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Vol. 27. Issue 4.
Pages 222-226 (July - August 2017)
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Vol. 27. Issue 4.
Pages 222-226 (July - August 2017)
Original Article
Comparative study of presurgical hand hygiene with hydroalcoholic solution versus traditional presurgical hand hygiene
Estudio comparativo sobre la higiene de manos prequirúrgica con solución hidroalcohólica frente a la higiene prequirúrgica tradicional
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M. Beatriz López Martína,
Corresponding author
blopezmartin@asepeyo.es

Corresponding author.
, Alejo Erice Calvo-Sotelob
a Supervisión de Enfermería, Hospital ASEPEYO, Coslada (Madrid), Spain
b Departamento de Medicina Interna, Hospital ASEPEYO, Coslada (Madrid), Spain
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Tables (2)
Table 1. CFU count according to type of washing.
Table 2. Effect of traditional surgical wash and washing with hydroalcoholic solution.
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Abstract
Objective

To compare presurgical hand hygiene with hydroalcoholic solution following the WHO protocol with traditional presurgical hand hygiene.

Methods

Cultures of the hands of surgeons and surgical nurses were performed before and after presurgical hand hygiene and after removing gloves at the end of surgery. Cultures were done in 2 different days: the first day after traditional presurgical hand hygiene, and the second day after presurgical hand hygiene with hydroalcoholic solution following the WHO protocol. The duration of the traditional hand hygiene was measured and compared with the duration (3min) of the WHO protocol. The cost of the products used in the traditional technique was compared with the cost of the hydroalcoholic solution used. The variability of the traditional technique was determined by observation.

Results

Following presurgical hand hygiene with hydroalcoholic solution, colony-forming units (CFU) were detected in 5 (7.3%) subjects, whereas after traditional presurgical hand hygiene CFU were detected in 14 subjects (20.5%) (p<0.05). After glove removal, the numbers of CFU were similar. The time employed in hand hygiene with hydroalcoholic solution (3min) was inferior to the time employed in the traditional technique (p<0.05), its cost was less than half, and there was no variability.

Conclusions

Compared with other techniques, presurgical hand hygiene with hydroalcoholic solution significantly decreases CFU, has similar latency time, a lower cost, and saves time.

Keywords:
Presurgical hand hygiene
Health care-associated infections
Hydroalcoholic solution
Resumen
Objetivo

Comparar la higiene de manos prequirúrgica con solución hidroalcohólica siguiendo el protocolo de la OMS con la higiene de manos prequirúrgica tradicional.

Método

Se realizaron cultivos de las manos de cirujanos y enfermeros quirúrgicos antes y después de la higiene de manos prequirúrgica y tras la retirada de los guantes al acabar la cirugía. Los cultivos se hicieron en 2días diferentes: el primero tras la higiene de manos prequirúrgica tradicional y el segundo tras la higiene de manos prequirúrgica con solución hidroalcohólica siguiendo el protocolo de la OMS. Se cronometró el tiempo de realización de la higiene de manos tradicional y se comparó con los 3min del protocolo de la OMS. El coste de los productos usados para la técnica tradicional se comparó con el coste de la solución hidroalcohólica utilizada. La variabilidad de la técnica tradicional se obtuvo observando a cada participante en el estudio durante su realización.

Resultados

Tras la higiene prequirúrgica con solución hidroalcohólica se detectaron unidades formadoras de colonias (UFC) en 5 sujetos (7,3%) mientras que tras la higiene prequirúrgica tradicional, se detectaron UFC en 14 sujetos (20,5%) (p<0,05). Tras la retirada de los guantes, el recuento de UFC fue similar (p<0,7). El tiempo de realización de la higiene con solución hidroalcohólica (3min) fue inferior al de la higiene tradicional (p<0,05), su coste fue la mitad y se eliminó la variabilidad.

Conclusiones

Comparada con otras técnicas, la higiene de manos prequirúrgica con solución hidroalcohólica disminuye de forma significativa las UFC, se acompaña de un tiempo de latencia similar, tiene menor coste y ahorra tiempo.

Palabras clave:
Higiene de manos prequirúrgica
Infecciones relacionadas con la atención sanitaria
Solución hidroalcohólica

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