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Solutions for hand washing.

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  • #69422
    Prue Wright
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    Prue Wright

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    Dear All,

    I was wondering if any of you have up to date information on what is the
    best (most effective) solution with which to wash one’s hands? Special
    Care Nursery was wondering if Microshield’s Triclosan was still
    considered effective?

    Regards

    Ruth Dalrymple

    Infection Control Coordinator

    Hurstville Private Hospital

    37 Gloucester Rd, Hurstville, NSW 2220, Australia
    T +61 2 9579 7780 F +61 2 9579 7466
    E Infection.Control@hurstvilleprivate.com.au
    W healthecare.com.au

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    #69423
    Matthias Maiwald (KKH)
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    Author:
    Matthias Maiwald (KKH)

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    Dear Ruth,

    According to my reading of the literature, the (rough) ranking in terms of antimicrobial efficacy would go (from least to most effective):

    Plain nonantimicrobial liquid soap < antiseptic soap/detergent with triclosan < dto with chlorhexidine < alcohol hand rubs

    (This is referring to ward-based hand hygiene, not surgical scrubbing).

    There appears a sense in the literature that for most wards for regular use, antiseptic addition to soap is probably not necessary, but it may have a benefit for critical areas (ICUs etc.). Some antiseptic additives (e.g. chlorhexidine rarely) can be associated with allergies.

    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 1387

    Dear All,
    I was wondering if any of you have up to date information on what is the best (most effective) solution with which to wash one's hands? Special Care Nursery was wondering if Microshield's Triclosan was still considered effective?
    Regards

    Ruth Dalrymple
    Infection Control Coordinator
    Hurstville Private Hospital
    37 Gloucester Rd, Hurstville, NSW 2220, Australia
    T +61 2 9579 7780 F +61 2 9579 7466
    E Infection.Control@hurstvilleprivate.com.au W healthecare.com.au

    Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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