Solution hydro-alcoholic

The solutions hydro-alcoholics (still named SHA ) are solutions cutaneous disinfectants. They are employed to ensure the Hygiène of the hands, in particular at the time of the medical care and ancillary medical. They act by direct contact, are used without water and have properties Bactéricide S, without cleaning effect.

To practice the Hygiène of the hands by friction hydro-alcoholic became the procedure recommended to opportunity equalizes use of one of the methods of hygiene of the hands: it saves time, it is more effective and it is tolerated better than a washing with water and a soap disinfectant. It makes it possible to improve the observance of the users and allows them to respect the recommendations relating to the good practices of hygiene.

Use in medicine

Their use is recommended by the the World Health Organization within the framework of the fight plan against the infections nosocomiales. Their use in replacement or complement of surgical washing spreads in the operating room suites.

Composition

According to the various proprietary medical products, these solutions are composed of different active ingredients including one Isopropanol and an agent antibactérien. Their indications of AM are the antisepsy (or disinfection) of the Peau healthy, clean and dry.

Interests

Effectiveness and remanence: the SHA have a broad spectrum of action on the micro-organisms.
cutaneous Tolerance: the SHA contain an emollient agent and are hypoallergenic, they are tolerated better than the other methods of disinfection of the hands.
Speed: for an optimal effectiveness the time of contact must be at least ten to fifteen seconds, the total duration of the procedure is on average thirty seconds, compared to the washing disinfectant which lasts two minutes.
Observance by the users: facility and ease of use, obstruction and conditioning reduced, installation in places without water point, indications multiple.

Disadvantages

Their point very weak flash makes them delicate to establish and their use is prohibited in circulations of the hospitals.

Not flash of some SHA:

*Manugel EP: 23C°

*PROPALCO EP: 18C°

*Hibisprint EP: 16C°

*Stérilium EP: 23C°

*Phisomain EP: 23C

Against indications

Their use against is indicated:

on wet hands (risk of irritation more important than on dry hands and dilution of the active ingredient);
on hands soiled by secretions, blood or all other liquidates biological (the disinfecting action of alcohol is decreased in the presence of organic matters) or chalked or powdered;
on injured hands, mucous membranes;
on gantées hands or for the disinfection of inert surfaces;
for pre-interventionnelle cutaneous disinfection.

Procedure

The procedure of hygiene of the hands using a solution hydro-alcoholic must respect a quite precise sequence:

clean and dry Hands, and after having checked the absence of against indication.
To fill the hollow with a hand with 3 ml of solution hydro-alcoholic.
To apply the SHA to the two hands while rubbing until the hands are dry, without forgetting to apply the product between the fingers and to the inches.

Palm against palm
right Palm of the hand on the back of the left hand and vice versa
Palm against palm, fingers
Back of the fingers against the palm opposed with the encased fingers
circular Friction of the right inch in the left palm and vice versa.

The whole procedure can last up to thirty seconds so that the hands are quite dry. A good quality of friction during the application allows a good penetration of the lenitive emollient agents and thus a good protection of the skin.

Microbiological effectiveness

The SHA are active on a broad spectrum of bacteria and virus. Their effectiveness on the vegetative bacteria is hundred times higher on the Flore commensale compared with all the soaps disinfectants available on the European market.

Validity of the product

It is necessary to note the date of opening of the bottle, which once opened is usable three months.

References

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