Efficiency of the surgical washing of hands with brush and without brush

Abstract

The purpose of this article is to establish the answer to a clinical question regarding the effectiveness ofpreoperative hygiene with hand washing brush or without it. This first technique has been performed on the skinto reduce transient bacteria and to inhibit the growth of resident microorganisms as a common and required actbefore any surgical procedure. Despite this measure and others such as prophylactic antibiotics, the mainoperative complication continues to be the surgical wound infection. Today, it is as prevalent as in the past withthe consequent negative effects derived from it, both for the institutions and for patients. Being controversialtoday which one is the most effective and safe surgical hand washing method for the binomial: professionalsurgical team/ patient, this study is done under the criteria of the Evidence-Based Nursing.A question was builtin PICO format (Personal, Intervention, Comparison and Outcome). After this is done, continues informationsearch in the databases GOOGLE ACADÉMICO, Pub Med, Cochrane y Base de Datos para la Investigación enEnfermería (BDIE) We obtained 20 articles related to the topic of them 8, which fulfilled the set CASPe criteriato answer the clinical question, were analyzed. We conclude that washing hands with a brush is equally effectiveas without brush technique in terms of decreased of the superficial skin bacterial flora, although this technique hasadvantages over the traditional practice.

Keywords

• profesionales-enfermería, lavado-manos-quirúrgico, infecciones-herida-quirúrgica