title: Brushes and picks used on nails during the surgical scrub to reduce bacteria: a randomised trial.
abstract: Though brushes are no longer used on the hands and forearms during the surgical scrub, they are still widely used on the nails. The aim of this study was to determine whether nail picks and nail brushes are effective in providing additional decontamination during a surgical hand scrub. A total of 164 operating department staff were randomised to undertake one of the following three surgical hand-scrub protocols: chlorhexidine only; chlorhexidine and a nail pick; or chlorhexidine and a nail brush. Bacterial hand sampling was conducted before and 1h after scrubbing using a modified version of the glove juice method. No statistically significant differences in bacterial numbers were found between any two of the three intervention groups. Nail brushes and nail picks used during surgical hand scrubs do not decrease bacterial numbers and are unnecessary.
authors.affiliation: De Montfort University, Leicester, UK. jtanner@dmu.ac.uk
authors.forename: J
authors.initials: J
authors.lastname: Tanner
authors.forename: D
authors.initials: D
authors.lastname: Khan
authors.forename: S
authors.initials: S
authors.lastname: Walsh
authors.forename: J
authors.initials: J
authors.lastname: Chernova
authors.forename: S
authors.initials: S
authors.lastname: Lamont
authors.forename: T
authors.initials: T
authors.lastname: Laurent
mesh_terms: D000279:Administration, Cutaneous; D000891:Anti-Infective Agents, Local / Q000008:administration & dosage; D002710:Chlorhexidine / Q000008:administration & dosage; D015169:Colony Count, Microbial; D005260:Female; D006235:Hand Disinfection / Q000379:methods*; D006801:Humans; D017053:Infection Control / Q000295:instrumentation*; D008297:Male; D009262:Nails; D013514:Surgical Procedures, Operative
chemical_list: D000891:Anti-Infective Agents, Local; D002710:Chlorhexidine