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Comparison of Different Regimens for Surgical Hand Preparation


Larson, Elaine L.; Aiello, Allison E.; Heilman, James M.; Lyle, Chris; Cronquist, Alicia; Stahl, Julie B.; & Della-Latta, Phyllis (2001). Comparison of Different Regimens for Surgical Hand Preparation. Association for Operating Room Nurses Journal, 73(2), 412-32.


Twenty surgical staff members participated in a clinical trial to compare the microbiology and skin condition of hands when using a traditional surgical scrub (TSS) with a detergent-based antiseptic containing 4% chlorhexidine gluconate (CHG) and a short application without scrub of a waterless hand preparation (HP) containing 61% ethyl alcohol, 1% CHG, and emollients. The HP was associated with less skin damage (P = .002) and lower microbial counts postscrub at days five (P = .002) and 19 (P = .02). The HP protocol had shorter contact time (HP mean [M] = 80.7 seconds; TSS M = 144.9 seconds; P< .0001), and more subjects preferred the HP regimen (P = .001). The HP performed better than the TSS, was less costly, and should be evaluated in larger trials and considered for widespread implementation.


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Journal Article

Journal Title

Association for Operating Room Nurses Journal


Larson, Elaine L.
Aiello, Allison E.
Heilman, James M.
Lyle, Chris
Cronquist, Alicia
Stahl, Julie B.
Della-Latta, Phyllis

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