Rubbing the hands with an aqueous alcohol product was as good as the standard scrubbing protocol with respect to rates of surgical site infections, according to the results of a randomized equivalence trial reported in the August 14 issue of The Journal of the American Medical Association.
“The two protocols were comparable in regard to surgical site infection risk factors,” write Jean Jacques Parienti, MD, from the Cote de Nacre University Hospital Centre in Caen, France, and colleagues. “The hand-rubbing protocol was better tolerated by the surgical teams and improved compliance with hygiene guidelines.”
From January 1, 2000, through May 1, 2001, six surgical services in France took part in this clinical trial by using the two hand-cleansing methods alternately every other month. Surgical scrubbing consisted of five minutes of hand-scrubbing with povidone iodine or chlorhexidine gluconate. The alternate protocol consisted of five minutes of hand-rubbing with a liquid aqueous alcoholic solution. A one-minute hand wash with nonantiseptic soap and tap water were used prior if the hands were visibly soiled.





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