文章基本信息

标题：Anforderungen an die chirurgische Händedesinfektion und verändertes Prozedere
本地全文：下载
作者：Kramer A ; Hübner NO ; Assadian O 等
期刊名称：GMS Krankenhaushygiene Interdisziplinär
印刷版ISSN：1863-5245
出版年度：2007
卷号：02
期号：02
出版社：German Medical Science GMS Publishing House, Düsseldorf
摘要：The special importance of the surgeon's hand in the multi-barrier concept to prevent surgical site infections is based on two facts: the resident flora on the hands cannot be totally eradicated and the surgical glove is no reliable barrier for micro-organisms. The aim of the pre-surgical disinfection is therefore to eliminate the transient flora and reduce the resident flora to the greatest possible amount for the duration of the surgery. New experimental evidence has led to changes in the pre-surgical disinfection. The article summarises the actual knowledge and practice of the pre-surgical disinfection with special focus on pre-conditions for hand disinfection, requirements on the efficacy and the influence on a previous hand wash, duration of disinfection and practical implementation. Because some countries still prefer scrubs to alcoholic rubs, we compare both methods based on efficacy, compliance and dermal tolerance with the conclusion that rubs are superior to scrubs in all evaluated categories.