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An evaluation of antiseptics used for hand disinfection in wards

Published online by Cambridge University Press:  15 May 2009

Juhani Ojajärvi
Affiliation:
The Department of Public Health Science, University of Helsinki, Finland
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The antibacterial effectiveness of hand antiseptics commonly used in wards was studied by laboratory and in-use tests and their acceptability assessed by means of a questionnaire passed to hospital staff. To determine the immediate and long-term antibacterial effects of the preparations the in-use tests were performed by groups of students. The greatest immediate reduction in bacterial counts on hands was obtained by products containing chlorhexidine. The longterm antibacterial effect was recorded with emulsions containing 3% hexachlorophane, 2% Irgasan CF3R or 4% chlorhexidine when used constantly on several consecutive days. Considerable discrepancies were recorded in the antibacterial effectiveness of some preparations when comparing laboratory and in-use test results. Therefore it is suggested that antiseptics should be tested by in-use tests which more closely resemble practical conditions before their use, or further trial, in hospital.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1976

References

REFERENCES

Ayliffe, G. A. J., Barrowcliff, D. F. & Lowbury, E. J. L. (1969). Contamination of disinfectants. British Medical Journal i, 505.Google Scholar
Baber, K. G., Corner, B. D., Duncan, E. H. L., Eades, S. M., Gillespie, W. A. & Walker, S. C. B. (1967). A prospective study of staphylocoecal infection and its prevention among infants and mothers after childbirth in hospital and at home. Journal of Hygiene 65, 381.CrossRefGoogle Scholar
Bruun, J. N., Bøe, J. & Solberg, C. O. (1968). Disinfection of the hands of ward personnel. A comparison of six disinfectants. Acta medica scandinavica 184, 417.CrossRefGoogle ScholarPubMed
Burdon, D. W. & Whitby, J. I. (1967). Contamination of hospital disinfectants with Pseudomonas species. British Medical Journal ii, 153.CrossRefGoogle Scholar
Collins, B. J. & Deverill, C. E. A. (1971). Survival of bacteria in antiseptic skin preparations. Pharmaceutical Journal 206, 369.Google Scholar
Curley, A., Hawk, R. E., Kimbrough, R. D., Nathenson, G. & Finberg, L. (1971). Dermal absorption of hexachlorophane in infants. Lancet ii, 296.CrossRefGoogle Scholar
Forfar, J. O., Gould, J. C. & Maccabe, A. F. (1968). Effect of hexachlorophane on incidence of staphylocoecal and gram-negative infection in the newborn. Lancet ii, 177.Google Scholar
Gezon, H. M., Thompson, D. J., Rogers, K. D., Hatch, T. F. & Taylor, P. M. (1964). Hexachlorophane bathing in early infancy. Effect on staphylocoecal disease and infection. New England Journal of Medicine 270, 379.CrossRefGoogle Scholar
Gibson, J. W. (1969). Comparative antibacterial activity of hexachlorophane in different formulations used for skin disinfection. Journal of Clinical Pathology 22, 90.CrossRefGoogle ScholarPubMed
Gillespie, W. A., Simpson, K. & Tozer, R. C. (1958). Staphylococeal infection in a maternity hospital. Epidemiology and control. Lancet ii, 1075.CrossRefGoogle Scholar
Hirvensalo, M., Rantasalo, I. & Tnsala, R. (1965). The chances of reducing the incidence of skin infections of the newborn in a maternity hospital. Annales paediatriae fenniae 11, 161.Google Scholar
Joress, S. M. (1962). A study of disinfection of the skin: A comparison of Povidone-Iodine with other agents for surgical scrubs. Annals of Surgery 155, 296.CrossRefGoogle ScholarPubMed
Lilly, H. A. & Lowbury, E. J. L. (1971). Disinfection of the skin: An assessment of some new preparations. British Medical Journal iii, 674.Google Scholar
Lilly, H. A. & Lowbury, E. J. L. (1974). Disinfection of the skin with detergent preparations of Irgasan DP 300 and other antiseptics. British Medical Journal iv, 372.CrossRefGoogle Scholar
Lowbury, E. J. L. & Lilly, H. A. (1960). Disinfection of the hands of surgeons and nurses. British Medical Journal i, 1445.Google Scholar
Lowbury, E. J. L., Lilly, H. A. & Bull, J. P. (1960). Disinfection of the skin of operation sites. British Medical Journal ii, 1039.CrossRefGoogle Scholar
Lowbury, E. J. L., Lilly, H. A. & Bull, J. P. (1963). Disinfection of the hands: Removal of resident bacteria. British Medical Journal i, 1251.CrossRefGoogle Scholar
Lowbury, E. J. L., Lilly, H. A. & Bull, J. P. (1964 a). Disinfection of hands: Removal of transient organisms. British Medical Journal ii, 230.CrossRefGoogle Scholar
Lowsury, E. J. L., Lilly, H. A. & Bull, J. P. (1964 b). Methods for disinfection of hands and operation sites. British Medical Journal ii, 531.Google Scholar
Plueckharn, V. D. & Banks, J. (1964). Breast abscess and staphylococcal disease in a maternity hospital. British Medical Journal ii, 414.CrossRefGoogle Scholar
Rubbo, S. D. & Gardner, J. F. (1965). A Review of Sterilization and Disinfection. London: Lloyd-Luke (Medical Books) Ltd.Google Scholar
Siegel, S. (1956). Nonparametric Statistics for the Behavioral Sciences. New York: McGraw-Hill.Google Scholar
Smylie, H. G., Logie, J. R. C. & Smith, G. (1973). From Phisohex to Hibiscrub. British Medical Journal iv, 586.CrossRefGoogle Scholar
Wilson, P. E. (1970). A comparison of methods for assessing the value of antibacterial soaps. Journal of Applied Bacteriology 33, 574.CrossRefGoogle ScholarPubMed