Literature DB >> 18201493

Clean and green: saving water in the operating theatre.

Karlheinz Jehle1, Nick Jarrett, Shaun Matthews.   

Abstract

INTRODUCTION: There is a growing trend to use alcohol-based hand disinfectants in clinical practice. In addition to their anti-bacterial efficacy, these disinfectants offer an alternative to traditional surgical hand disinfection agents that can save water in the operating theatre.
MATERIALS AND METHODS: The amounts of water and soap used during traditional surgical hand disinfection with antiseptic soap preparations were measured and water usage over a 1-year period was estimated. Costs of traditional disinfection agents were compared with alcohol-based agents.
RESULTS: One surgical hand disinfection episode with traditional agents used 18.5 l of water. During 15,500 procedures performed at our institution over a 1-year period, 931,938 l of water were used which could have been saved had alcohol-based agents been used. Cost per episode of hand disinfection depends on the amounts used and is not higher compared to traditional agents.
CONCLUSIONS: The benefits of using an alcohol-based surgical hand disinfectant may include significant water savings, in addition to previously published advantages of improved efficacy. When deciding on the method of surgical hand disinfection, careful thought should be given to the use of water as a resource. Surgeons should be aware of the environmental impact of their profession.

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Year:  2008        PMID: 18201493      PMCID: PMC2216709          DOI: 10.1308/003588408X242277

Source DB:  PubMed          Journal:  Ann R Coll Surg Engl        ISSN: 0035-8843            Impact factor:   1.891


  11 in total

1.  Guiding hands of our teachers. Hand-hygiene Liaison Group.

Authors:  S Stone; L Teare; B Cookson
Journal:  Lancet       Date:  2001-02-10       Impact factor: 79.321

2.  Using alcohol for hand antisepsis: dispelling old myths.

Authors:  J M Boyce
Journal:  Infect Control Hosp Epidemiol       Date:  2000-07       Impact factor: 3.254

Review 3.  Arguments for alcoholic hand disinfection.

Authors:  M L Rotter
Journal:  J Hosp Infect       Date:  2001-08       Impact factor: 3.926

4.  The epic project: developing national evidence-based guidelines for preventing healthcare associated infections. Phase I: Guidelines for preventing hospital-acquired infections. Department of Health (England).

Authors:  R J Pratt; C Pellowe; H P Loveday; N Robinson; G W Smith; S Barrett; P Davey; P Harper; C Loveday; C McDougall; A Mulhall; S Privett; C Smales; L Taylor; B Weller; M Wilcox
Journal:  J Hosp Infect       Date:  2001-01       Impact factor: 3.926

5.  Guideline for Hand Hygiene in Health-Care Settings. Recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. Society for Healthcare Epidemiology of America/Association for Professionals in Infection Control/Infectious Diseases Society of America.

Authors:  John M Boyce; Didier Pittet
Journal:  MMWR Recomm Rep       Date:  2002-10-25

6.  Evaluation of the efficacy of surgical hand disinfection following a reduced application time of 3 instead of 5 min.

Authors:  V Hingst; I Juditzki; P Heeg; H G Sonntag
Journal:  J Hosp Infect       Date:  1992-02       Impact factor: 3.926

7.  Optimum duration of surgical scrub-time.

Authors:  M O'Shaughnessy; V P O'Malley; G Corbett; H F Given
Journal:  Br J Surg       Date:  1991-06       Impact factor: 6.939

8.  Effectiveness of a hospital-wide programme to improve compliance with hand hygiene. Infection Control Programme.

Authors:  D Pittet; S Hugonnet; S Harbarth; P Mourouga; V Sauvan; S Touveneau; T V Perneger
Journal:  Lancet       Date:  2000-10-14       Impact factor: 79.321

9.  Surgical hand disinfection with a propanol-based hand rub: equivalence of shorter application times.

Authors:  G Kampf; C Ostermeyer; P Heeg
Journal:  J Hosp Infect       Date:  2005-04       Impact factor: 3.926

10.  Dermal tolerance of Sterillium, a propanol-based hand rub.

Authors:  G Kampf; M Muscatiello
Journal:  J Hosp Infect       Date:  2003-12       Impact factor: 3.926

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  7 in total

1.  Four Ways Plastic Surgeons Can Fight Climate Change.

Authors:  Ciara Brown; Clifton Meals
Journal:  Plast Reconstr Surg Glob Open       Date:  2020-07-14

2.  Comparison of an alcohol-based hand rub and water-based chlorhexidine gluconate scrub technique for hand antisepsis prior to elective surgery in horses.

Authors:  Eduardo Almeida da Silveira; Kirstin A Bubeck; Edisleidy Rodriguez Batista; Perrine Piat; Sheila Laverty; Guy Beauchamp; Marie Archambault; Yvonne Elce
Journal:  Can Vet J       Date:  2016-02       Impact factor: 1.008

3.  Establishing a Learning Model for Correct Hand Hygiene Technique in a NICU.

Authors:  Irén A Kopcsóné Németh; Csaba Nádor; László Szilágyi; Ákos Lehotsky; Tamás Haidegger
Journal:  J Clin Med       Date:  2022-07-22       Impact factor: 4.964

4.  Environmental sustainability in orthopaedic surgery : a scoping review.

Authors:  Kar May Phoon; Irrum Afzal; David H Sochart; Vipin Asopa; Panagiotis Gikas; Deiary Kader
Journal:  Bone Jt Open       Date:  2022-08

Review 5.  Environmental sustainability in anaesthesia and critical care.

Authors:  Forbes McGain; Jane Muret; Cathy Lawson; Jodi D Sherman
Journal:  Br J Anaesth       Date:  2020-08-12       Impact factor: 9.166

Review 6.  An assessment of hospital wastewater and biomedical waste generation, existing legislations, risk assessment, treatment processes, and scenario during COVID-19.

Authors:  Vishal Kumar Parida; Divyanshu Sikarwar; Abhradeep Majumder; Ashok Kumar Gupta
Journal:  J Environ Manage       Date:  2022-01-26       Impact factor: 8.910

7.  [SBA 2020: Regional anesthesia safety recommendations update].

Authors:  Liana Maria Tôrres de Araújo Azi; Neuber Martins Fonseca; Livia Gurgel Linard
Journal:  Braz J Anesthesiol       Date:  2020-05-12
  7 in total

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