Publication: A new checklist surgical hand scrub to replace time-based methods – a pixel intensity analysis
dc.contributor.authorid | 0000-0003-1358-3236 | |
dc.contributor.authorid | 000-0002-8383-6000 | |
dc.contributor.authorid | N/A | |
dc.contributor.authorid | 0000-0002-2137-1164 | |
dc.contributor.authorid | 0000-0001-7444-8906 | |
dc.contributor.authorid | N/A | |
dc.contributor.authorid | 0000-0001-9034-9350 | |
dc.contributor.authorid | 0000-0002-8316-9623 | |
dc.contributor.authorid | 0000-0002-1968-7127 | |
dc.contributor.department | Department of Mechanical Engineering | |
dc.contributor.department | MARC (Manufacturing and Automation Research Center) | |
dc.contributor.department | KUH (Koç University Hospital) | |
dc.contributor.kuauthor | Aslan, Lercan | |
dc.contributor.kuauthor | Subaşı, Ömer | |
dc.contributor.kuauthor | Mızıkoğlu, Duygu | |
dc.contributor.kuauthor | Birsel, Olgar | |
dc.contributor.kuauthor | Tanrıkulu, Seval, Baş, Ada | |
dc.contributor.kuauthor | Arshad, Munam | |
dc.contributor.kuauthor | Lazoğlu, İsmail | |
dc.contributor.kuauthor | Seyahi, Aksel | |
dc.contributor.kuauthor | Aslan, Lercan | |
dc.contributor.kuauthor | Subaşı, Ömer | |
dc.contributor.kuauthor | Birsel, Olgar | |
dc.contributor.kuauthor | Lazoğlu, İsmail | |
dc.contributor.kuauthor | Seyahi, Aksel | |
dc.contributor.kuprofile | Faculty Member | |
dc.contributor.kuprofile | Researcher | |
dc.contributor.kuprofile | Nurse | |
dc.contributor.kuprofile | Faculty Member | |
dc.contributor.kuprofile | Doctor | |
dc.contributor.kuprofile | Other | |
dc.contributor.kuprofile | Researcher | |
dc.contributor.kuprofile | Faculty Member | |
dc.contributor.kuprofile | Faculty Member | |
dc.contributor.yokid | 145301 | |
dc.contributor.yokid | N/A | |
dc.contributor.yokid | N/A | |
dc.contributor.yokid | 202021 | |
dc.contributor.yokid | N/A | |
dc.contributor.yokid | N/A | |
dc.contributor.yokid | N/A | |
dc.contributor.yokid | 179391 | |
dc.contributor.yokid | 52082 | |
dc.date.accessioned | 2025-01-19T10:28:23Z | |
dc.date.issued | 2023 | |
dc.description.abstract | Background: Hand scrubbing is an absolute precaution to avoid surgical site infections. World Health Organization (WHO) recommends 4-min overall scrubbing (4MS) for surgical hand hygiene. However, we hypothesize that the more methodical 10-stroke counting technique (10SS) via locational partitioning of the arm is superior to WHO's superficial guideline dictating only the duration. Purpose: The mechanical efficiency of 4MS and 10SS techniques are compared. Methods: 24 healthcare professionals were recruited for the study. A novel methodology was devised to quantify the average brightness change of skin-applied UV ink before and after scrubbing via pixel intensity analysis. A black-box setup is constructed with an integrated high-resolution camera to photograph the UV-stained dorsal arm. Each stain was then digitally isolated for brightness comparison. Results: It was observed that the 10SS technique was overall more successful in removing the UV ink in comparison to the 4MS method (p = 0.014). In addition, a bias was observed in removing more percentage of the proximal stains when compared to middle and distal stains with the 4MS technique (p = 0.0027), while location-based brightness change averages were statistically equal with the 10SS technique (p = 0.423). Conclusions and Clinical Relevance: 10SS provided not only a more mechanically efficient scrubbing but also a more homogenous cleaning than 4MS. We recommend the use of the 10SS technique to achieve more effective pre-surgical hand hygiene. | |
dc.description.indexedby | WoS | |
dc.description.indexedby | Scopus | |
dc.description.indexedby | PubMed | |
dc.description.issue | 6 | |
dc.description.publisherscope | International | |
dc.description.volume | 21 | |
dc.identifier.doi | 10.1016/j.surge.2023.04.002 | |
dc.identifier.issn | 1479-666X | |
dc.identifier.quartile | Q2 | |
dc.identifier.scopus | 2-s2.0-85153962560 | |
dc.identifier.uri | https://doi.org/10.1016/j.surge.2023.04.002 | |
dc.identifier.uri | https://hdl.handle.net/20.500.14288/25708 | |
dc.identifier.wos | 1133752700001 | |
dc.keywords | Abrasion | |
dc.keywords | Hand hygiene | |
dc.keywords | Mechanical efficacy | |
dc.keywords | Scrubbing | |
dc.keywords | Scrubbing duration | |
dc.language | en | |
dc.publisher | Elsevier Ltd | |
dc.source | Surgeon | |
dc.subject | Surgery | |
dc.title | A new checklist surgical hand scrub to replace time-based methods – a pixel intensity analysis | |
dc.type | Journal Article | |
dspace.entity.type | Publication | |
local.publication.orgunit1 | SCHOOL OF MEDICINE | |
local.publication.orgunit1 | Graduate School of Sciences and Engineering | |
local.publication.orgunit1 | College of Engineering | |
local.publication.orgunit2 | Department of Mechanical Engineering | |
local.publication.orgunit2 | MARC (Manufacturing and Automation Research Center) | |
local.publication.orgunit2 | KUH (Koç University Hospital) | |
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