Presurgical Hand Antisepsis: Concepts and Current Habits of Veterinary Surgeons

Verwilghen, Denis; Grulke, Sigrid; Kampf, G

doi:10.1111/j.1532-950x.2011.00846.x

Cited by 27 publications

(42 citation statements)

References 68 publications

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“…44 In many other parts of the world the use of alcohol as a primary skin antiseptic has been replaced by antiseptic preparations containing various active ingredients including iodophors, chlorhexidine gluconate, phenolic derivatives and quaternary ammonium compounds (QAC). 44,45 Isopropanol, ethanol and npropanol are common alcohols used for antisepsis. 31 Alcohols coagulate and denature proteins in the cytoplasmic membrane resulting in cell lysis and impaired cellular metabolism.…”

Section: Alcoholsmentioning

confidence: 99%

“…25,108 Verwighen reports that there is increasing evidence that alcoholic rub solutions may be more effective than traditional medicated soaps, and are associated with better tolerance and compliance with surgical hygiene protocols. 25,45 Another theory is that the seepage of serum from the damaged skin surface inactivates the residual effect of an antiseptic and leads to higher CFU counts. 109 This would however only be the case in severely diseased skin such as the one that was excluded from our trial.…”

mentioning

confidence: 99%

“…105,106 Prolonged or repeated washing leads to damage and increased permeability of the stratum corneum which functions as a barrier to toxic agents and bacteria. 45 Scrubbing causes small excoriations and increases the risk of bacterial colonization of the skin by pathogenic species. 107 These findings have lead to a distinct trend in surgical hand asepsis amongst veterinary surgeons to move away from the traditional surgical scrub technique to an alcoholic based rub.…”

mentioning

confidence: 99%

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Comparative efficacy of three antiseptics as surgical skin preparations in dogs

Boucher

Henton²,

Becker

et al. 2018

Veterinary Surgery

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Objective To compare the antimicrobial efficacy of a 2% chlorhexidine gluconate and 70% ethanol solution (CG+A) with that of F10 Skin Prep Solution (F10) and electrochemically activated water (EAW) when used as a surgical preparation in canine patients. Study design Prospective randomized clinical study. Sample population One hundred sixteen dogs presented for ovariohysterectomy. Methods Dogs were randomly divided into 1 of the 3 antiseptic groups (CG+A, F10, EAW). Skin samples with replicating organism detection and counting plates were taken at 4 different perioperative sites and time intervals (postskin preparation, postskin antisepsis, 2 hours after the second sample, and at the end of surgery) during ovariohysterectomies performed by students. The colony forming unit (CFU) counts from each sample were quantified according to the level of bacterial contamination. Zero CFU was defined as no contamination, 1‐12 CFU was defined as low contamination, and greater than 12 CFU was defined as high contamination. The 3 antiseptics were compared with respect to the level of contamination. Results There was no difference in the level of colonization between the antiseptics at the first sampling time (P = .454). However, the level of contamination for CG+A was lower compared with F10 and EAW at the second, third, and fourth sampling times (P = .001, P = .01, P = .02, respectively). Conclusion CG+A was more effective at achieving a zero CFU count and low levels of contamination compared with F10 and EAW for surgical preparation in dogs undergoing ovariohysterectomy. Clinical significance This study does not provide evidence to support the use of F10 and EAW instead of CG+A for the surgical skin preparation of dogs undergoing ovariohysterectomy.

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Section: Alcoholsmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Comparative efficacy of three antiseptics as surgical skin preparations in dogs

Boucher

Henton²,

Becker

et al. 2018

Veterinary Surgery

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“…Les solutions hydro-alcooliques sont recommandées car elles sont faciles à utiliser et leurs effets plus précoces et supérieurs aux savons désinfectants (Verwilghen et al 2011) ; en outre, ils déclenchent moins d'effets indésirables envers le personnel. La mise en place de distributeurs dans toutes les pièces de la structure favorise la désinfection adaptée des mains.…”

Section: Hygiène Des Mains Et Asepsieunclassified

Prévention des infections nosocomiales chez les animaux de compagnie par la biosécurité dans les établissements de soins vétérinaires

Keck¹,

Bernard²

2017

bavf

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Probablement sous-estimées en médecine vétérinaire, les infections nosocomiales ont des consé-quences sanitaires mais aussi économiques ; en outre elles peuvent ternir la réputation des établisse-ments. Elles sont associées à des facteurs de risque variés, intéressant plusieurs aspects de la médecine vétérinaire. Elles peuvent être d'origine endogène ou exogène, et dues à des agents pathogènes ou opportunistes divers. La maîtrise des infections nosocomiales vise à interrompre la chaîne de transmission et à réduire la vulnérabilité de l'hôte. Elle repose sur une approche globale, intégrant l'ensemble de l'organisation de l'établissement vétérinaire. La maîtrise des risques d'infection d'origine exogène repose essentiellement sur l'isolement des animaux infectés ou colonisés, la gestion des flux, les pratiques d'asepsie adaptées et les mesures d'hygiène. Elle concerne également l'utilisation d'équipe-ments adaptés afin de limiter les infections liées aux contaminants de l'environnement. Le contrôle de la qualité de l'environnement permet la surveillance de points critiques et la recherche des sources de contamination. Des procédures doivent décrire les règles de biosécurité dans l'établissement. Mots-clés

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“…183 This can be accomplished with a properly performed hand and arm scrub using an appropriate surgical scrub agent or by hand and arm washing followed by the application of a waterless surgical preparation agent in accordance with published guidelines. [188][189][190][191][192][193][194][195][196] For routine castration of cats and puppies, surgeons should wash their hands or perform hand antisepsis prior to gloving.…”

Section: Surgeon Preparationmentioning

confidence: 99%

The Association of Shelter Veterinarians’ 2016 Veterinary Medical Care Guidelines for Spay-Neuter Programs

Griffin¹,

Bushby²,

McCobb³

et al. 2016

javma

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As community efforts to reduce the overpopulation and euthanasia of unwanted and unowned cats and dogs have increased, many veterinarians have increasingly focused their clinical efforts on the provision of spay-neuter services. Because of the wide range of geographic and demographic needs, a wide variety of spay-neuter programs have been developed to increase delivery of services to targeted populations of animals, including stationary and mobile clinics, MASHstyle operations, shelter services, community cat programs, and services provided through private practitioners. In an effort to promote consistent, high-quality care across the broad range of these programs, the Association of Shelter Veterinarians convened a task force of veterinarians to develop veterinary medical care guidelines for spay-neuter programs. These guidelines consist of recommendations for general patient care and clinical procedures, preoperative care, anesthetic management, surgical procedures, postoperative care, and operations management. They were based on current principles of anesthesiology, critical care medicine, infection control, and surgical practice, as determined from published evidence and expert opinion. They represent acceptable practices that are attainable in spay-neuter programs regardless of location, facility, or type of program. The Association of Shelter Veterinarians envisions that these guidelines will be used by the profession to maintain consistent veterinary medical care in all settings where spay-neuter services are provided and to promote these services as a means of reducing sheltering and euthanasia of cats and dogs.

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Presurgical Hand Antisepsis: Concepts and Current Habits of Veterinary Surgeons

Abstract: Contrary to current recommendations of the World Health Organization and scientific evidence supporting use of hydro-alcoholic rubs for presurgical hand preparation, veterinary surgical specialists still use surgical scrub solutions containing disinfecting soaps.

Cited by 27 publications

References 68 publications

Comparative efficacy of three antiseptics as surgical skin preparations in dogs

Comparative efficacy of three antiseptics as surgical skin preparations in dogs

Prévention des infections nosocomiales chez les animaux de compagnie par la biosécurité dans les établissements de soins vétérinaires

The Association of Shelter Veterinarians’ 2016 Veterinary Medical Care Guidelines for Spay-Neuter Programs

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