Re: sinks vs. sanitizers
From: art fougner, md (evsono@pipeline.com)
Fri Jul 27 14:01:57 2007
Bring back PhisoHex.
Art
At Fri, 27 Jul 2007, Betsy Hyde wrote:
>
>at OBGYN M&M yesterday they stated that c.diff spores were not
>removed by the gels, only by soap and water.
>
>--
>Betsy Hyde CNM
>Branford, CT
>
>On Jul 27, 2007, at 2:33 PM, Joanne Bulley, MD wrote:
>
>> Myer, I am not sure this is correct -- this article suggests that 10%
>> povidone iodine and 70% ethyl alcohol are best:
>>
>> Infect Control Hosp Epidemiol. 2001 Feb;22(2):105-8.Click here to
>> read
>> Links
>> Effectiveness of hand-cleansing agents for removing
>> methicillin-resistant Staphylococcus aureus from contaminated hands.
>> Guilhermetti M, Hernandes SE, Fukushigue Y, Garcia LB, Cardoso CL.
>>
>> Department of Clinical Analyses, State University of Maringá, Paraná,
>> Brazil.
>>
>> OBJECTIVE: The effectiveness of hand-cleansing agents in removing a
>> hospital strain of methicillin-resistant Staphylococcus aureus from
>> artificially contaminated hands of five volunteers was studied.
>> DESIGN:
>> The products used were plain liquid soap, ethyl alcohol 70% (by
>> weight),
>> 10% povidone-iodine liquid soap (PVP-I), and chlorhexidine gluconate
>> (4%) detergent. The experiments were performed using a Latin square
>> statistical design, with two 5x4 randomized blocks. The removal rates
>> of S aureus cells from contaminated fingertips were estimated by
>> analysis of variance, the response variable being the log10 reduction
>> factor (RF), ie, log10 of the initial counts minus log10 of the final
>> counts. In the first and second blocks, the fingertips of the
>> volunteers were contaminated in mean with 3.76 log10 colony-forming
>> units ([CFU] light-contamination hand) and 6.82 log10 CFU
>> (heavy-contamination hand), respectively. RESULTS: In the first
>> block,
>> there were significant differences between treatments (P<.05). The
>> 10%
>> PVP-I (RF, 3.76) and 70% ethyl alcohol (RF, 3.51) had significantly
>> higher removal rates than plain liquid soap (RF, 1.96) and 4%
>> chlorhexidine (RF, 1.91). In the second block, 10% PVP-I (RF,
>> 4.39) and
>> 70% ethyl alcohol (RF, 3.27) also were significantly more effective
>> than
>> plain liquid soap (RF, 1.77) and 4% chlorhexidine (RF, 1.37; P<.05).
>> Plain liquid soap was significantly more effective than chlorhexidine
>> (4%) detergent. CONCLUSIONS: The results suggest that 10% PVP-I
>> and 70%
>> ethyl alcohol may be the most effective hand-cleansing agents for
>> removing methicillin-resistant S aureus strain from either lightly or
>> heavily contaminated hands.
>>
>> PMID: 11232870 [PubMed - indexed for MEDLINE]
>>
>> Joanne
>>
>> At Fri, 27 Jul 2007, Myer Bornstein wrote:
>>>
>>> Remember MSRA is out there and patient carry the spores and they
>>> do not have
>>> to be sick and the alcohol sanitizers do not work on spores only
>>> soap and
>>> water work. Sinks in the exam rooms
>>> Myer
>>>
>> --
>> Joanne Bulley, MD, FACOG
>> Solo gyn
>> Keene, NH USA
>
--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton
