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  1. The effects of'in-use'surgical handwashing on the pre-and postoperative fingertip flora during cardiothoracic and orthopaedic surgery.

    Article - En anglais

    Two operating teams (25 persons) were followed for two months with fingerprint samples taken preoperatively ; before and after'in-use'surgical handwashing ; and immediately postoperatively, with and without surgical gloves.

    The mean time for handwashing for the cardiothoracic team (CT) was 2 min and for the orthopaedic team (OT) was 3.5 min.

    A closer observation of 10 persons revealed a great individual variation in washing techniques, in spite of standard guidelines.

    The CT team performed eight, and the OT team nine sterile operations with an average duration of 3 h and 20 min and 2 h and 40 min, respectively.

    Surgical handwashing resulted in fingertip sterility in 111/118 (94.1%) cases ; in 61/66 (92.4%) samples from the surgeons and in 50/52 (96.2%) samples from the assistants.

    Postoperative fingerprinting with gloves on showed sterile conditions in 85/91 (93.4%) samples ; 57/59 (96.6%) from the surgeons and 28/32 (87.5%) from the assistants.

    Immediately after removal of the gloves, 43/67 (64.2%) of fingerprint samples from the surgeons and 13/48 (27.1%) from the assistants were still sterile.

    Coagulase-negative staphylococci (CNS) and Bacillus species predominated in fingerprint samples.

    Of the 105 CNS strains tested, 11.4% were methicillin resistant.

    Only five strains of Staphylococcus aureus were isolated ; in 4/5 cases from the OT.

    This study illustrates that in spite of standard guidelines, there is great individual variation in surgical handwashing.

    Mots-clés Pascal : Chirurgie orthopédique, Coeur, Thorax, Méthode fingerprint, Lavage, Main, Gant, Exploration microbiologique, Test sensibilité médicamenteuse, Antibiotique, Hôpital, Colonisation, Hygiène

    Mots-clés Pascal anglais : Orthopedic surgery, Heart, Thorax, Fingerprint method, Washing, Hand, Glove, Microbiological investigation, Drug susceptibility test, Antibiotic, Hospital, Colonization, Hygiene

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0476527

    Code Inist : 002B25I. Création : 01/03/1996.