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| Effects of Brushing Hands and Brushless Hands before Surgical Operation Disinfection on Hand-borne Bacteria and Hand Skin Situation during Surgery |
| LI Ji, ZHONG Ling, GONG Ren-rong |
| Western China Hospital Anesthesia Surgery Center, Sichuan University 610041 |
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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.
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Received: 16 October 2018
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[1] Kampf G. Lack of antimicrobial efficacy of mecetronium etilsulfate in propanol-based hand rubs for surgical hand disinfection[J].J Hospital Infection,2017, 96(2):189-191.
[2] 曹宁涛, 尹进, 张流波,等. 《手消毒剂卫生要求》实施效果追踪评价[J].中华医院感染学杂志, 2017, 27(24):5708-5711.
[3] 程科萍, 谢红伟, 王俊,等. 2%葡萄糖氯己定皮肤消毒液在普外科手术患者的临床应用[J].中华医院感染学杂志, 2015, 25(24):5741-5743.
[4] Kampf G, Kramer A, Suchomel M. Lack of sustained efficacy for alcohol-based surgical hand rubs containing 'residual active ingredients' according to EN 12791[J].J Hospital Infection,2017, 95(2):163-168.
[5] 申海艳, 周霏, 王惠平,等. 手术人员外科手消毒知识及文化氛围的调查分析[J].解放军护理杂志, 2016, 33(1):32-34.
[6] 王枝英, 曹芳. 手术室免刷式外科手消毒效果评价[J].现代临床医学, 2015,41(5):384-385.
[7] Scheithauer S, H fner H, Seef R,et al. Disinfection of gloves: feasible, but pay attention to the disinfectant/glove combination[J].J Hospital Infection,2016, 94(3):268-272.
[8] 吴晓琴, 郭晶, 彭传香,等. 氯己定醇皮肤消毒液在预防手术部位感染中的效果研究[J].中华医院感染学杂志, 2015, 25(21):5034-5036.
[9] 马东方, 张启文. 外科手消毒前免刷手与刷手两种方法对术中不同时点手带菌情况的影响[J].基因组学与应用生物学, 2017,36(4):1378-1383. |
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2019, Vol. 36 
