Comparing surgeons' skin tolerance and acceptability to alcohol-based surgical hand preparation vs traditional surgical scrub: A matched quasi-experimental study.

Autor: Lopes AER; Department of Fundamental Nursing, Ribeirão Preto Nursing School, University of São Paulo, Ribeirão Preto, Brazil., Menegueti MG; Department of Fundamental Nursing, Ribeirão Preto Nursing School, University of São Paulo, Ribeirão Preto, Brazil., Gaspar GG; Infection Control Service, University Hospital of Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil., Tartari E; Faculty of Health Sciences, University of Malta, Msida, Malta., da Silva Canini SRM; Department of Fundamental Nursing, Ribeirão Preto Nursing School, University of São Paulo, Ribeirão Preto, Brazil., Pittet D; Infection Prevention and Control Program, University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland., Bellissimo-Rodrigues F; Social Medicine Department, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil. Electronic address: fbellissimo@usp.br.
Jazyk: angličtina
Zdroj: American journal of infection control [Am J Infect Control] 2022 Oct; Vol. 50 (10), pp. 1091-1097. Date of Electronic Publication: 2022 Feb 10.
DOI: 10.1016/j.ajic.2022.01.028
Abstrakt: Background: We aimed to compare the tolerance and acceptability of alcohol-based surgical hand preparation versus handscrubbing with antimicrobial soap and water by surgeons.
Methods: Matched quasi-experimental trial in an academic quaternary care hospital in Ribeirão Preto, Brazil, from April 1 to October, 31, 2017. Participants were cardiac and orthopedics surgeons from the study facility. In the first study phase, they performed handscrubbing with either 2% chlorhexidine (CHG) or 10% iodopovidone (PVP-I) and, in the second phase, they performed handrubbing with alcohol-based handrub (ABHR). Surgeons' skin tolerance and acceptability were evaluated using WHO-validated tools. Data were analyzed using the MacNemar's test within STATA.
Results: A total of 33 surgeons participated to the "per protocol" population; the majority were male (94%); mean age of 35 years (SD, 8.5). On product tolerance, there was a minimal variation in redness, scaliness, fissures, and visual evaluation of the skin when handrubbing with ABHR was compared to handscrubbing with either PVP-I or CHX. Regarding acceptability, participants rated better handrubbing with ABHR than handscrubbing with PVP-I when assessing product smell (66.6% vs 0%, p=0.002), color (73.3% vs 0%, p=0.001), product texture (60% vs 0%, p=0.004), skin dryness (60% vs 0%, p=0.004), ease of application (66.6% vs 0%, p=0.002) and overall satisfaction (66.6% vs 6.7% p=0.011). Participants rated similarly handrubbing with ABHR and handscrubbing with CHX, except for product texture, where handrubbing rated better (71,4% vs. 0%, p=0.002). Handrubbing with ABHR was preferred by 73.3%.
Conclusion: Although handrubbing and handscrubbing were equally well tolerated by surgeons, alcohol-based surgical hand preparation fell into the personal preference for most of them.
Trial Registration: Brazilian Clinical Trials Registry (ReBEC), RBR-8ym9yj.
(Copyright © 2022 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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