Hand carriage of Candida occurs at lesser rates in hospital personnel who use antimicrobial hand disinfectant.

Mustafa Yildirim, Idris Sahin, Sukru Oksuz, Irfan Sencan, Abdulkadir Kucukbayrak, Selma Cakir, Cigdem Ozaydin
{"title":"Hand carriage of Candida occurs at lesser rates in hospital personnel who use antimicrobial hand disinfectant.","authors":"Mustafa Yildirim,&nbsp;Idris Sahin,&nbsp;Sukru Oksuz,&nbsp;Irfan Sencan,&nbsp;Abdulkadir Kucukbayrak,&nbsp;Selma Cakir,&nbsp;Cigdem Ozaydin","doi":"10.3109/00365548.2014.922694","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The hands of hospital personnel are considered to be important for colonization and infection of patients with Candida spp. The aim of this study was to evaluate the effectiveness of different hand disinfectants in reducing the carriage of Candida species on the hands of hospital personnel.</p><p><strong>Methods: </strong>A controlled study was conducted at Duzce University School of Medicine Hospital. Eighty hospital personnel were included in the trial. Subjects were divided into 4 groups according to hand hygiene procedures: group 1, hand rubbing with alcohol-based solution; group 2, hand washing with 4% chlorhexidine gluconate; group 3, hand washing with 7.5% povidone-iodine; group 4, hand washing with plain soap and water. The hands of all participants were tested by culture with the broth wash technique.</p><p><strong>Results: </strong>Hand carriage of Candida spp. was lower in the 4% chlorhexidine gluconate group (10.5%, p = 0.006), in the 7.5% povidone-iodine group (18.7%, p = 0.043), and in the alcohol-based hand rub group (21.1%, p = 0.048) compared to the group washing hands with plain soap and water (50%).</p><p><strong>Conclusions: </strong>The use of hand disinfectant containing antimicrobial agents is more effective than hand washing with water and soap in reducing carriage of Candida on the hands of hospital personnel. It is recommended that hospital personnel use an antimicrobial hand disinfectant in units where there is a high risk of Candida infection.</p>","PeriodicalId":21541,"journal":{"name":"Scandinavian Journal of Infectious Diseases","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/00365548.2014.922694","citationCount":"9","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Scandinavian Journal of Infectious Diseases","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3109/00365548.2014.922694","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2014/6/23 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 9

Abstract

Background: The hands of hospital personnel are considered to be important for colonization and infection of patients with Candida spp. The aim of this study was to evaluate the effectiveness of different hand disinfectants in reducing the carriage of Candida species on the hands of hospital personnel.

Methods: A controlled study was conducted at Duzce University School of Medicine Hospital. Eighty hospital personnel were included in the trial. Subjects were divided into 4 groups according to hand hygiene procedures: group 1, hand rubbing with alcohol-based solution; group 2, hand washing with 4% chlorhexidine gluconate; group 3, hand washing with 7.5% povidone-iodine; group 4, hand washing with plain soap and water. The hands of all participants were tested by culture with the broth wash technique.

Results: Hand carriage of Candida spp. was lower in the 4% chlorhexidine gluconate group (10.5%, p = 0.006), in the 7.5% povidone-iodine group (18.7%, p = 0.043), and in the alcohol-based hand rub group (21.1%, p = 0.048) compared to the group washing hands with plain soap and water (50%).

Conclusions: The use of hand disinfectant containing antimicrobial agents is more effective than hand washing with water and soap in reducing carriage of Candida on the hands of hospital personnel. It is recommended that hospital personnel use an antimicrobial hand disinfectant in units where there is a high risk of Candida infection.

使用抗菌手消毒剂的医护人员携带念珠菌的发生率较低。
背景:医院工作人员的手被认为是念珠菌定植和感染患者的重要因素,本研究的目的是评估不同手部消毒剂对减少医院工作人员手上念珠菌携带的有效性。方法:在杜兹大学医学院附属医院进行对照研究。80名医院工作人员参与了试验。按手卫生程序将受试者分为4组:1组,用酒精溶液搓手;第二组,用4%葡萄糖酸氯己定洗手;第三组,7.5%聚维酮碘洗手;第四组,用普通肥皂和水洗手。所有参与者的手都进行了肉汤清洗技术的培养测试。结果:4%葡萄糖酸氯己定组(10.5%,p = 0.006)、7.5%聚维酮碘组(18.7%,p = 0.043)和含酒精洗手液组(21.1%,p = 0.048)的念珠菌携带率低于普通肥皂和水洗手组(50%)。结论:使用含抗菌药物的洗手消毒剂比用水和肥皂洗手更能有效地减少医务人员手上念珠菌的携带。建议医院人员在有念珠菌感染高风险的单位使用抗菌手部消毒剂。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
审稿时长
4-8 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信