Liu, L.; Mehigan, S.

The effects of surgical hand scrubbing protocols on skin integrity and surgical site infection rates: a systematic review

Article

Liu, L. and Mehigan, S. 2016. The effects of surgical hand scrubbing protocols on skin integrity and surgical site infection rates: a systematic review. AORN Journal. 103 (5), pp. 468-482. https://doi.org/10.1016/j.aorn.2016.03.003

Publication dates
Type	Article
Title	The effects of surgical hand scrubbing protocols on skin integrity and surgical site infection rates: a systematic review
Authors	Liu, L. and Mehigan, S.
Abstract	This systematic review aimed to critically appraise and synthesize updated evidence on the impact of surgical scrub techniques on participants’ skin. We searched CINAHL, EMBASE, Medline and Cochrane Central. Our review was limited to peer-reviewed randomized controlled trials (RCTs) and non-RCTs published in English from 1990 to 2014. A total of ten trials including eight RCTs and two Non-RCTs were reviewed. Comparison models were: traditional hand scrubbing with chlorhexidine gluconate or povidone-iodine against alcohol based hand rubbing (n=6), surgical scrub with brush versus brushless (n=3), detergent-based antiseptics alone versus antiseptics incorporating alcohol solutions (n=1). Evidence showed that hand rubbing techniques are as effective as traditional scrubbing, and seem to be better tolerated. Hand rubbing appears to cause less skin damage than traditional scrub protocols; brushless techniques were better than scrubbing using a brush. Funding source for the systematic review: No Registration number: PROSPERO registration number is CRD42014015043.
Keywords	surgical hand scrubbing; hand rubbing; skin; irritation; surgical site infection
Publisher	Wiley
Journal	AORN Journal
ISSN	0001-2092
Electronic	1878-0369
Print	01 May 2016
Online	27 Apr 2016
Publication process dates
Deposited	15 Oct 2015
Accepted	13 Oct 2015
Output status	Published
Digital Object Identifier (DOI)	https://doi.org/10.1016/j.aorn.2016.03.003
PubMed ID	27129749
Web of Science identifier	WOS:000378327300010
Language	English

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