Effectiveness of Adding Disposable Brush to the Surgical Scrub Routines in Reducing Hand Bacterial Flora

Anthoncta Paliama, Suatmaji Suatmaji, I dewa Ayu Ray Netra wati, Yani Sri Yani, Widyasih Oktaviana

Abstract


Background: The surgical  scrub is an important surgical site infection prevention method, however the optimal surgical scrub procedure is still a matter of debate. This research aims to  study the effectiveness of adding this new disposible brush into surgery nurses’ surgical scrub routines to reduce hand bacterial flora.

Methods: The research involves thirty two surgery nurses, which are randomly assigned into two groups. The first group uses the new brush during surgical scrub routines while the second control group do not. A sample from surgery nurses’ hands are taken before and after the surgical scrub procedure, then the number of colony forming units are counted by laboratory technician. Wilcoxon test is conducted to evaluate the difference of colony forming unit number before and after surgical scrubs in each group. Mann-Whitney test is conducted to evaluate the difference of colony forming unit number after surgical scrubs between the two group.

Results: Surgical scrub procedure with or without the use of brush effectively reduce the number of hand bacterial flora. The addition of brush to surgical scrub routines do not provide significant benefit in reducing hand bacterial flora. The use of brush is recommended for dirty nail and cuticles, however it must be a asingle use and disposible.


Keywords


Surgical Scrub,Brush; germs.

Full Text:

PDF

References


World Health Organization. World alliance for patient safety. Second global patient safety challenge: safe surgery saves lives. Geneva [Switzerland]: World Health Organization; 2008. p. 4-7.

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. MMWR Morb Mortal Wkly Rep 2002;51:32-4

Centre for Health Protection.Recommendations on prevention of surgical site infection 2009. Available from:http://www.chp.gov.hk/files/pdf/recommendations_on_prevention_of_ssi.pdf.

World Health Organization. WHO guidelines on hand hygiene in health care. First global patient safety challenge: clean care is safer care. Geneva [Switzerland]: World Health Organization; 2009. p. 54-153.

Okgün Alcan, F., Aliye et al.Comparison of the efficiency of nail pick and brush used for nail cleaning during surgical scrub on reducing bacterial counts.American Journal of Infection Control 40 (2012) p.826-9. doi: 10.1016/j.ajic.2011.10.021.

Tanner J, Khan D et al. Brushes and picks used on nails during the surgical scrub to reduce bacteria: a randomised trial.Journal Hospital Infection. 2009 Mar;71(3):234-8. doi: 10.1016/j.jhin.2008.11.023. Epub 21.

Liu LQ, Mehigan S. What is the optimal length of time to spend on surgical scrubbing for preventing surgical site infection and scrubbing team's skin damage: a systematic review and meta- analysis.http://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42014015043.

Gupta C, Czubatyjl AM et al. Comparison of two alcohol-based surgical scrub solutions with an iodine-based scrub brush for presurgical antiseptic effectiveness in a community hospital. Journal Hospital Infection. 2007 Jan;65(1):65-71. Epub 2006 Sep 18DOI:10.1016/j.jhin.2006.06.026.

World Health Organization.WHO Guidelines on Hand Hygiene in Health Care: First Global Patient Safety Challenge Clean Care is Safer Care. Geneva [Switzerland]: World Health Organization; 2009. p.58.


Refbacks

  • There are currently no refbacks.


 

 
  
 

 

  


About IJSBAR | Privacy PolicyTerms & Conditions | Contact Us | DisclaimerFAQs 

IJSBAR is published by (GSSRR).