Surgical hand asepsis
#Surgical hand asepsis skin
Although an alcohol-based scrub has obvious advantages, many healthcare workers, including operative room nurses and surgeons, have been reported to have developed significant skin damage and allergies 10. Moreover, some reports have indicated that this method is preferred by staff engaged in surgery and that hand-rubbing is more effective 5, 6, 8, 9. In addition, there are several reports showing that these methods are more effective and more bactericidal than traditional hand scrubs 6, 7. Recently, surgical hand disinfection with alcohol-based scrub solutions that do not require a brush or the like has become widespread 5.
However, there is concern about skin damage from cleaning with a brush or disinfectant 3, 4 damaged skin can cause the further spread of infection. The traditional method of hand washing before surgery is a 3ā5-min hand wash using a brush and an antimicrobial solution 1, 2. Surgical hand hygiene, one of the most important factors affecting the risk of surgical site infections (SSIs), significantly reduces the bacterial count on the hands through mechanical removal of bacteria and involves the use of a sterilising solution. Further studies are needed to validate our findings. In conclusion, regular hand hygiene with double gloving may be considered an alternative to surgical hand hygiene to prevent endourological f-UTIs, which could alter operational protocols for endourological surgery. There was no significant difference in patient background, and multivariate analyses revealed no significant differences in f-UTI onset (odds ratio, 0.87 pā=ā0.74) between the two groups. In this prospective cohort study of 477 patients who underwent endourological surgeries, surgeons in the surgical hand hygiene and regular hygiene groups performed surgery on 259 and 218 patients, respectively. Therefore, we aimed to evaluate the influence of surgical hand hygiene on f-UTI onset in endourological surgery by comparing procedures in which surgical hand hygiene with double gloving was used with those in which regular hand hygiene with double gloving was used between April 2016 and July 2020. We wondered whether surgical hand hygiene is necessary for endourological surgery. SSIs are not considered an issue in endourological surgery, whereas febrile urinary tract infections (f-UTIs) and urological sepsis are becoming problematic. Surgical hand hygiene reduces the risk of surgical site infections (SSIs).