Removal of nail polish and finger rings to prevent surgical infection
Background Surgical wound infections may be caused by the transfer of bacteria from the hands of surgical teams to patients during operations. Surgical scrubbing prior to surgery reduces the number of bacteria on the skin, but wearing rings and nail polish on the fingers may reduce the efficacy of s...
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| Veröffentlicht in: | Cochrane database of systematic reviews 2014-08, Vol.2014 (8), p.CD003325 |
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| container_title | Cochrane database of systematic reviews |
| container_volume | 2014 |
| creator | Arrowsmith, Vickie A Taylor, Rosemary Arrowsmith, Vickie A |
| description | Background
Surgical wound infections may be caused by the transfer of bacteria from the hands of surgical teams to patients during operations. Surgical scrubbing prior to surgery reduces the number of bacteria on the skin, but wearing rings and nail polish on the fingers may reduce the efficacy of scrubbing, as bacteria may remain in microscopic imperfections of nail polish and on the skin beneath rings.
Objectives
To assess the effect of the presence or absence of rings and nail polish on the hands of the surgical scrub team on postoperative wound infection rates.
Search methods
For this fifth update, we searched The Cochrane Wounds Group Specialised Register (searched 23 July 2014); The Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library); Ovid MEDLINE; Ovid MEDLINE (In‐Process & Other Non‐Indexed Citations); Ovid EMBASE and EBSCO CINAHL.
Selection criteria
Randomised controlled trials (RCTs) evaluating the effect of wearing or removing finger rings and nail polish on the efficacy of the surgical scrub and postoperative wound infection rate.
Data collection and analysis
All s were checked against a checklist to determine whether they fulfilled the inclusion criteria. Full reports of relevant studies were obtained. Excluded trial reports were checked by all review authors to ensure appropriate exclusion.
Main results
We identified: no new trials; no RCTs that compared wearing of rings with the removal of rings; and no trials of nail polish versus no nail polish that measured surgical infection rates.
We found one small RCT (102 scrub nurses) that evaluated the effect of nail polish on the number of bacterial colony forming units left on hands after pre‐operative surgical scrubbing. Nurses had either unpolished nails, freshly‐applied nail polish (less than two days old), or old nail polish (more than four days old). There were no significant differences in the number of bacteria on hands between the groups before and after surgical scrubbing.
Authors' conclusions
No trials have investigated whether wearing nail polish or finger rings affects the rate of surgical wound infection. There is insufficient evidence to determine whether wearing nail polish affects the number of bacteria on the skin post‐scrub. |
| doi_str_mv | 10.1002/14651858.CD003325.pub3 |
| format | Article |
| fullrecord | <record><control><sourceid>wiley_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7163182</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>CD003325.pub3</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4733-3a0be9160d76e70477794a679aaf945ef475e3a8ce2b5b644789179a126aa5ed3</originalsourceid><addsrcrecordid>eNqFkM1KAzEUhYMotlZfoeQFpiaTv5mNoLX-QEEQXYdMJtNGpsmQtJW-vRlqi7pxdQPnnO_eHADGGE0wQvk1ppzhghWT6T1ChORs0m0qcgKGvZD1yumP9wBcxPiRjLzMxTkY5AwVZUGLIZi9mpXfqhb6BjplW9j51sYlVK6GjXULE2BII8K1h10wW-PWMG7CwuqUsa4xem29uwRnjWqjufqeI_D-MHubPmXzl8fn6e0801QQkhGFKlNijmrBjUBUCFFSxUWpVFNSZhoqmCGq0CavWMUpFUWJk4pzrhQzNRmBmz03fXZlap2uCaqVXbArFXbSKyt_K84u5cJvpcCc4CJPAL4H6OBjDKY5ZjGSfbHyUKw8FNsTSQqOf24-xg5NJsPd3vBpW7OT2utlUM78w_2z5Qt7aYnz</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Removal of nail polish and finger rings to prevent surgical infection</title><source>MEDLINE</source><source>Cochrane Library</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Alma/SFX Local Collection</source><creator>Arrowsmith, Vickie A ; Taylor, Rosemary ; Arrowsmith, Vickie A</creator><creatorcontrib>Arrowsmith, Vickie A ; Taylor, Rosemary ; Arrowsmith, Vickie A</creatorcontrib><description>Background
Surgical wound infections may be caused by the transfer of bacteria from the hands of surgical teams to patients during operations. Surgical scrubbing prior to surgery reduces the number of bacteria on the skin, but wearing rings and nail polish on the fingers may reduce the efficacy of scrubbing, as bacteria may remain in microscopic imperfections of nail polish and on the skin beneath rings.
Objectives
To assess the effect of the presence or absence of rings and nail polish on the hands of the surgical scrub team on postoperative wound infection rates.
Search methods
For this fifth update, we searched The Cochrane Wounds Group Specialised Register (searched 23 July 2014); The Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library); Ovid MEDLINE; Ovid MEDLINE (In‐Process & Other Non‐Indexed Citations); Ovid EMBASE and EBSCO CINAHL.
Selection criteria
Randomised controlled trials (RCTs) evaluating the effect of wearing or removing finger rings and nail polish on the efficacy of the surgical scrub and postoperative wound infection rate.
Data collection and analysis
All s were checked against a checklist to determine whether they fulfilled the inclusion criteria. Full reports of relevant studies were obtained. Excluded trial reports were checked by all review authors to ensure appropriate exclusion.
Main results
We identified: no new trials; no RCTs that compared wearing of rings with the removal of rings; and no trials of nail polish versus no nail polish that measured surgical infection rates.
We found one small RCT (102 scrub nurses) that evaluated the effect of nail polish on the number of bacterial colony forming units left on hands after pre‐operative surgical scrubbing. Nurses had either unpolished nails, freshly‐applied nail polish (less than two days old), or old nail polish (more than four days old). There were no significant differences in the number of bacteria on hands between the groups before and after surgical scrubbing.
Authors' conclusions
No trials have investigated whether wearing nail polish or finger rings affects the rate of surgical wound infection. There is insufficient evidence to determine whether wearing nail polish affects the number of bacteria on the skin post‐scrub.</description><identifier>ISSN: 1465-1858</identifier><identifier>EISSN: 1465-1858</identifier><identifier>EISSN: 1469-493X</identifier><identifier>DOI: 10.1002/14651858.CD003325.pub3</identifier><identifier>PMID: 25089848</identifier><language>eng</language><publisher>Chichester, UK: John Wiley & Sons, Ltd</publisher><subject>Bacteria ; Bacteria - isolation & purification ; Colony Count, Microbial ; Cosmetics ; Cosmetics - adverse effects ; General Surgery ; Hand ; Hand - microbiology ; Hand Disinfection ; Handwashing ; Humans ; Jewelry ; Jewelry - microbiology ; Lacquer ; Lacquer - microbiology ; Medicine General & Introductory Medical Sciences ; Nails ; Nails - microbiology ; Nursing Staff ; Operating Room Technicians ; Operating theatre procedure ; Randomized Controlled Trials as Topic ; Skin disorders ; Surgery ; Surgical Wound Infection ; Surgical Wound Infection - prevention & control ; SURGICAL WOUNDS ; Wounds</subject><ispartof>Cochrane database of systematic reviews, 2014-08, Vol.2014 (8), p.CD003325</ispartof><rights>Copyright © 2014 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4733-3a0be9160d76e70477794a679aaf945ef475e3a8ce2b5b644789179a126aa5ed3</citedby><cites>FETCH-LOGICAL-c4733-3a0be9160d76e70477794a679aaf945ef475e3a8ce2b5b644789179a126aa5ed3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,778,782,883,27907,27908</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25089848$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Arrowsmith, Vickie A</creatorcontrib><creatorcontrib>Taylor, Rosemary</creatorcontrib><creatorcontrib>Arrowsmith, Vickie A</creatorcontrib><title>Removal of nail polish and finger rings to prevent surgical infection</title><title>Cochrane database of systematic reviews</title><addtitle>Cochrane Database Syst Rev</addtitle><description>Background
Surgical wound infections may be caused by the transfer of bacteria from the hands of surgical teams to patients during operations. Surgical scrubbing prior to surgery reduces the number of bacteria on the skin, but wearing rings and nail polish on the fingers may reduce the efficacy of scrubbing, as bacteria may remain in microscopic imperfections of nail polish and on the skin beneath rings.
Objectives
To assess the effect of the presence or absence of rings and nail polish on the hands of the surgical scrub team on postoperative wound infection rates.
Search methods
For this fifth update, we searched The Cochrane Wounds Group Specialised Register (searched 23 July 2014); The Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library); Ovid MEDLINE; Ovid MEDLINE (In‐Process & Other Non‐Indexed Citations); Ovid EMBASE and EBSCO CINAHL.
Selection criteria
Randomised controlled trials (RCTs) evaluating the effect of wearing or removing finger rings and nail polish on the efficacy of the surgical scrub and postoperative wound infection rate.
Data collection and analysis
All s were checked against a checklist to determine whether they fulfilled the inclusion criteria. Full reports of relevant studies were obtained. Excluded trial reports were checked by all review authors to ensure appropriate exclusion.
Main results
We identified: no new trials; no RCTs that compared wearing of rings with the removal of rings; and no trials of nail polish versus no nail polish that measured surgical infection rates.
We found one small RCT (102 scrub nurses) that evaluated the effect of nail polish on the number of bacterial colony forming units left on hands after pre‐operative surgical scrubbing. Nurses had either unpolished nails, freshly‐applied nail polish (less than two days old), or old nail polish (more than four days old). There were no significant differences in the number of bacteria on hands between the groups before and after surgical scrubbing.
Authors' conclusions
No trials have investigated whether wearing nail polish or finger rings affects the rate of surgical wound infection. There is insufficient evidence to determine whether wearing nail polish affects the number of bacteria on the skin post‐scrub.</description><subject>Bacteria</subject><subject>Bacteria - isolation & purification</subject><subject>Colony Count, Microbial</subject><subject>Cosmetics</subject><subject>Cosmetics - adverse effects</subject><subject>General Surgery</subject><subject>Hand</subject><subject>Hand - microbiology</subject><subject>Hand Disinfection</subject><subject>Handwashing</subject><subject>Humans</subject><subject>Jewelry</subject><subject>Jewelry - microbiology</subject><subject>Lacquer</subject><subject>Lacquer - microbiology</subject><subject>Medicine General & Introductory Medical Sciences</subject><subject>Nails</subject><subject>Nails - microbiology</subject><subject>Nursing Staff</subject><subject>Operating Room Technicians</subject><subject>Operating theatre procedure</subject><subject>Randomized Controlled Trials as Topic</subject><subject>Skin disorders</subject><subject>Surgery</subject><subject>Surgical Wound Infection</subject><subject>Surgical Wound Infection - prevention & control</subject><subject>SURGICAL WOUNDS</subject><subject>Wounds</subject><issn>1465-1858</issn><issn>1465-1858</issn><issn>1469-493X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>RWY</sourceid><sourceid>EIF</sourceid><recordid>eNqFkM1KAzEUhYMotlZfoeQFpiaTv5mNoLX-QEEQXYdMJtNGpsmQtJW-vRlqi7pxdQPnnO_eHADGGE0wQvk1ppzhghWT6T1ChORs0m0qcgKGvZD1yumP9wBcxPiRjLzMxTkY5AwVZUGLIZi9mpXfqhb6BjplW9j51sYlVK6GjXULE2BII8K1h10wW-PWMG7CwuqUsa4xem29uwRnjWqjufqeI_D-MHubPmXzl8fn6e0801QQkhGFKlNijmrBjUBUCFFSxUWpVFNSZhoqmCGq0CavWMUpFUWJk4pzrhQzNRmBmz03fXZlap2uCaqVXbArFXbSKyt_K84u5cJvpcCc4CJPAL4H6OBjDKY5ZjGSfbHyUKw8FNsTSQqOf24-xg5NJsPd3vBpW7OT2utlUM78w_2z5Qt7aYnz</recordid><startdate>20140804</startdate><enddate>20140804</enddate><creator>Arrowsmith, Vickie A</creator><creator>Taylor, Rosemary</creator><creator>Arrowsmith, Vickie A</creator><general>John Wiley & Sons, Ltd</general><scope>7PX</scope><scope>RWY</scope><scope>ZYTZH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope></search><sort><creationdate>20140804</creationdate><title>Removal of nail polish and finger rings to prevent surgical infection</title><author>Arrowsmith, Vickie A ; Taylor, Rosemary ; Arrowsmith, Vickie A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4733-3a0be9160d76e70477794a679aaf945ef475e3a8ce2b5b644789179a126aa5ed3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Bacteria</topic><topic>Bacteria - isolation & purification</topic><topic>Colony Count, Microbial</topic><topic>Cosmetics</topic><topic>Cosmetics - adverse effects</topic><topic>General Surgery</topic><topic>Hand</topic><topic>Hand - microbiology</topic><topic>Hand Disinfection</topic><topic>Handwashing</topic><topic>Humans</topic><topic>Jewelry</topic><topic>Jewelry - microbiology</topic><topic>Lacquer</topic><topic>Lacquer - microbiology</topic><topic>Medicine General & Introductory Medical Sciences</topic><topic>Nails</topic><topic>Nails - microbiology</topic><topic>Nursing Staff</topic><topic>Operating Room Technicians</topic><topic>Operating theatre procedure</topic><topic>Randomized Controlled Trials as Topic</topic><topic>Skin disorders</topic><topic>Surgery</topic><topic>Surgical Wound Infection</topic><topic>Surgical Wound Infection - prevention & control</topic><topic>SURGICAL WOUNDS</topic><topic>Wounds</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Arrowsmith, Vickie A</creatorcontrib><creatorcontrib>Taylor, Rosemary</creatorcontrib><creatorcontrib>Arrowsmith, Vickie A</creatorcontrib><collection>Wiley-Blackwell Cochrane Library</collection><collection>Cochrane Library</collection><collection>Cochrane Library (Open Aceess)</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Cochrane database of systematic reviews</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Arrowsmith, Vickie A</au><au>Taylor, Rosemary</au><au>Arrowsmith, Vickie A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Removal of nail polish and finger rings to prevent surgical infection</atitle><jtitle>Cochrane database of systematic reviews</jtitle><addtitle>Cochrane Database Syst Rev</addtitle><date>2014-08-04</date><risdate>2014</risdate><volume>2014</volume><issue>8</issue><spage>CD003325</spage><pages>CD003325-</pages><issn>1465-1858</issn><eissn>1465-1858</eissn><eissn>1469-493X</eissn><abstract>Background
Surgical wound infections may be caused by the transfer of bacteria from the hands of surgical teams to patients during operations. Surgical scrubbing prior to surgery reduces the number of bacteria on the skin, but wearing rings and nail polish on the fingers may reduce the efficacy of scrubbing, as bacteria may remain in microscopic imperfections of nail polish and on the skin beneath rings.
Objectives
To assess the effect of the presence or absence of rings and nail polish on the hands of the surgical scrub team on postoperative wound infection rates.
Search methods
For this fifth update, we searched The Cochrane Wounds Group Specialised Register (searched 23 July 2014); The Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library); Ovid MEDLINE; Ovid MEDLINE (In‐Process & Other Non‐Indexed Citations); Ovid EMBASE and EBSCO CINAHL.
Selection criteria
Randomised controlled trials (RCTs) evaluating the effect of wearing or removing finger rings and nail polish on the efficacy of the surgical scrub and postoperative wound infection rate.
Data collection and analysis
All s were checked against a checklist to determine whether they fulfilled the inclusion criteria. Full reports of relevant studies were obtained. Excluded trial reports were checked by all review authors to ensure appropriate exclusion.
Main results
We identified: no new trials; no RCTs that compared wearing of rings with the removal of rings; and no trials of nail polish versus no nail polish that measured surgical infection rates.
We found one small RCT (102 scrub nurses) that evaluated the effect of nail polish on the number of bacterial colony forming units left on hands after pre‐operative surgical scrubbing. Nurses had either unpolished nails, freshly‐applied nail polish (less than two days old), or old nail polish (more than four days old). There were no significant differences in the number of bacteria on hands between the groups before and after surgical scrubbing.
Authors' conclusions
No trials have investigated whether wearing nail polish or finger rings affects the rate of surgical wound infection. There is insufficient evidence to determine whether wearing nail polish affects the number of bacteria on the skin post‐scrub.</abstract><cop>Chichester, UK</cop><pub>John Wiley & Sons, Ltd</pub><pmid>25089848</pmid><doi>10.1002/14651858.CD003325.pub3</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1465-1858 |
| ispartof | Cochrane database of systematic reviews, 2014-08, Vol.2014 (8), p.CD003325 |
| issn | 1465-1858 1465-1858 1469-493X |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7163182 |
| source | MEDLINE; Cochrane Library; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Bacteria Bacteria - isolation & purification Colony Count, Microbial Cosmetics Cosmetics - adverse effects General Surgery Hand Hand - microbiology Hand Disinfection Handwashing Humans Jewelry Jewelry - microbiology Lacquer Lacquer - microbiology Medicine General & Introductory Medical Sciences Nails Nails - microbiology Nursing Staff Operating Room Technicians Operating theatre procedure Randomized Controlled Trials as Topic Skin disorders Surgery Surgical Wound Infection Surgical Wound Infection - prevention & control SURGICAL WOUNDS Wounds |
| title | Removal of nail polish and finger rings to prevent surgical infection |
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