2005, Number 1
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Rev Enferm IMSS 2005; 13 (1)
Effectiveness of utilizing alcohol base gel in hands hygiene of doctors and nurses
Ángeles-Garay U, Molinar-Ramos F, Anaya-Flores VE, López-Guerrero ME
Language: Spanish
References: 24
Page: 15-22
PDF size: 154.50 Kb.
ABSTRACT
Introduction: Hands’ hygiene is the most important and effective measure to prevent the transmission of infections en the hospital environment. Despite of that, its accomplishment does not overcome 40% out of times that is indicated. One alternative to fortify the hands’ hygiene is using of alcohol base solutions.
Objective: Compare the effectiveness of utilization of alcohol base gel for the hands’ hygiene with the traditional hands’ washing technique in the reduction of Formation Units of Colonies (FUC) both permanent and temporal from doctors and nurses’ hands.
Methodology: With the participation of doctors and nurses of the Critical Care and Hematology Units, it was made an observation of traditional hands’ washing with water, soap, and paper towels; and hands’ hygiene utilizing alcohol base gel. The account and identification of germs for both procedures was obtained from bacteriologic samples recollected before and after each procedure. The statistic analysis implied simple frequencies, central tendency measurements and dispersion; logarithmic reduction (Log 10); non parametric correlation, test of normality Kolmogorov-Smirnov & Shapiro Wilk; and U of Mann-Whitney.
Results: From 108 observed procedures, the value of UFC-Log 10 medians previous to the traditional hands washing and utilization of alcohol base gel, was respectively 3 and 2.48. After the procedures was 2.3 and 0.95, with reduction of UFC-Log10 to 0.7 versus 1.53 (P≤0.01). Thirteen different germs were identified on 88 cultures done. The group of nurses had more reduction of UFC-Log10 than doctors (p≤0.05).
Conclusions: With the utilization of alcohol base gel, it was obtained a decrement of bacterial accounts significantly major than with the traditional hand washing.
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