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Original Article
Evaluation of a Waterless, Scrubless Chlorhexidine Gluconate/Ethanol Surgical Scrub and Povidone-Iodine for Antimicrobial Efficacy
Jeong Sil Choi
Journal of Korean Academy of Nursing 2008;38(1):39-44.
DOI: https://doi.org/10.4040/jkan.2008.38.1.39
Published online: February 28, 2008

Full-time Lecturer, Department of Nursing Science, Konyang University, Daejeon, Korea.

Address reprint requests to: Choi, Jeong-Sil. Department of Nursing Science, College of Medical Science, Konyang University, 685 Gasuwon-dong, Seo-gu, Daejeon 320-718, Korea. Tel: 82-42-600-6346, Fax: 82-42-600-6307, jschoi408@empal.com
• Received: May 29, 2007   • Accepted: October 24, 2007

Copyright © 2008 Korean Society of Nursing Science

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  • Purpose
    The purpose of this study was to compare 1% chlorhexidine-gluconate/61% ethanol (CHG/Ethanol) emollient and 7.5% povidone-iodine (PVI) scrub for antimicrobial,residual effect, and skin condition.
  • Methods
    CHG/Ethanol emollient hand hygiene was performed waterless, and brushless by operating doctors and nurses (N=20). PVI hand washing was performed with water and a brush (N=20) for 5 min. The subjects were asked to press their left hand in hand-shaped agar before a surgical scrub, immediately after a surgical scrub and after the operation. The amount of isolated microorganisms were calculated by counting the number of divided areas(1×1 cm, 160 cell) which were culture positive in the hand culture plate. The skin condition was evaluated.
  • Results
    The antimicrobial count of CHG/Ethanol emollient and PVI immediately post surgical scrub was 0.0 vs. 4.1 (p>.05), and after the operation was 0.1 vs. 37.8 (p>.05)respectively. The Residual effect of CHG/Ethanol emollient immediately post surgical scrub and after the operation were 0.0 vs. 0.1 (p>.05), and PVI were 4.1 vs. 37.8 (p>.05)respectively. The skin condition and satisfaction of CHG/Ethanol emollient was higher than PVI (p<.05).
  • Conclusion
    The antimicrobial effect between CHG/Ethanol emollient and PVI were the same. Considering skin condition, satisfaction and allergic reaction CHG/Ethanol emollient for surgical scrub is recommended in Korea.
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Figure 1
Process of hand culture.
jkan-38-39-g001.jpg
Table 1
Comparison of Bacterial Count between Experimental and Control Group of Antibacterial Efficiency (CFU/160 cm²)
jkan-38-39-i001.jpg
Table 2
Comparison of Bacterial Count between Experimental and Control Group of Residual Effect (CFU/160 cm²)
jkan-38-39-i002.jpg

*paired t-test.

Table 3
Comparison of Satisfaction, Skin Condition and Allergy between Experimental and Control Group
jkan-38-39-i003.jpg

*p<.01; p<.001.

Figure & Data

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        Evaluation of a Waterless, Scrubless Chlorhexidine Gluconate/Ethanol Surgical Scrub and Povidone-Iodine for Antimicrobial Efficacy
        Journal of Korean Academy of Nursing. 2008;38(1):39-44.   Published online February 28, 2008
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      Evaluation of a Waterless, Scrubless Chlorhexidine Gluconate/Ethanol Surgical Scrub and Povidone-Iodine for Antimicrobial Efficacy
      Image
      Figure 1 Process of hand culture.
      Evaluation of a Waterless, Scrubless Chlorhexidine Gluconate/Ethanol Surgical Scrub and Povidone-Iodine for Antimicrobial Efficacy

      Comparison of Bacterial Count between Experimental and Control Group of Antibacterial Efficiency (CFU/160 cm²)

      Comparison of Bacterial Count between Experimental and Control Group of Residual Effect (CFU/160 cm²)

      *paired t-test.

      Comparison of Satisfaction, Skin Condition and Allergy between Experimental and Control Group

      *p<.01; p<.001.

      Table 1 Comparison of Bacterial Count between Experimental and Control Group of Antibacterial Efficiency (CFU/160 cm²)

      Table 2 Comparison of Bacterial Count between Experimental and Control Group of Residual Effect (CFU/160 cm²)

      *paired t-test.

      Table 3 Comparison of Satisfaction, Skin Condition and Allergy between Experimental and Control Group

      *p<.01; p<.001.


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