Hand hygiene in the dermatologist's office: To wash or to rub?

Messina, Michael; Brodell, Lindsey A.; Mostow, Eliot N.

doi:10.1016/j.jaad.2008.07.033

Cited by 13 publications

(14 citation statements)

References 38 publications

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“…Most commercial ABHRs contain 60–85% ethanol [e.g. Purell ® (GOJO Industries Inc., OH, U.S.A.) and Avant original ® (B4 Brands by AMA, IA, U.S.A.)] [1]. Therefore, this alcohol concentration range was used in the present study, with a concentration of 66.5% in the final ABHR.…”

Section: Resultsmentioning

confidence: 99%

“…The antiseptic properties of the ABHR were superior to that obtained by traditional washing because alcohol is the main active antiseptic ingredient in the ABHR. However, the alcohol efficacy is dose-dependent [1] and its ability causing burning sensation leads to pre-irritated skin [5]. These disadvantages cause suppression of the skin barrier, leading to a high risk of skin infection [2].…”

Section: Introductionmentioning

confidence: 99%

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Moisturizing effect of alcohol‐based hand rub containing okra polysaccharide

Kanlayavattanakul

Rodchuea

Lourith

2012

Intern J of Cosmetic Sci

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A natural, moisturizing alcohol-based hand rub (ABHR) containing okra (Abelmoschus esculentus) polysaccharide was formulated to reduce the dryness caused by traditional hand-cleansing products. The ABHR developed also reduced infectious disease transmission. Preliminary evaluations of the stable natural hand hygiene preparations were conducted to determine preference and short-term moisturizing efficacy in volunteers. Formulations contained varying amounts of gelling agent (0.5% and 0.3% w/v). Accelerated stability testing using a centrifugation assay and six heating/cooling cycles of the ABHR bases were performed. Then, okra polysaccharide (5%, 7%, 10% and 15% w/w) was incorporated into the base, and stability tests were repeated. The moisturizing okra polysaccharide was compatible with the formulations at all concentrations. All of the formulated ABHRs were stable. Sensory evaluation was conducted in 36 volunteers. The two most preferred okra ABHRs were patch-tested in 12 volunteers; results indicated none of the preparations caused irritation. Efficacy of the most preferred moisturizing ABHR containing 0.3% gelling agent and 10% (w/v) okra extract was determined. Short-term moisturizing efficacy of a single application was examined in 20 volunteers. The okra ABHR hydrated skin significantly better than a control ABHR (P < 0.005) at 30 min after application. Skin moisture was retained for 210 min of the observation period. Thus, the ABHR product containing moisturizing okra is safe, efficacious and possesses desirable properties. The formulation can be applied every 3 h for good hand hygiene with moisturizing efficacy.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Moisturizing effect of alcohol‐based hand rub containing okra polysaccharide

Kanlayavattanakul

Rodchuea

Lourith

2012

Intern J of Cosmetic Sci

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“…1 Research examining the topic of hand hygiene practices has yielded little on how to effectively increase and sustain hand hygiene compliance. [7][8][9][10][11] A vast number of interventions designed to increase hand hygiene compliance have focused on education. These interventions have met with some moderate short-term success, but positive long-term effects are seldom seen.…”

Section: Literature Reviewmentioning

confidence: 99%

Effects of Peer Monitoring and Peer Feedback on Hand Hygiene in Surgical Intensive Care Unit and Step-down Units

Langston¹

2011

Journal of Nursing Care Quality

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Attempts to increase hand hygiene compliance of health care workers solely through education have met with mixed success. A peer-monitoring and feedback intervention was evaluated to determine the effectiveness in increasing hand hygiene among health care staff at a large teaching hospital. Comparisons of pre- (n = 263) and post- (n = 253) observations revealed that the intervention had a significant effect on increasing hand hygiene compliance after nonpatient contact in a patient's room (P = .006).

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“…Even when using a rub for 10–30 s until hands are dry, there is evidence that these rubs are more effective than conventional hand washing, but this may be due to participants failing to scrub for the recommended length of 30 s to 1 min . Alcohol‐based hand rubs have also been shown to be less irritant on the skin …”

Section: Methodsmentioning

confidence: 99%

Intravitreal injections: a review of the evidence for best practice

Fagan

Al-Qureshi

2013

Clinical Exper Ophthalmology

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Intravitreal injection is a common procedure performed by ophthalmologists. It is a quick and targeted treatment for a number of ophthalmic conditions. Despite this, the potential to cause serious complications and patient discomfort cannot be ignored. This article presents the level of evidence in the scientific literature supporting common practices such as location of the procedure, anaesthetic choice, sterile procedure techniques, comparison of some common pharmaceutical agents and the use of antibiotics.

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Hand hygiene in the dermatologist's office: To wash or to rub?

Cited by 13 publications

References 38 publications

Moisturizing effect of alcohol‐based hand rub containing okra polysaccharide

Moisturizing effect of alcohol‐based hand rub containing okra polysaccharide

Effects of Peer Monitoring and Peer Feedback on Hand Hygiene in Surgical Intensive Care Unit and Step-down Units

Intravitreal injections: a review of the evidence for best practice

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