Efficacy of handrubbing with XXXX based solution versus standard handwashing with antiseptic soap: randomised clinical trial.

@entity167 @entity1
OBJECTIVE: To compare the efficacy of handrubbing with an @entity167 based solution versus conventional handwashing with antiseptic soap in reducing hand contamination during routine @entity1 care. DESIGN: Randomised controlled trial during daily nursing sessions of 2 to 3 hours. SETTING: Three intensive care units in a French university hospital. @entity1 : 23 healthcare workers. INTERVENTIONS: Handrubbing with @entity167 based solution (n=12) or handwashing with antiseptic soap (n=11) when hand hygiene was indicated before and after @entity1 care. Imprints taken of fingertips and palm of dominant hand before and after hand hygiene procedure. Bacterial counts quantified blindly. MAIN OUTCOME MEASURES: Bacterial reduction of hand contamination. RESULTS: With handrubbing the median percentage reduction in bacterial contamination was significantly higher than with handwashing (83% v 58%, P=0.012), with a median difference in the percentage reduction of 26% (95% confidence interval 8% to 44%). The median duration of hand hygiene was 30 seconds in each group. CONCLUSIONS: During routine @entity1 care handrubbing with an @entity167 based solution is significantly more efficient in reducing hand contamination than handwashing with antiseptic soap.
