Comparing two surgical techniques of washing hands

Authors

  • Joelma Lúcia Nunes de Araújo Massete Enfermeira do Centro Cirúrgico e da CCICH da Rede Sarah de Hospitais do Aparelho Locomotor - Unidade São Luís; especialista em Centro Cirúr gico, Recuperação Anestésica e Centro de Material e Esterilização pela SOBECC (2003), com especialização em Administração Hospitalar pela UNAERP

Keywords:

antisepsis, hand washing, surgical scrub.

Abstract

With intention of comparing two techniques of surgical hand antisepsis, a prospective study was accomplished with the male nurses team and surgeons of the surgical center of the Hospital Sarah/São Luís, in the period of June 2000 to June 2001. The techniques were classified in techniques "/\' and "B". Kindred of evaluating the effectiveness of the techniques as the elim ina tion of the transitory and part of the resident microbiota  of the professiona ls'  hands,  it was picked samples before and after the antiseptic surgical scrub by impression of the professionals' hands in plates of Petri, sowed in agar blood and for sterile swab humidified with physiologic serum 0,9% in  middle  of  culture  th ioglicolato .  The technique ''/\' was used by 77% (1O) of the professionals researched followed for 23% (3) of the others that used the technique "B". The differences between the used techniques were: uniformity and sequence of movements, repetition of the hand washing process and the accomplishment of the simple wash preceding the surgical wash and the time. Using the statistical test of Wilcoxon, considering p  =  0,0015,  15%  (02) of the professionals have presented bacterial growth (O1 used the technique ''/\' and the other used the technique "B") in the cultures accomplished after the surgical hand antisepsis procedure. The rnediurn time of surgical wash was 8 minut es. The applied statistical test in this study  to  compare  the  difference in effectiveness of the techniques didn't reveal significant result

References

Voss A, Widmer AF. No time for handwashing! handwashing versus

alcoholic ru b: can we afford 1 00% compliance? lnfect Control Hosp Epidemiei 1997; 1 8 (3):20 5-8 .

Mayone-Ziomek JM. Handwashing in criticai ca re. Medsurg Knurs 1997; 6(6):36 4-9 .

Cerqueira WF. Antissepsia das mãos e campo operatório. l n: Rodriques EAC, Mendonça JS, Amarante JMB, Alves Filho MB, Grinbaum RS. Infecções hospita la res: preven­

ção e controle. São Paulo: Savier; 199 7. P. 435-9 .

Larson EL . APIC guidelines for handwashing and hand antissepsis in health care settings. Am J lnfect Control. 1995; 23(4) :251-6 9 .

Lacerda RA, Técnicas cirúrgicas e procedimentos pré-operatórios. l n: Lacerda RA, coorde nado ra. Con­ trole de infecção em Centro Cirúr­ gico: fatos, mitos e controvérsias. São Paulo: Atheneu; 20 0 3. P.

3-8 5.

Garner BD. Controle de infecção. ln: Meeker MH, Rothrock JC. Alexander: cuidados de Enfermagem ao paciente cirúrgico. 1 Oª ed. Rio

de Janeiro: Guanabara Koogan; 19 97 . P. 72-7 .

Hoefel HH et ai. Controle e prevenção de infecções: lavagem e anti-sepsia das mãos. Disponível em: http:// www.cih.com. br/ ma os. htm

(23 ago 200 1).

Association of Üperating Room N urses. Recommended practices forsurgical hand scrubs . AORN J 1999 ; 69 (4) :8 42-50 .

Association of Per iÜ pe rat ive Registered N ur se s Recommended Practices Co mm ittee. Recomm ended pratices for surgical hand ant isepis/ han d scru bs. AORN

J 2004; 79 ( 2) :41 6-31 .

0. Pereira U, Lee GM, Wade KJ. The effect of surgical han dwashing routines on the microbial counts of operating room nurses. Am J lnfect Control 1990; 1 8(6) :354-6 4.

Graziano KU, Silva A, Bianchi EFF. Lim peza, desinfecção, esteril izaçã o de artigos e ant i-sepsia. ln: Fernandes AT, edito r. Infecção hospitalar e suas inte rfaces na á rea da saúde. São Paulo: Atheneu; 2000 . V. 1 , p. 266-30 8.

Published

2005-10-01

How to Cite

Massete, J. L. N. de A. (2005). Comparing two surgical techniques of washing hands. Revista SOBECC, 10(3), 24–29. Retrieved from https://revista.sobecc.org.br/sobecc/article/view/309

Issue

Section

ORIGINAL ARTICLES