Journal of Korean Biological Nursing Science

Korean society of Biological Nursing Science (한국기초간호학회)
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Comparison of Surgical Hand Scrub Formulations and Scrub Methods for Antimicrobial Efficacy

손 소독제 및 소독방법에 따른 외과적 손 소독 효과

  • Kim, Myoung-Sook (Asan Medical Center, Operating Room Nursing Team) ;
  • Kim, Kyoung-Ja (Asan Medical Center, Nursing Education & Administration Team) ;
  • Shin, Young-Ran (Asan Medical Center, Operating Room Nursing Team) ;
  • Park, Kwang-Ok (Department of Nursing, Asan Medical Center) ;
  • Mun, Hyang-Mi (Department of Infection Control, Asan Medical Center) ;
  • Jeong, Jae-Sim (Department of Clinical Nursing, University of Ulsan College of Medicine) ;
  • Kim, Mi-Na (Department of Laboratory Medicine, Asan Medical Center)
  • 김명숙 (서울아산병원 수술간호팀) ;
  • 김경자 (서울아산병원 간호교육행정팀) ;
  • 신영란 (서울아산병원 수술간호팀) ;
  • 박광옥 (서울아산병원 간호본부) ;
  • 문향미 (서울아산병원 감염관리실 임상병리) ;
  • 정재심 (울산대학교 의과대학 임상전문간호학) ;
  • 김미나 (서울아산병원 진단검사의학과)
  • Published : 2007.12.31
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Abstract

Purpose: The purpose of this study was to compare three surgical scrub methods-4% chlorhexidine gluconate(CHG) with brush, 4% CHG without brush, and waterless scrub using 1% CHG and 61% ethanol combination(alcohol-based agent)-for antimicrobial efficacy. Method: "Glove-juice technique" was used to evaluate microbial hand counts before surgical scrubs, 1 min and 3 hr after surgical scrubs. Result: Waterless scrub using CHG and ethanol combination resulted in a 4.8-log reduction at 1 min and 4.0-log reduction at 3 hr. CHG without brush resulted in a 4.7-log reduction at 1 min and 3.3-log reduction at 3 hr. The traditional scrub using CHG with brush resulted in a 3.6-log reduction at 1 min and 0.8-log reduction at 3 hr. The waterless scrub and CHG without brush showed significantly higher log reduction(p<.05) than CHG with brush at 1 min and 3 hr after surgical scrub. Waterless scrub showed greater log reductions than CHG without brush, but there was no statistical difference between the two groups. Conclusion: Waterless scrub using alcohol-based agent showed more persistent and immediate antimicrobial efficacy than either CHG with brush or CHG without brush.

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