Compare the Traditional Brush Hand or Dry Hand Disinfection Methods: A Randomized Controlled Trial
View File(s)
Visitor Statistics
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Country | Visits |
---|
Top Visiting Cities
City | Visits |
---|
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Tsai, Jui-Chen by View
Title | Page Views |
---|
Popular Works for Tsai, Jui-Chen by Download
Title | Downloads |
---|
View Citations
Citations
OBJECTIVE: Effective perioperative hand antisepsis is crucial for the safety of patients and medical staff in surgical rooms. The antimicrobial effectiveness of different antiseptic methods including conventional scrubbing and waterless rubbing has not been well evaluated.DESIGN, SETTING, AND PARTICIPANTS: A randomized controlled trial (RCT) was conducted to investigate the effectiveness of the three antiseptic methods in surgical staff of Taipei Medical University-Shuang Ho Hospital. Each groups enrolled 80 participants.
INTERVENTION: Surgical hand cleansing with conventional 10% povidone–iodine scrub, conventional 4% chlorhexidine scrub, or waterless rub (1% chlorhexidine gluconate and 61% ethyl alcohol).
Materials and methods: This study was a single-center, single-blind, randomized trial. Participants were recruited from the surgical staff members of Taipei Medical University-Shuang Ho Hospital between December 1, 2014 and January 31, 2015. This trial was approved by the institutional review boards of Taipei Medical University and registered with ClinicalTrials.gov, NCT02294604.
Outcomes and statistical analysis: Required Sample size was calculated based on an intermediate effect size of 0.25, power of 80%, and two-sided test with type I error of 5%. G*Power was conducted to carry out the calculation.21 Based on the abovementioned parameters, the estimated sample size was 231. The primary outcome of this study was the CFU count per plate of each partici pant before surgical hand disinfection, after surgical hand disinfection, and immediately after surgery. The centrality of continuous variables was expressed as the mean, whereas the degree of variations was presented as the standard error of the mean. Analysis of variance (ANOVA) was used to examine the group difference in the antiseptic effect at specific time points and for specific surgery durations. Within-group comparisons of CFU counts between time points were performed using the paired t test. To adjust for CFU counts before disinfection, analysis of covariance (ANCOVA) was used to compare the effectiveness of the antiseptic methods. Multiple linear regression was used to adjust for potential risk factors to determine the effectiveness of the antiseptic methods. The Statistical Analysis System (SAS), Version 9.4, was used for all statistical analyses.
RESULTS: The mean colony-forming unit (CFU) count were collected using the hand imprinting method before and after disinfection and after surgery. After surgical hand disinfection, CFU count of the conventional chlorhexidine (0.48 ± 0.22, P < 0.01) and waterless rub groups (1.38 ± 0.74, P < 0.05) was significantly lower than that of the conventional povidone group (4.29 ± 1.25). No significant difference was observed in the mean CFU count among the groups after surgery. Similar results were obtained when preexisting differences before disinfection were considered in the analysis of covariance. Furthermore, multivariate regression indicated that the antiseptic method (P = 0.0036), but not other variables, predicted the mean CFU count.
CONCLUSIONS: Conventional chlorhexidine scrub and waterless rub were superior to conventional povidone–iodine in bacterial inhibition. We recommend using the conventional chlorhexidine scrub as a standard method for perioperative hand antisepsis. Waterless rub may be used if the higher cost is affordable.
Type | Poster |
Acquisition | Proxy-submission |
Review Type | Abstract Review Only: Reviewed by Event Host |
Format | Text-based Document |
Evidence Level | N/A |
Keywords | chlorhexidine; povidone-iodine; Waterless rub |
Name | 28th International Nursing Research Congress |
Host | Sigma Theta Tau International |
Location | Dublin, Ireland |
Date | 2017 |
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Related items
Showing items related by title, author, creator and subjects.
-
Effects of a pilot randomized trial of a 20-week Tai Chi program on pain and other health outcomes in elders with cognitive impairment and osteoarthritic knee
Tsai, Pao-Feng; Kuo, Yong-Fang; Chang, Jason Y.; Beck, Cornelia K. (2012-9-12)Purpose: The purpose of this pilot study was to test the efficacy of a 20-week Sun-style Tai Chi (TC) program in improving pain and other health outcomes in 55 community-dwelling elders with knee osteoarthritis (OA) and ... -
The effect of pelvic floor biofeedback training for urinary incontinence in prostate cancer survivors: A meta-analysis of randomized controlled trials
Hsu, Lan-Fang; Tsai, Pei-Shan (2014-11-17)Session presented on Saturday, July 26, 2014: Background: Urinary incontinence (UI) is a distressing problem after radical prostatectomy (RP) and impairs the quality of life of prostate cancer survivors. Pelvic floor ... -
A randomized controlled trial of an individualized preoperative education intervention for symptom management following total knee arthroplasty
Wilson, Rosemary AnnTotal knee arthroplasty (TKA) is a common surgical procedure for the treatment of patients with pain and immobility as a result of osteoarthritis or rheumatoid arthritis. Painrelated interference, pain and nausea are ... -
A randomized control trial to test the differences in educational methods used to enhance nurses' knowledge, attitudes, and practice of evidence-based practice
Ecoff, Laurie; Toole, Belinda M.; Stichler, Jaynelle F. (2012-9-12)Purpose: The purpose of this study was to test the effectiveness of a computer-based, self-administered education module as compared to the in-class presentation of the same education module on nurses' knowledge, attitudes, ... -
Testing the effect of a resident-focused hand hygiene intervention in a long-term care facility: A mixed methods feasibility study
Morales, KathleenIn the United States of America (U.S.) approximately 3 million people in all healthcare settings develop healthcare-associated infections annually (Centers for Disease Control [CDC], 2016; Office of Disease Prevention and ...