Two-Layer Wound Sealing before Surgical Hand Washing for Surgeons with a Minor Cut Injury on the Hand

Surgical Infections
Chan YoonGoo Hyun Baek

Abstract

There is a lack of evidence-based recommendations for surgical hand washing when there is a minor cut on the hand. We sought to evaluate whether two-layer wound sealing functions as a barrier to prevent the spread of micro-organisms. We randomly categorized 20 surgeons into subjects with either a right- or left-hand injury. Each subject was assumed to have a minor injury on the assigned hand and the other hand was used as a control. Subjects applied a waterproof topical dressing as a first layer, then protected the injured area with a second layer using an antimicrobial drape, and finally performed surgical hand rubbing. Subjects stamped each hand onto an agar plate. The injured hands were checked by an investigator to confirm the wounded area remained properly sealed after hand rubbing. Colonies were counted and the micro-organisms were identified after 48 hours of incubation. There was no leak found from two-layer wound sealing after hand washing. Mean number of the colonies was 0.2 on the injured hand and 0.25 on the uninjured hand (p = 0.772). The micro-organisms cultured from both the injured and uninjured hands were coagulase-negative staphylococci. Using a model for a minor cut injury on the hand this study demonstrated ...Continue Reading

References

Apr 1, 1988·The British Journal of Surgery·S A HussainA A Choudhary
Oct 1, 1985·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·D P ClarkI W Anderson
Sep 1, 1995·Nursing Research·K Wikblad, B Anderson
Nov 1, 1994·AORN Journal·C A WyndA M Lapp
Oct 31, 1998·American Journal of Infection Control·E L LarsonJ M Bartkus
Jun 8, 1999·American Journal of Infection Control·M ZaragozaA Trilla
Feb 24, 2001·AORN Journal·E L LarsonP Della-Latta
Aug 10, 2002·JAMA : the Journal of the American Medical Association·Jean Jacques ParientiUNKNOWN Antisepsie Chirurgicale des mains Study Group
May 4, 2005·The Journal of Hospital Infection·R CoelloP Borriello
Feb 22, 2008·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·J J Hage
Aug 30, 2008·Journal of Perioperative Practice·Judith Tanner
Nov 4, 2008·The Journal of Hand Surgery, European Volume·R A LopezR Monlux
Apr 29, 2009·American Journal of Infection Control·Gregory de LissovoyBrian B Vaughn
May 1, 2010·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Umair JabbarDale N Gerding
Mar 23, 2011·Applied and Environmental Microbiology·Carrie A ZapkaDavid R Macinga
Mar 2, 2013·Hand : Official Journal of the American Association for Hand Surgery·Daan OotesDavid C Ring
Mar 15, 2013·The Journal of Hospital Infection·A F Widmer
Apr 24, 2015·The Journal of Antimicrobial Chemotherapy·A L CaseyT S J Elliott
Aug 11, 2016·Surgical Infections·Brad S Oriel, Kamal M F Itani

❮ Previous
Next ❯

Citations


❮ Previous
Next ❯

Software Mentioned

SPSS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Wilderness & Environmental Medicine
C Van Tilburg
Antimicrobial Agents and Chemotherapy
G L Archer, M W Climo
Infection Control : IC
K E Aldridge
British Journal of Hospital Medicine
Miruna D David, Tom Elliott
© 2022 Meta ULC. All rights reserved