The impact of surgical hand antisepsis technique on surgical site infection

American Journal of Surgery

Volumn 213, Issue 1, 2017, Pages 24-29

  Oriel, Brad S ^a,b   Chen, Qi ^a   Itani, Kamal M F ^a,c,d  

^a VA BOSTON HEALTHCARE SYSTEM   (United States)

^b TUFTS UNIVERSITY SCHOOL OF MEDICINE   (United States)

^c BOSTON UNIVERSITY SCHOOL OF MEDICINE   (United States)

^d HARVARD MEDICAL SCHOOL   (United States)

Author keywords

Hand hygiene; Surgical hand antisepsis; Surgical rub; Surgical scrub; Surgical site infection

Indexed keywords

ALBUMIN; ANTIINFECTIVE AGENT; BILIRUBIN; CHLORHEXIDINE; STEROID; ALCOHOL; TOPICAL ANTIINFECTIVE AGENT;

ACUTE KIDNEY FAILURE; ADULT; ALBUMIN BLOOD LEVEL; ANTISEPSIS; ARTICLE; BILIRUBIN BLOOD LEVEL; CHRONIC OBSTRUCTIVE LUNG DISEASE; COHORT ANALYSIS; CONGESTIVE HEART FAILURE; DIABETES MELLITUS; EMERGENCY SURGERY; FEMALE; GENERAL SURGERY; GYNECOLOGIC SURGERY; HAND WASHING; HEART SURGERY; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; MAJOR SURGERY; MALE; NEUROSURGERY; ORTHOPEDIC SURGERY; PLASTIC SURGERY; PREOPERATIVE RADIOTHERAPY; PRIORITY JOURNAL; RETROSPECTIVE STUDY; SEPSIS; SMOKING; STEROID THERAPY; SURGICAL INFECTION; SURGICAL MORTALITY; SURGICAL WOUND; THORAX SURGERY; UROLOGIC SURGERY; VASCULAR SURGERY; AGED; CLINICAL PRACTICE; HAND DISINFECTION; MIDDLE AGED; SURGICAL WOUND INFECTION; TOTAL QUALITY MANAGEMENT;

ADULT; AGED; ANTI-INFECTIVE AGENTS, LOCAL; ANTISEPSIS; ETHANOL; FEMALE; HAND DISINFECTION; HUMANS; MALE; MIDDLE AGED; PRACTICE PATTERNS, PHYSICIANS'; QUALITY IMPROVEMENT; RETROSPECTIVE STUDIES; SURGICAL WOUND INFECTION;

EID: 85002646200     PISSN: 00029610     EISSN: 18791883     Source Type: Journal    
DOI: 10.1016/j.amjsurg.2016.09.058     Document Type: Article

References (35)

1. 1 Anderson, D.J., Podgorny, K., Berríos-torres, S.I., et al. Strategies to prevent surgical site infections in acute care hospitals: 2014 update. Infect Control Hosp Epidemiol 35 (2014), 605–627.
2. 2 Umscheid, C.A., Mitchell, M.D., Doshi, J.A., et al. Estimating the proportion of healthcare-associated infections that are reasonably preventable and the related mortality and costs. Infect Control Hosp Epidemiol 32 (2011), 101–114.
3. 3 Magill, S.S., Edwards, J.R., Bamberg, W., et al. Multistate point-prevalence survey of health care-associated infections. N Engl J Med 370 (2014), 1198–1208.
4. 4 Klevens, R.M., Edwards, J.R., Richards, C.L., et al. Estimating health care-associated infections and deaths in U.S. hospitals, 2002. Public Health Rep 122 (2007), 160–166.
5. 5 Awad, S.S., Adherence to surgical care improvement project measures and post-operative surgical site infections. Surg Infect (larchmt) 13 (2012), 234–237.
6. 6 Mangram, A.J., Horan, T.C., Pearson, M.L., et al. Centers for disease control and prevention (CDC) hospital infection control practices advisory committee. Am J Infect Control 27 (1999), 97–132.
7. 7 World Health Organization, WHO Guidelines on Hand Hygiene in Health Care. First Global Patient Safety Challenge Clean Care Is Safer Care. World Alliance for Patient Safety. 2009, World Health Organization Press, Geneva.
8. 8 Larson, E.L., APIC guideline for handwashing and hand antisepsis in health care settings. Am J Infect Control 23 (1995), 251–269.
9. 9 Krizek, T.J., Robson, M.C., Evolution of quantitative bacteriology in wound management. Am J Surg 130 (1975), 579–584.
10. 10 Elek, S.D., Conen, P.E., The virulence of Staphylococcus pyogenes for man; a study of the problems of wound infection. Br J Exp Pathol 38:6 (1957), 573–586.
11. 11 US Food and Drugs Administration, Center for Drug Evaluation and Research. Healthcare Antiseptic Drug Products Review. March 11, 2004 Accessed July 7, 2015 http://www.fda.gov/ohrms/dockets/ac/05/briefing/2005-4098B1_02_13-FDA-TAB10-B.pdf.
12. 12 Centers for Disease Control and Prevention, 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. MMWR, 51(RR-16), 2002.
13. 13 Gonçalves Kde, J., Graziano, K.U., Kawagoe, J.Y., A systematic review of surgical hand antisepsis utilizing an alcohol preparation compared to traditional products. Rev Esc Enferm USP 46:6 (2012), 1484–1493.
14. 14 Hsieh, H.F., Chiu, H.H., Lee, F.P., Surgical hand scrubs in relation to microbial counts: systematic literature review. J Adv Nurs 55 (2006), 68–78.
15. 15 Kampf, G., Kramer, A., Epidemiologic background of hand hygiene and evaluation of the most important agents for scrubs and rubs. Clin Microbiol Rev 17 (2004), 863–893.
16. 16 Parienti, J.J., 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 288:6 (2002), 722–727.
17. 17 Al-Naami, M.Y., Anjum, M.N., Afzal, M.F., et al. Alcohol-based handrub versus traditional surgical scrub and the risk of surgical site infection: a randomized controlled equivalent trial. EWMA J 9 (2009), 5–10.
18. 18 Nthumba, P.M., Stepita-poenaru, E., Poenaru, D., et al. Cluster-randomized, crossover trial of the efficacy of plain soap and water versus alcohol-based rub for surgical hand preparation in a rural hospital in Kenya. Br J Surg 97 (2010), 1621–1628.
19. 19 Vergara-fernández, O., Morales-olivera, J.M., Ponce-de-león-rosales, S., et al. [Surgical team satisfaction levels between two preoperative hand-washing methods]. Rev Invest Clin 62:6 (2010), 532–537.
20. 20 Hawn, M.T., Vick, C.C., Richman, J., et al. Surgical site infection prevention: time to move beyond the surgical care improvement program. Ann Surg 254 (2011), 494–499.
21. 21 Neumayer, L., Hosokawa, P., Itani, K., et al. Multivariable predictors of postoperative surgical site infection after general and vascular surgery: results from the patient safety in surgery study. J Am Coll Surg 204:6 (2007), 1178–1187.
22. 22 Olsen, M.A., Lefta, M., Dietz, J.R., et al. Risk factors for surgical site infection after major breast operation. J Am Coll Surg 207 (2008), 326–335.
23. 23 Hawn, M.T., Houston, T.K., Campagna, E.J., et al. The attributable risk of smoking on surgical complications. Ann Surg 254:6 (2011), 914–920.
24. 24 Russo, P.L., Spelman, D.W., A new surgical-site infection risk index using risk factors identified by multivariate analysis for patients undergoing coronary artery bypass graft surgery. Infect Control Hosp Epidemiol 23 (2002), 372–376.
25. 25 Mu, Y., Edwards, J.R., Horan, T.C., et al. Improving risk-adjusted measures of surgical site infection for the national healthcare safety network. Infect Control Hosp Epidemiol 32 (2011), 970–986.
26. 26 Zimlichman, E., Henderson, D., Tamir, O., et al. Health care-associated infections: a meta-analysis of costs and financial impact on the US health care system. JAMA Intern Med 173 (2013), 2039–2046.
27. 27 Asensio, A., De gregorio L. Practical experience in a surgical unit when changing from scrub to rub. J Hosp Infect 83 (2013), S40–S42.
28. 28 Carro, C., Camilleri, L., Traore, O., et al. An in-use microbiological comparison of two surgical hand disinfection techniques in cardiothoracic surgery: hand rubbing versus hand scrubbing. J Hosp Infect 67 (2007), 62–66.
29. 29 Haessler, S., Connelly, N.R., Kanter, G., et al. A surgical site infection cluster: the process and outcome of an investigation–the impact of an alcohol-based surgical antisepsis product and human behavior. Anesth Analg 110 (2010), 1044–1048.
30. 30 O'boyle, C.A., Henly, S.J., Larson, E., Understanding adherence to hand hygiene recommendations: the theory of planned behavior. Am J Infect Control 29:6 (2001), 352–360.
31. 31 Umit, U.M., Sina, M., Ferhat, Y., et al. Surgeon behavior and knowledge on hand scrub and skin antisepsis in the operating room. J Surg Educ 71 (2014), 241–245.
32. 32 Kac, G., Masmejean, E., Gueneret, M., et al. Bactericidal efficacy of a 1.5min surgical hand-rubbing protocol under in-use conditions. J Hosp Infect 72 (2009), 135–139.
33. 33 Kampf, G., Ostermeyer, C., Heeg, P., Surgical hand disinfection with a propanol-based hand rub: equivalence of shorter application times. J Hosp Infect 59 (2005), 304–310.
34. 34 Weber, W.P., Reck, S., Neff, U., et al. Surgical hand antisepsis with alcohol-based hand rub: comparison of effectiveness after 1.5 and 3 minutes of application. Infect Control Hosp Epidemiol 30 (2009), 420–426.
35. 35 Oriel, B.S., Itani, K.M.F., Surgical hand antisepsis and surgical site infection. Surg Infect (larchmt), 2016 Aug 10 [Epub ahead of print] PMID:27508334.