Effective Hand Preparation for Surgical Procedures in Low- and Middle-Income Countries

LATEST ARTICLES
SEARCH INDEX
SUGGEST ARTICLE
THE OSI COLLECTIONS
AUDIOGRAM SERIES
ABOUT THE OSI
2020 SUMMARY

OSI STATISTICS

Open access articles:
768
Annotations added:
3
Countries represented:
102
No. of contributors:
12
Bookmarks made:
21

Effective Hand Preparation for Surgical Procedures in Low- and Middle-Income Countries


JournalSurgical Infections
Publication date – Mar – 2020
Authors – Peter Muli Nthumba
KeywordsAlcohol-based handrubs (ABHRs), LMICs; SSI; local production; quality surgical hand preparation
Open access – Yes
SpecialityGeneral surgery, Other
World region Global

Language – English
Submitted to the One Surgery Index on May 29, 2020 at 11:53 am
Abstract:

Background: The burden of healthcare-associated infections (HAIs) is greatest in low- and middle-income countries (LMICs); surgical site infections (SSIs) are the most common HAI in LMICs. Hand hygiene is the single most effective strategy for reducing HAIs and the transmission of antimicrobial drug-resistant pathogens. Similarly, effective surgical hand preparation is a critical step in the prevention of SSIs in the surgical patient. Methods: Surgical hand preparation (SHP) is a seemingly simple activity that is easily overlooked. Performed properly, however, along with other measures, it has the potential to reduce SSIs in LMICs. The article reviews the current state of surgical hand preparation in LMICs. Results: Alcohol-based handrubs (ABHRs) have received wide acceptance by healthcare workers for both hand hygiene and SHP; when mixed with emollients, ABHRs retain efficacy against microorganisms and gain skin tolerability and user acceptability. Healthcare institutions in many LMICs face difficulties obtaining the products needed to ensure effective SHP using ABHRs. Conclusion: The ABHRs are the most efficacious surgical hand preparation products available today. They are cost-effective and can safely be prepared locally in hospitals, even in LMICs. The challenge of access to ABHRs should be addressed by national and local governments, through advocacy by healthcare workers coupled with continued lobbying and campaigns by the World Health Organization. Effective surgical hand preparation, like hand hygiene, saves lives.

OSI Number – 20439
PMID – 32182163

Public annotations on this article:
No public annotations yet