Kristiansen B E, Johnsen R L
Hovedavdeling 91, Telemark sentralsjukehus, Skien.
Tidsskr Nor Laegeforen. 1994 Nov 30;114(29):3463-5.
At Telemark Central Hospital we decided to change the procedure for preoperative disinfection of the hands in order to improve antimicrobial efficacy and to minimize skin problems for the personnel. Previously, preoperative disinfection of hands was performed by scrubbing the hand with a detergent containing chlorohexidine (Hibiscrub) which often caused dryness, fissures and dermatitis. In the recent years it has been amply shown that alcoholic solutions have a very good and immediate antibacterial effect on the skin flora, while chlorohexidine has a prolonged effect. In this paper we describe our new procedures for preoperative disinfection of hands and the necessary planning and preparation we undertook to obtain acceptance for these procedures among the personnel.
在泰勒马克中心医院，我们决定改变手部术前消毒程序，以提高抗菌效果，并尽量减少工作人员的皮肤问题。以前，手部术前消毒是用含有氯己定的洗涤剂（洗必泰）擦洗双手，这常常会导致皮肤干燥、皲裂和皮炎。近年来，大量研究表明，酒精溶液对皮肤菌群具有非常好的即时抗菌效果，而氯己定则具有长效作用。在本文中，我们描述了手部术前消毒的新程序，以及为使这些程序获得工作人员认可而进行的必要规划和准备工作。
