Waterless, Scrubless Alcohol-Based Surgical Scrub Agent Compared to Traditional Surgical Scrub Using Chlorhexidine

24 Feb.,2023


Do you need baby bath wash sponge, sensory brushes, iodine scrub brush solution? Choose us as your partner and we will provide you with a solution that will satisfy you.

BACKGROUND/OBJECTIVES: In veterinary surgery traditionally, the surgical hand scrub involves scrubbing the hand and forearms with a brush or impregnated sponge/brush for 6 minutes using a timed method or an anatomic stroke-count method. The new brushless techniques consist of vigorously rubbing an antimicrobial agent on the hands and arms for approximately 1.5-3 minutes. Alcohol-based scrub agents have been suggested as an alternative to the traditional method since prior studies have shown that prolonged and repeated scrubbing with a scrub brush increases skin damage and microbial skin counts. This study examined the effectiveness of a 1.5-2 minute application of a waterless, scrubless hand preparation containing 61% ethyl alcohol and 1% chlorhexidine, as compared to a traditional 6 minute scrub using 2% chlorhexidine on the initial reduction of bacterial counts on the hands of veterinary students preparing for surgery. The hypothesis was the scrubless alcohol-based technique would reduce bacterial counts at one-minute post scrubbing as effectively as a traditional surgical scrub using 2% chlorhexidine.

METHODS: Thirty-two veterinary students were randomly assigned to perform either a traditional scrub or an alcohol-based scrub one week. The alternative technique was done the second week. Prior to the first surgical scrub of the day, hand cultures were performed using the modified glove-juice technique. After performing the randomly assigned scrub technique, the hand was cultured a second time one minute post scrub. An aliquot of culture solution was plated and colony-forming units were determined. The differences between groups in pre- and post-treatment log counts and log reductions were examined with a paired student's t-test using statistical significance of P ≤ 0.05.

RESULTS: Both 2% chlorhexidine and the alcohol-based prep technique showed significant (P < 0.0001) reductions from baseline bacterial counts at one minute. No difference occurred between the groups in log reduction from baseline counts or post treatment log counts.

CONCLUSIONS: This scrubless, waterless, alcohol-based scrub agent provides an effective alternative to the more traditional chlorehxidine and scrub brush techniques in reducing bacterial counts on hands being prepared for surgery.

If you have any questions on baby bath wash sponge, sensory brushes, iodine scrub brush. We will give the professional answers to your questions.