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
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. |
Keywords | surgical hand scrubbing; hand rubbing; skin; irritation; surgical site infection |
Publisher | Wiley |
Journal | AORN Journal |
ISSN | 0001-2092 |
Electronic | 1878-0369 |
Publication dates | |
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 |
https://repository.mdx.ac.uk/item/85z62
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