Ethanol in pre-surgical hand rubs: Concentration and duration of application for achieving European Norm EN 12791

Journal of Hospital Infection

Volumn 77, Issue 3, 2011, Pages 263-266

  Suchomel, M ^a   Rotter, M ^a  

^a MEDICAL UNIVERSITY OF VIENNA   (Austria)

Author keywords

EN 12791; Ethanol; Surgical hand antisepsis

Indexed keywords

ALCOHOL; PROPANOL;

ADULT; ANTISEPSIS; ARTICLE; BACTERIAL COUNT; BACTERICIDAL ACTIVITY; CONTROLLED STUDY; DISINFECTION; HAND WASHING; HUMAN; HUMAN EXPERIMENT; INTERMETHOD COMPARISON; NORMAL HUMAN; PRACTICE GUIDELINE; PREOPERATIVE PERIOD; TIME;

ANTI-INFECTIVE AGENTS, LOCAL; BACTERIA; DISINFECTION; ETHANOL; EUROPE; HAND; HANDWASHING; HUMANS; SKIN; SURGICAL PROCEDURES, OPERATIVE;

EID: 79951856772     PISSN: 01956701     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jhin.2010.10.014     Document Type: Article

References (23)

1. Pittet D. Improving compliance with hand hygiene in hospitals. Infect Control Hosp Epidemiol 2000, 21:381-386.
2. Boyce J.M., Pittet D. Guideline for hand hygiene in health-care settings. Recommendations of the healthcare infection control practices advisory committee and the Healthcare Infection Control Practices Advisory Committee/SHEA/APIC/IDSA hand hygiene task force. Morb Mortal Wkly Rep 2002, 51:1-45.
3. Health Canada Human-use antiseptic drugs 2009, Health Canada, Ottawa.
4. World Health Organization WHO Guidelines on hand hygiene in health care 2009, WHO Press, Geneva.
5. Rotter M.L. Hand washing and hand disinfection. Hospital epidemiology and infection control 2004, 1727-1746. Lippincott, Williams & Wilkins, Baltimore. 3rd ed. G. Mayhall (Ed.).
6. 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.
7. Suchomel M., Gnant G., Weinlich M., Rotter M. Surgical hand disinfection using alcohol: the effects of alcohol type, mode and duration of application. J Hosp Infect 2009, 71:228-233.
8. Suchomel M., Koller W., Kundi M., Rotter M. Surgical hand rub: influence of duration of application on the immediate and 3-hour effects of n-propanol and isopropanol. Am J Infect Control 2009, 37:289-293.
9. Centraal Begeleidingsorgaan voor de Intercollegiale Toetsing Consensus preventie ziekenhuisinfecties 1989, CBIT, Utrecht.
10. Price P.B. Ethyl alcohol as a germicide. Arch Surg 1939, 38:528-542.
11. Food and Drug Administration Topical antimicrobial drug products for over-the-counter human use - Tentative final monograph for health-care antiseptic drug products. Fed Regist 1994, 59:31402-31452.
12. European Norm (EN) 12791 Chemical disinfectants and antiseptics - Surgical hand disinfection - Test method and requirement (phase 2/step 2) 2005, Comité Européen de Normalisation, Brussels.
13. Siegel S., Castellan N.J. Nonparametric statistics for the behavioral sciences 1988, McGraw-Hill, New York. 2nd ed.
14. Wilcoxon F., Wilcox R.A. Some rapid approximate statistical procedures 1964, Lederle Laboratories, Pearle River, NY.
15. Rotter M.L. Arguments for the alcoholic hand disinfection. J Hosp Infect 2001, 48:S4-S8.
16. Larson E.L., Butz A.M., Gullette D.L., Laughon B.A. Alcohol for surgical scrubbing?. Infect Control Hosp Epidemiol 1990, 11:139-143.
17. Larson E.L., Morton H.E. Alcohols. Disinfection, sterilization and preservation 1991, 642-654. Lea & Febiger, Philadelphia, PA. 4th ed. S.S. Block (Ed.).
18. Kampf G., Kapella M. Suitability of Sterillium Gel for surgical hand disinfection. J Hosp Infect 2003, 54:222-225.
19. Kampf G., Ostermeyer C. Efficacy of two ethanol-based hand rubs for surgical hand disinfection - a controlled trial according to prEN 12791. BMC Infect Dis 2005, 5:17.
20. Kampf G., Ostermeyer C., Heeg P. Surgical hand disinfection with a propanol-based hand rub: equivalence of shorter application times. J Hosp Infect 2005, 58:304-310.
21. Boyce J.M., Pearson M.L. Low frequency of fires from alcohol based hand rub dispensers in healthcare facilities. Infect Control Hosp Epidemiol 2003, 24:618-619.
22. Kramer A., Kampf G. Hand rub-associated fire incidents during 25,038 hospital years in Germany. Infect Control Hosp Epidemiol 2007, 28:745-746.
23. Kramer A., Below H., Bieber N., et al. Quantity of ethanol absorption after excessive hand disinfection using three commercially available hand rubs is minimal and below toxic levels for humans. BMC Infect Dis 2007, 7:117.