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Dear all,
We would like to know if anyone can inform us please, on the recommended number of alcohol hand rubs you can utilise, before another full surgical hand wash is required when working in theatres.We have previously been informed for the alcohol rubs to be fully effective, that they cannot be utilised all day as they eventually leave a film on the skin. The intermittent washing of hands with soap and water is therefore deemed necessary to remove the film before continuing with the use of the alcohol hand rub.
We look forward to your response and thank you for your time.
Kind regards,
[cid:image003.jpg@01CDD2FB.E8A40520]Annette Kennedy
DDON
Skin & Cancer Foundation Australia Day Care Procedure Centre
7 Ashley Lane Westmead NSW 2145Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
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Dear Annette,
I assume you are referring to alcohol hand rub in terms of surgical hand antisepsis (“surgical scrubbing”), not to alcohol hand rub beteen patients, such as in the 5 Moments. Correct?
There is no requirement for a surgical hand wash between alcohol-based surgical hand antisepsis procedures. The only requirement for a soap/detergent (plus water) based hand wash in terms of surgical hand antisepsis is when the hands are dirty/soiled before alcohol-based surgical hand antisepsis. (See WHO Hand Hygiene Guidelines 2009, pages 54-60). Such a situation may arise, for example, before alcohol hand antisepsis for the first procedure of the day when staff come into OT from outside. In some institutions it is therefore standard practice (in terms of unifying/standardising OT procedures) to do a hand wash (followed by towel drying) — including cleaning under fingernails — before doing alcohol hand antisepsis for the first procedure.
The film/residue left after alcohol hand rubbing depends very much on the product that is used, and on user preference as to when they feel it gets too sticky for them. Some products leave a lot of sticky residue on hands, and the very good, top products leave very little to no sticky residue (film) and can be used for hand antisepsis consecutively for quite a number of procedures. Because there is no Australian standard for alcohol-based surgical hand antisepsis, and because US standards have not been specifically tailored towards alcohol-based surgical hand rubs, it is probably a good move to hoose a product that fulfills European standard EN 12781 (see also WHO guideline).
Best regards, Matthias.
—
Matthias Maiwald, MD, FRCPA
Consultant in Microbiology
Adj. Assoc. Prof., Natl. Univ. Singapore
Department of Pathology and Laboratory Medicine
KK Women’s and Children’s Hospital
100 Bukit Timah Road
Singapore 229899
Tel. +65 6394 8725 (Office)
Tel. +65 6394 1389 (Laboratory)
Fax +65 6394 1387Dear all,
We would like to know if anyone can inform us please, on the recommended number of alcohol hand rubs you can utilise, before another full surgical hand wash is required when working in theatres.We have previously been informed for the alcohol rubs to be fully effective, that they cannot be utilised all day as they eventually leave a film on the skin. The intermittent washing of hands with soap and water is therefore deemed necessary to remove the film before continuing with the use of the alcohol hand rub.
We look forward to your response and thank you for your time.
Kind regards,
Annette Kennedy
DDON
Skin & Cancer Foundation Australia Day Care Procedure Centre
7 Ashley Lane Westmead NSW 2145Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
[cid:kkh5790.gif]kkh
________________________________
The information contained in this e-mail and the attachments (if any) may be privileged and confidential and is intended solely for the named addressee. If you are not the intended recipient, please do not print, retain copy, disseminate, distribute, or use this e-mail or any part thereof. Please notify the sender immediately by replying to this e-mail and delete all copies of this e-mail and the attachments.Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
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P.S. Sorry, I meant “choose” and “EN 12791” (instead of 81). Typed too quickly.
—
Matthias Maiwald, MD, FRCPA
Consultant in Microbiology
Adj. Assoc. Prof., Natl. Univ. Singapore
Department of Pathology and Laboratory Medicine
KK Women’s and Children’s Hospital
100 Bukit Timah Road
Singapore 229899
Tel. +65 6394 8725 (Office)
Tel. +65 6394 1389 (Laboratory)
Fax +65 6394 1387Dear Annette,
I assume you are referring to alcohol hand rub in terms of surgical hand antisepsis (“surgical scrubbing”), not to alcohol hand rub beteen patients, such as in the 5 Moments. Correct?
There is no requirement for a surgical hand wash between alcohol-based surgical hand antisepsis procedures. The only requirement for a soap/detergent (plus water) based hand wash in terms of surgical hand antisepsis is when the hands are dirty/soiled before alcohol-based surgical hand antisepsis. (See WHO Hand Hygiene Guidelines 2009, pages 54-60). Such a situation may arise, for example, before alcohol hand antisepsis for the first procedure of the day when staff come into OT from outside. In some institutions it is therefore standard practice (in terms of unifying/standardising OT procedures) to do a hand wash (followed by towel drying) — including cleaning under fingernails — before doing alcohol hand antisepsis for the first procedure.
The film/residue left after alcohol hand rubbing depends very much on the product that is used, and on user preference as to when they feel it gets too sticky for them. Some products leave a lot of sticky residue on hands, and the very good, top products leave very little to no sticky residue (film) and can be used for hand antisepsis consecutively for quite a number of procedures. Because there is no Australian standard for alcohol-based surgical hand antisepsis, and because US standards have not been specifically tailored towards alcohol-based surgical hand rubs, it is probably a good move to hoose a product that fulfills European standard EN 12781 (see also WHO guideline).
Best regards, Matthias.
—
Matthias Maiwald, MD, FRCPA
Consultant in Microbiology
Adj. Assoc. Prof., Natl. Univ. Singapore
Department of Pathology and Laboratory Medicine
KK Women’s and Children’s Hospital
100 Bukit Timah Road
Singapore 229899
Tel. +65 6394 8725 (Office)
Tel. +65 6394 1389 (Laboratory)
Fax +65 6394 1387Dear all,
We would like to know if anyone can inform us please, on the recommended number of alcohol hand rubs you can utilise, before another full surgical hand wash is required when working in theatres.We have previously been informed for the alcohol rubs to be fully effective, that they cannot be utilised all day as they eventually leave a film on the skin. The intermittent washing of hands with soap and water is therefore deemed necessary to remove the film before continuing with the use of the alcohol hand rub.
We look forward to your response and thank you for your time.
Kind regards,
Annette Kennedy
DDON
Skin & Cancer Foundation Australia Day Care Procedure Centre
7 Ashley Lane Westmead NSW 2145Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
kkh
________________________________
The information contained in this e-mail and the attachments (if any) may be privileged and confidential and is intended solely for the named addressee. If you are not the intended recipient, please do not print, retain copy, disseminate, distribute, or use this e-mail or any part thereof. Please notify the sender immediately by replying to this e-mail and delete all copies of this e-mail and the attachments.Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
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