The effect of surgical handwashing routines on the microbial counts of operating room nurses

Am J Infect Control. 1990 Dec;18(6):354-64. doi: 10.1016/0196-6553(90)90249-r.

Abstract

Many factors may affect the efficiency of handwashing techniques. This study examined two interdependent factors: the time taken to wash the hands and the type of antiseptic solution used. A 3-minute initial scrub and 30-second consecutive scrub regimen was compared with a current standard regimen of a 5-minute initial scrub and a 3-minute consecutive scrub. Chlorhexidine gluconate 4% and povidone-iodine 7.5% were the antiseptics used in the two regimens. The sample (n = 34) was drawn from nurses employed in the operating room suite of a 950-bed hospital. Chlorhexidine gluconate was found to be responsible for lower numbers of colony-forming units of bacteria than povidone-iodine. The duration of the scrub had no significant effect on the numbers of bacteria when povidone-iodine was used. The optimal regimen was found to be the 5-minute initial and 3-minute consecutive scrubs with chlorhexidine gluconate.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Chlorhexidine / analogs & derivatives
  • Colony Count, Microbial
  • Disinfection
  • Efficiency
  • Hand Disinfection*
  • Hospital Bed Capacity, 500 and over
  • Humans
  • Operating Room Nursing / standards*
  • Povidone-Iodine
  • Surgical Wound Infection / prevention & control*

Substances

  • Povidone-Iodine
  • chlorhexidine gluconate
  • Chlorhexidine