J Korean Acad Nurs.  2008 Feb;38(1):39-44. 10.4040/jkan.2008.38.1.39.

Evaluation of a Waterless, Scrubless Chlorhexidine Gluconate/Ethanol Surgical Scrub and Povidone-Iodine for Antimicrobial Efficacy

• Choi JS

• KMID: 1405637
• DOI: http://doi.org/10.4040/jkan.2008.38.1.39

Abstract

PURPOSE: The purpose of this study was to compare 1% chlorhexidine-gluconate/61% ethanol (CHG/Ethanol) emollient and 7.5% povidone-iodine (PVI) scrub for antimicrobial,residual effect, and skin condition. METHOD: CHG/Ethanol emollient hand hygiene was performed waterless, and brushless by operating doctors and nurses (N=20). PVI hand washing was performed with water and a brush (N=20) for 5 min. The subjects were asked to press their left hand in hand-shaped agar before a surgical scrub, immediately after a surgical scrub and after the operation. The amount of isolated microorganisms were calculated by counting the number of divided areas(1 X 1 cm, 160 cell) which were culture positive in the hand culture plate. The skin condition was evaluated. RESULT: The antimicrobial count of CHG/Ethanol emollient and PVI immediately post surgical scrub was 0.0 vs. 4.1 (p>.05), and after the operation was 0.1 vs. 37.8 (p>.05)respectively. The Residual effect of CHG/Ethanol emollient immediately post surgical scrub and after the operation were 0.0 vs. 0.1 (p>.05), and PVI were 4.1 vs. 37.8 (p>.05)respectively. The skin condition and satisfaction of CHG/Ethanol emollient was higher than PVI (p<.05). CONCLUSION: The antimicrobial effect between CHG/Ethanol emollient and PVI were the same. Considering skin condition, satisfaction and allergic reaction CHG/Ethanol emollient for surgical scrub is recommended in Korea.

Keyword

Surgical scrub; Skin; Chlorhexidine gluconate; Povidone iodine

MeSH Terms

Adult
Anti-Infective Agents/*pharmacology
Chlorhexidine/*analogs & derivatives/chemistry/pharmacology
Colony Count, Microbial
Ethanol/chemistry/*pharmacology
Female
Handwashing
Humans
Male
Microbial Sensitivity Tests
Povidone-Iodine/chemistry/*pharmacology

Figure

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  Figure 1 Process of hand culture.

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