir

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