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