The purpose of this clinical trail is to compare the traditional hand scrubs (Brush with 4% chlorhexidine gluconate (CHG), brushless with 4% CHG and brushless and waterless with 1% CHG and 61% ethyl alcohol and emollients in terms of effectiveness of microbiological data, effect on skin condition, cost and time savings.
The Association of PeriOperative Registered Nurses (AORN) guideline was used as the conceptual framework of this study including other evidence-based practice guidelines for hand scrubs. Recommended practices for surgical hand antisepsis/hand scrubs have been developed by the AORN.7 The current practice of surgical hand scrubs in Thai hospitals include using one or two brushes in the practice of surgical hand scrubs. HCWs need to concern with the best evidences of the types, duration and cost of surgical hand scrubs.