title: [Surgical team satisfaction levels between two preoperative hand-washing methods].
abstract: BACKGROUND
  Recently, there have been new antiseptics for surgical scrub that do not require brushing. One of them contains 1% chlorhexidine gluconate and 61% ethyl alcohol; within its benefits, it may offer a low potential for skin sensitization, as well as cost savings and less use of water.
  
  
  OBJECTIVE
  To evaluate satisfaction levels, washing time, safety, cost and amount of water between the traditional surgical scrub technique (group A) and brush-free surgical scrub procedure (group B).
  
  
  METHODS
  One hundred clean and clean-contaminated surgeries with four hundred members of surgical teams were included. Satisfaction levels, hand-washing time, skin disorders and problems associated with placement of gloves were evaluated. Hands cultures were taken in 20% of the population and the amount of water used by patients in group A was measured. Total costs and wound infections were analyzed.
  
  
  RESULTS
  Satisfaction scale in group A was 9.1 +/- 1.39 and 9.5 +/- 1.54 in group B (p = 0.004). The mean hand-washing time was 3.9 +/- 1.07 min in group A and 2.0 +/- 0.47 min in group B (p = 0.00001). Thirteen patients had dry skin in group A and four in group B (6.5% vs. 2%; p = 0.02). There were ten positives cultures in group A and five in group B (25% vs. 12.5%, p = 0.152). Wound infection rate was 3%. On average, five-hundred eighty liters of water were used by the former group, and the estimated hand-washing cost was lower in the second group.
  
  
  CONCLUSIONS
  The handwashing technique with CGEA is as effective as traditional surgical scrub technique, and it is associated with less washing time, dry skin, cost and use of water.
authors.affiliation: Departamento de Cirugía. Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Tlalpan, México, DF. omarvergara74@hotmail.com
authors.forename: Omar
authors.initials: O
authors.lastname: Vergara-Fernández
authors.forename: José Martín
authors.initials: JM
authors.lastname: Morales-Olivera
authors.forename: Sergio
authors.initials: S
authors.lastname: Ponce-de-León-Rosales
authors.forename: Roger
authors.initials: R
authors.lastname: Vega-Batista
authors.forename: Rabí
authors.initials: R
authors.lastname: Mejía-Ovalle
authors.forename: Martha
authors.initials: M
authors.lastname: Huertas-Jiménez
authors.forename: Alfredo
authors.initials: A
authors.lastname: Ponce-de-León
authors.forename: Margarita
authors.initials: M
authors.lastname: Navarrete
authors.forename: Samuel
authors.initials: S
authors.lastname: Ponce-de-León
authors.forename: Alejandro
authors.initials: A
authors.lastname: Macías
authors.forename: Takeshi
authors.initials: T
authors.lastname: Takahashi-Monroy
mesh_terms: D000891:Anti-Infective Agents, Local / Q000009:adverse effects / Q000494:pharmacology*; D001419:Bacteria / Q000302:isolation & purification; D002710:Chlorhexidine / Q000009:adverse effects / Q000031:analogs & derivatives* / Q000191:economics / Q000494:pharmacology; D003258:Consumer Behavior; D017046:Cost Savings; D009783:Dermatitis, Occupational / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control; D004865:Equipment and Supplies, Hospital / Q000191:economics; D000431:Ethanol / Q000009:adverse effects / Q000191:economics / Q000494:pharmacology*; D005260:Female; D005658:Fungi / Q000302:isolation & purification; D013502:General Surgery; D006225:Hand / Q000382:microbiology*; D006229:Hand Dermatoses / Q000139:chemically induced / Q000453:epidemiology / Q000517:prevention & control; D006235:Hand Disinfection / Q000379:methods*; D006801:Humans; D007057:Ichthyosis / Q000139:chemically induced / Q000453:epidemiology / Q000517:prevention & control; D008297:Male; D009872:Operating Room Technicians / Q000523:psychology* / Q000706:statistics & numerical data; D010348:Patient Care Team; D010820:Physicians / Q000523:psychology* / Q000706:statistics & numerical data; D011446:Prospective Studies; D013530:Surgical Wound Infection / Q000517:prevention & control*; D014867:Water
chemical_list: D000891:Anti-Infective Agents, Local; D014867:Water; D000431:Ethanol; C010882:chlorhexidine gluconate; D002710:Chlorhexidine