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Re: Alcohol-based surgical hand rub

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  • #73353
    Franciska Ferreira
    Participant

    Author:
    Franciska Ferreira

    Email:
    fferreira@BURNSIDEHOSPITAL.ASN.AU

    Organisation:
    Burnside Hospital

    State:

    Dear all,

    How many of you out there are currently using an alcohol-based surgical hand rub in the Perioperative Suites? Some Visiting Medical Officers states that they’ve never heard of it and others can’t go without it.

    Kind Regards

    Franciska Ferreira
    Infection Prevention & Control/Wound Management Consultant
    Burnside War Memorial Hospital
    120 Kensington Road, Toorak Gardens, SA 5056
    t: 08 8202 7222 f: 08 8407 8573 e: fferreira@burnsidehospital.asn.au

    [cid:image002.gif@01D2090B.7FC25C60] [cid:image004.png@01D2090C.522F8830]

    “Share the fun not the germs, clean your hands”

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    #73355
    Anonymous
    Inactive

    Author:
    Anonymous

    Organisation:

    State:

    Dear Franciska,

    We use alcohol-based surgical hand rub extensively in all our perioperative and interventional areas. Traditional antiseptic hand washes are available and a 5 minute scrub with soap and water is to be performed for the first scrub of the day and then alcohol based rubs for subsequent scrubs.
    Good alternative especially when hand washing facilities are suboptimal.
    I have managed to improve some absolute hand wash recalcitrants to use alcohol based rubs with good compliance. Anecdotally good with dermatitis sufferers in my experience.

    Kind regards
    Phillipa

    Infection Prevention and Control Clinical Coordinator
    Cabrini Malvern
    03 9508 1577
    0400 369 741

    Dear all,

    How many of you out there are currently using an alcohol-based surgical hand rub in the Perioperative Suites? Some Visiting Medical Officers states that they’ve never heard of it and others can’t go without it.

    Kind Regards

    Franciska Ferreira
    Infection Prevention & Control/Wound Management Consultant
    Burnside War Memorial Hospital
    120 Kensington Road, Toorak Gardens, SA 5056
    t: 08 8202 7222 f: 08 8407 8573 e: fferreira@burnsidehospital.asn.au

    [cid:image002.gif@01D2090B.7FC25C60] [cid:image004.png@01D2090C.522F8830]

    “Share the fun not the germs, clean your hands”

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    #73356
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Email:
    Michael.Wishart@svha.org.au

    Organisation:

    State:
    NSW

    Hi Fran

    Not sure if you are referring to use of alcohol hand gels/rubs in procedural areas for social handwashing, or use of waterless alcohol as a scrub agent.

    We have been doing both here for a number of years. There are some surgical disciplines where the use of waterless alcohol based scrub agents has been embraced with a gusto. And some surgical disciplines where waterless alcohol based scrub agents are still frowned upon.

    I would say 70% of all of our surgical scrubbing is now down with waterless alcohol based products. It has generally been well received. My only reservations are bout the professional societies not having good guidance on their use. ACORN has recently released some better guidance, but none of the surgical colleges have any specific guidance about how to use waterless agents, when you need to wash with soap and water, or anything. This to me makes to hard to enforce good practice across all disciplines. But then again, I have recently discovered that RACS doesn’t even have a procedure on how to do a water based surgical scrub!

    Europeans have been using waterless based alcohol scrubbing for some time, and there has been no reported changes in SSI rates there.

    So, I would give surgeons and theatre nurses the option of using these products, setting some simple ground rules for their use (like soap and water wash before the first waterless scrub of each list).

    Good luck.

    Cheers
    Michael

    Michael Wishart
    Infection Control Coordinator

    A 627 Rode Road, Chermside QLD 4032
    P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
    [cid:image001.png@01D01926.61F1C2B0]
    P Please consider the environment before printing this email

    Dear all,

    How many of you out there are currently using an alcohol-based surgical hand rub in the Perioperative Suites? Some Visiting Medical Officers states that they’ve never heard of it and others can’t go without it.

    Kind Regards

    Franciska Ferreira
    Infection Prevention & Control/Wound Management Consultant
    Burnside War Memorial Hospital
    120 Kensington Road, Toorak Gardens, SA 5056
    t: 08 8202 7222 f: 08 8407 8573 e: fferreira@burnsidehospital.asn.au

    [user] [bHand Hygiene day 16]

    “Share the fun not the germs, clean your hands”

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