Evaluation of procedures for hygienic hand-disinfection: controlled parallel experiments on the Vienna test model. 1986

M L Rotter, and W Koller, and G Wewalka, and H P Werner, and G A Ayliffe, and J R Babb

Controlled parallel experiments were performed on the Vienna test model for the evaluation of procedures for hygienic hand-disinfection in three laboratories (Vienna, Mainz, Birmingham). The degerming activity of four procedures, each taking 1 min, was assessed repeatedly and compared with that of a standard disinfection procedure (ST) using isopropanol 60% (v/v). The mean log reductions (mean log RF) for each procedure were as follows: n-propanol 50% (v/v) 4.85 and 5.14 in Vienna (V) and Mainz (M) respectively, ethanol 70% (v/v) + chlorhexidine-gluconate 0.5% (w/v), 4.01 (V), 3.76 (M) and 4.00 in Birmingham (B). Washing procedures were less effective, mean log RF's of 3.19 (V), 3.49 (M) and 3.04 (B) were obtained with povidone-iodine soap, and 2.91 (V), 3.37 (M) and 3.27 (B) with a liquid phenolic soap. Analysis of variance on the data from Vienna and Mainz revealed significant differences of means not only between procedures ('preparations') but also on repeat testing. To compensate for the influence of variables such as test subjects, laboratory and day, the Vienna test model provides a method of standardization by testing a ST in parallel with the test procedure (P). Standardization of the results was obtained by pair-wise substraction, log RFPi-log RFSTi. Analysis of variance on the resulting values demonstrated that comparability of the results between laboratories and on repeat testing was achieved. The relative variation of the measurements within the laboratories ranged from 0.9 to 4.2%. As assessed by power-analysis, a disinfection procedure will be detected as significantly (P = 0.1) inferior to the standard processes in 95 of 100 experiments if it produces a mean log RF that is at least 0.55-0.65 log units smaller than that of the standard.

UI MeSH Term Description Entries
D007753 Laboratories Facilities equipped to carry out investigative procedures. Laboratory
D011786 Quality Control A system for verifying and maintaining a desired level of quality in a product or process by careful planning, use of proper equipment, continued inspection, and corrective action as required. (Random House Unabridged Dictionary, 2d ed) Control, Quality,Controls, Quality,Quality Controls
D004202 Disinfectants Substances used on inanimate objects that destroy harmful microorganisms or inhibit their activity. Disinfectants are classed as complete, destroying SPORES as well as vegetative forms of microorganisms, or incomplete, destroying only vegetative forms of the organisms. They are distinguished from ANTISEPTICS, which are local anti-infective agents used on humans and other animals. (From Hawley's Condensed Chemical Dictionary, 11th ed) Biocide,Disinfectant,Biocides
D005069 Evaluation Studies as Topic Works about studies that determine the effectiveness or value of processes, personnel, and equipment, or the material on conducting such studies. Critique,Evaluation Indexes,Evaluation Methodology,Evaluation Report,Evaluation Research,Methodology, Evaluation,Pre-Post Tests,Qualitative Evaluation,Quantitative Evaluation,Theoretical Effectiveness,Use-Effectiveness,Critiques,Effectiveness, Theoretical,Evaluation Methodologies,Evaluation Reports,Evaluation, Qualitative,Evaluation, Quantitative,Evaluations, Qualitative,Evaluations, Quantitative,Indexes, Evaluation,Methodologies, Evaluation,Pre Post Tests,Pre-Post Test,Qualitative Evaluations,Quantitative Evaluations,Report, Evaluation,Reports, Evaluation,Research, Evaluation,Test, Pre-Post,Tests, Pre-Post,Use Effectiveness
D006235 Hand Disinfection The act of cleansing the hands with water or other liquid, with or without the inclusion of soap or other detergent, for the purpose of destroying infectious microorganisms. Disinfection, Hand,Handwashing,Hand Sanitization,Hand Washing,Scrubbing, Surgical,Surgical Scrubbing,Hand Washings,Sanitization, Hand,Washing, Hand,Washings, Hand
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D006920 Hygiene The science dealing with the establishment and maintenance of health in the individual and the group. It includes the conditions and practices conducive to health. (Webster, 3d ed)
D001317 Austria A country located in Central Europe, north of Italy and Slovenia. The capital is Vienna.

Related Publications

M L Rotter, and W Koller, and G Wewalka, and H P Werner, and G A Ayliffe, and J R Babb
October 1978, Journal of clinical pathology,
M L Rotter, and W Koller, and G Wewalka, and H P Werner, and G A Ayliffe, and J R Babb
October 1989, The Journal of hospital infection,
M L Rotter, and W Koller, and G Wewalka, and H P Werner, and G A Ayliffe, and J R Babb
July 1993, The Journal of hospital infection,
M L Rotter, and W Koller, and G Wewalka, and H P Werner, and G A Ayliffe, and J R Babb
July 1993, Deutsche Krankenpflegezeitschrift,
M L Rotter, and W Koller, and G Wewalka, and H P Werner, and G A Ayliffe, and J R Babb
January 1984, Infection control : IC,
M L Rotter, and W Koller, and G Wewalka, and H P Werner, and G A Ayliffe, and J R Babb
March 1985, The Journal of hospital infection,
M L Rotter, and W Koller, and G Wewalka, and H P Werner, and G A Ayliffe, and J R Babb
November 1955, Zeitschrift fur arztliche Fortbildung,
M L Rotter, and W Koller, and G Wewalka, and H P Werner, and G A Ayliffe, and J R Babb
November 2002, The Journal of hospital infection,
M L Rotter, and W Koller, and G Wewalka, and H P Werner, and G A Ayliffe, and J R Babb
March 1961, Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen,
M L Rotter, and W Koller, and G Wewalka, and H P Werner, and G A Ayliffe, and J R Babb
January 1957, Annales Universitatis Saraviensis. Medizin,
Copied contents to your clipboard!