Surgical hand antisepsis with alcohol-based hand rub: Comparison of effectiveness after 1.5 and 3 minutes of application

Infection Control and Hospital Epidemiology

Volumn 30, Issue 5, 2009, Pages 420-426

  Weber, Walter P ^a   Reck, Stefan ^a   Neff, Uschi ^b   Saccilotto, Ramon ^b   Dangel, Marc ^b   Rotter, Manfred L ^d,e   Frei, Reno ^c   Oertli, Daniel ^a   Marti, Walter R ^a   Widmer, Andreas F ^b  

^a Department of Surgery ^*  (Switzerland)

^b Division of Infectious Diseases and Hospital Epidemiology   (Switzerland)

^c Microbiology Laboratory   (Switzerland)

^d UNIVERSITY HOSPITAL BASEL   (Switzerland)

^e MEDICAL UNIVERSITY OF VIENNA   (Austria)

Author keywords

[No Author keywords available]

Indexed keywords

ALCOHOL; DISINFECTANT AGENT; MECETRONIUM ETHYLSULPHATE; PROPANOL; UNCLASSIFIED DRUG; TOPICAL ANTIINFECTIVE AGENT;

ANTISEPSIS; ARTICLE; BACTERIAL COUNT; BACTERICIDAL ACTIVITY; COLONY FORMING UNIT; CONTROLLED STUDY; DISINFECTION; MEDICAL EDUCATION; SURGEON; SURGICAL TECHNIQUE; SWITZERLAND; ADULT; CLINICAL TRIAL; COMPARATIVE STUDY; CONTROLLED CLINICAL TRIAL; CROSSOVER PROCEDURE; EUROPE; FEMALE; GENERAL SURGERY; HAND; HAND WASHING; HUMAN; MALE; METHODOLOGY; MICROBIOLOGY; RANDOMIZED CONTROLLED TRIAL; STANDARD; SURGERY; TIME; TREATMENT OUTCOME;

1-PROPANOL; ADULT; ANTI-INFECTIVE AGENTS, LOCAL; ANTISEPSIS; COLONY COUNT, MICROBIAL; CROSS-OVER STUDIES; EUROPE; FEMALE; GENERAL SURGERY; HAND; HANDWASHING; HUMANS; MALE; SURGICAL PROCEDURES, OPERATIVE; SWITZERLAND; TIME FACTORS; TREATMENT OUTCOME;

EID: 67649726858     PISSN: 0899823X     EISSN: None     Source Type: Journal    
DOI: 10.1086/596772     Document Type: Article

References (28)

1. Kampf G, Goroncy-Bermes P, Fraise A, Rotter M. Terminology in surgical hand disinfection a new Tower of Babel in infection control. J Hosp Infect 2005; 59:269-271.
2. Trampuz A, Widmer AF. Hand hygiene: a frequently missed lifesaving opportunity during patient care. Mayo Clin Proc 2004; 79:109-116.
3. Widmer AF. Replace hand washing with use of a waterless alcohol hand rub? Clin Infect Dis 2000; 31:136-143.
4. Boyce JM, Pittet D. Guideline for hand hygiene in health-care settings: recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. Society for Healthcare Epidemiology of America/ Association for Professionals in Infection Control/Infectious Diseases Society of America. MMWR Recomm Rep 2002; 51:1-45.
5. Rotter M, Kundi M, Suchomel M, et al. Reproducibility and workability of the European test standard EN 12791 regarding the effectiveness of surgical hand antiseptics: a randomized, multicenter trial. Infect Control Hosp Epidemiol 2006; 27:935-939.
6. Kampf G, Hollingsworth A. Validity of the four European test strains of prEN 12054 for the determination of comprehensive bactericidal activity of an alcohol-based hand rub. J Hosp Infect2003; 55:226-231.
7. Kampf G, Ostermeyer C, Heeg P. Surgical hand disinfection with a propanol-based hand rub: equivalence of shorter application times. J Hosp Infect 2005; 59:304-310.
8. Labadie JC, Kampf G, Lejeune B, et al. Recommendations for surgical hand disinfection requirements, implementation and need for research: a proposal by representatives of the SFHH, DGHM and DGKH for a European discussion. J Hosp Infect 2002; 51:312-315.
9. Kampf G, Rudolf M, Labadie JC, Barrett SP. Spectrum of antimicrobial activity and user acceptability of the hand disinfectant agent Sterillium Gel. J Hosp Infect 2002; 52:141-147.
10. Kampf G, Muscatiello M, Hantschel D, Rudolf M. Dermal tolerance and effect on skin hydration of a new ethanol-based hand gel. J Hosp Infect 2002; 52:297-301.
11. Kampf G, Muscatiello M. Dermal tolerance of Sterillium, a propanolbased hand rub. J Hosp Infect 2003; 55:295-298.
12. Kampf G, Kramer A. Epidemiologic background of hand hygiene and evaluation of the most important agents for scrubs and rubs. Clin Microbiol Rev 2004; 17:863-893.
13. Parienti JJ, Thibon P, Heller R, et al. Hand-rubbing with an aqueous alcoholic solution vs. traditional surgical hand-scrubbing and 30-day surgical site infection rates: a randomized equivalence study. JAMA 2002; 288:722-727.
14. Pietsch H. Hand antiseptics: rubs versus scrubs, alcoholic solutions versus alcoholic gels. J Hosp Infect 2001; 48(Suppl A):S33-S36.
15. Rotter ML. Arguments for alcoholic hand disinfection. J Hosp Infect 2001; 48(Suppl A):S4-S8.
16. Jehle K, Jarrett N, Matthews S. Clean and green: saving water in the operating theatre. Ann R Coll Surg Engl 2008; 90:22-24.
17. Dineen P. An evaluation of the duration of the surgical scrub. Surg Gynecol Obstet 1969; 129:1181-1184.
18. Galle PC, Homesley HD, Rhyne AL. Reassessment of the surgical scrub. Surg Gynecol Obstet 1978; 147:215-218.
19. O'Farrell DA, Kenny G, O'Sullivan M, Nicholson P, Stephens M, Hone R. Evaluation of the optimal hand-scrub duration prior to total hip arthroplasty. J Hosp Infect 1994; 26:93-98.
20. Hingst V, Juditzki I, Heeg P, Sonntag HG. Evaluation of the efficacy of surgical hand disinfection following a reduced application time of 3 instead of 5 min. J Hosp Infect 1992; 20:79-86.
21. Lowbury EJ, Lilly HA. Disinfection of the hands of surgeons and nurses. Br Med J 1960; 1:1445-1450.
22. O'Shaughnessy M, O'Malley VP, Corbett G, Given HF. Optimum duration of surgical scruβ-time. Br J Surg 1991; 78:685-686.
23. Pereira LJ, Lee GM, Wade KJ. The effect of surgical handwashing routines on the microbial counts of operating room nurses. Am J Infect Control 1990; 18:354-364.
24. Wheelock SM, Lookinland S. Effect of surgical hand scrub time on subsequent bacterial growth. AORN J 1997; 65:1087-1092.
25. Marchetti MG, Kampf G, Finzi G, Salvatorelli G. Evaluation of thebactericidal effect of five products for surgical hand disinfection according to prEN 12054 and prEN 12791. J Hosp Infect 2003; 54: 63-67.
26. Rotter ML. European norms in hand hygiene. J Hosp Infect 2004; 56(Suppl 2):S6-S9.
27. European Committee for Standardization. EN 12791. Chemical disinfectants and antiseptics-surgical hand disinfection test method and requirements (phase 2/step 2). Brussels: European Committee for Standardization; 1997.
28. Kampf G, Ostermeyer C. Influence of applied volume on efficacy of 3-minute surgical reference disinfection method prEN 12791. Appl Environ Microbiol 2004; 70:7066-7069.