Division of Infectious Diseases and Hospital Epidemiology, University Hospital Basel, Basel, Switzerland.
J Hosp Infect. 2010 Feb;74(2):112-22. doi: 10.1016/j.jhin.2009.06.020. Epub 2009 Aug 28.
Surgical hand preparation has been recommended since the nineteenth century as a measure to reduce infection resulting from surgery. We review the evidence and major objectives of surgical hand preparation, as well as the criteria for the choice of products currently in use. Test and validation procedures for selecting products for surgical hand preparation in North America and Europe are compared. Surgical hand antisepsis using medicated soap and alcohol-based hand-rub formulations is discussed, including the technical aspects, time required for the procedure, drying time, potential for side-effects, and the parameters for the selection of the most appropriate formulations. Brushes are not recommended for surgical hand preparation. Rapid antimicrobial action, wider spectrum of activity, lower side-effects, and the absence of the risk of hand contamination by the rinsing water, clearly favour the use of alcohol-based hand rubs for surgical hand preparation, even in countries with limited resources where the provision of water is scarce or of doubtful quality.
自 19 世纪以来，人们一直推荐进行外科手消毒，以减少手术引起的感染。我们回顾了外科手消毒的证据和主要目标，以及当前使用的产品选择标准。比较了北美和欧洲选择外科手消毒产品的测试和验证程序。讨论了使用含药皂和醇基洗手液的外科手消毒，包括技术方面、操作所需时间、干燥时间、潜在副作用以及选择最合适配方的参数。不建议使用刷子进行外科手消毒。快速的抗菌作用、更广泛的活性谱、更低的副作用以及冲洗水对手污染的风险的消除，显然有利于使用醇基洗手液进行外科手消毒，即使在资源有限、供水稀缺或水质可疑的国家也是如此。
