Evaluation of a Waterless, Scrubless Chlorhexidine Gluconate/Ethanol Surgical Scrub and Povidone-Iodine for Antimicrobial Efficacy.
10.4040/jkan.2008.38.1.39
- Author:
Jeong Sil CHOI
1
Author Information
1. Department of Nursing Science, Konyang University, Daejeon, Korea. jschoi408@empal.com
- Publication Type:Original Article ; English Abstract ; Comparative Study
- Keywords:
Surgical scrub;
Skin;
Chlorhexidine gluconate;
Povidone iodine
- MeSH:
Adult;
Anti-Infective Agents/*pharmacology;
Chlorhexidine/*analogs & derivatives/chemistry/pharmacology;
Colony Count, Microbial;
Ethanol/chemistry/*pharmacology;
Female;
Handwashing;
Humans;
Male;
Microbial Sensitivity Tests;
Povidone-Iodine/chemistry/*pharmacology
- From:
Journal of Korean Academy of Nursing
2008;38(1):39-44
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of this study was to compare 1% chlorhexidine-gluconate/61% ethanol (CHG/Ethanol) emollient and 7.5% povidone-iodine (PVI) scrub for antimicrobial,residual effect, and skin condition. METHOD: CHG/Ethanol emollient hand hygiene was performed waterless, and brushless by operating doctors and nurses (N=20). PVI hand washing was performed with water and a brush (N=20) for 5 min. The subjects were asked to press their left hand in hand-shaped agar before a surgical scrub, immediately after a surgical scrub and after the operation. The amount of isolated microorganisms were calculated by counting the number of divided areas(1 X 1 cm, 160 cell) which were culture positive in the hand culture plate. The skin condition was evaluated. RESULT: The antimicrobial count of CHG/Ethanol emollient and PVI immediately post surgical scrub was 0.0 vs. 4.1 (p>.05), and after the operation was 0.1 vs. 37.8 (p>.05)respectively. The Residual effect of CHG/Ethanol emollient immediately post surgical scrub and after the operation were 0.0 vs. 0.1 (p>.05), and PVI were 4.1 vs. 37.8 (p>.05)respectively. The skin condition and satisfaction of CHG/Ethanol emollient was higher than PVI (p<.05). CONCLUSION: The antimicrobial effect between CHG/Ethanol emollient and PVI were the same. Considering skin condition, satisfaction and allergic reaction CHG/Ethanol emollient for surgical scrub is recommended in Korea.