Abstract：【Objective】To study the effects of brushing hands and brushless hands before surgical operation disinfection on hand-borne bacteria and hand skin situation during surgery. 【Methods】A total of 165 surgical operation personnel in our hospital from February 2016 to January 2018 were divided into the brushing hands group (n=80) and the brushless hands group (n=85) according to the hands brush status before surgical disinfection. The bacterial culture results before and after hands disinfection, microbiological conditions before hands disinfection, 1 min after disinfection, during surgery and after surgery, and hand skin self-evaluation table (HAS) in the two groups were compared. 【Results】 A large amount of bacteria grew in bacterial culture before hands disinfection in both groups。The bacterial culture results of hands after disinfection in the two groups were negative, which showed no bacteria growing in the culture solution. Before surgical operation disinfection, the microorganisms from the brushing hands group were significantly lower than those from the brushless hands group (P<0.05). After surgical disinfection, there was no significant difference in microbes between the two groups after 1 min, during surgery and after surgery (P>0.05). The hand comfort, appearance, humidity and integrity of the brushing hands group before surgical disinfection were significantly lower than those of the brushless hands group before surgical disinfection (P<0.05). 【Conclusion】Brushless hands before surgical operation disinfection does not increase the risk of hand-borne bacterial infection during surgery. Compared to hands brushing before surgical disinfection, brushless hands are less irritating to the skin of medical staff, easy to operate, and highly safe.
李脊, 钟玲, 龚仁蓉通. 外科手术消毒前刷手与免刷手对手术中手带菌情况及手部皮肤的影响[J]. 医学临床研究, 2019, 36(8): 1528-1530.
LI Ji, ZHONG Ling, GONG Ren-rong. Effects of Brushing Hands and Brushless Hands before Surgical Operation Disinfection on Hand-borne Bacteria and Hand Skin Situation during Surgery. JOURNAL OF CLINICAL RESEARCH, 2019, 36(8): 1528-1530.
2019, Vol. 36 
