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Title: Microbial counts in hands with and without nail varnish after surgical skin preparation: a randomized control trial
Authors: Kulkarni, Vinay ;Murray, Anthony ;Mittal, Rajat ;Spence, David ;O'Kane, Gabrielle M ;Incoll, Ian W 
Affliation: Central Coast Local Health District
Gosford Hospital
Issue Date: Oct-2018
Source: 43(8):832-835
Journal title: Journal of Hand Surgery-European Volume
Department: Orthopaedics & Trauma Surgery
Infectious Diseases
Abstract: Nail varnish is commonly removed from fingernails prior to surgical procedures. We report the results of a randomized controlled trial comparing the microbial counts in hands with and without nail varnish applied, following surgical skin preparation. Forty-three patients were randomized; three patients were lost to follow-up. Each patient had one hand painted with nail varnish and had both hands tested 1 week later. There was no significant difference in terms of positive microbial growth between the nail plates or hyponichia with or without nail varnish applied. Our results demonstrate that the presence of nail varnish does not have an effect on the microbial counts of hands following surgical skin preparation. LEVEL OF EVIDENCE: I.
DOI: 10.1177/1753193418764287
ISSN: 2043-6289
Publicaton type: Journal Article
Keywords: Infection Control
Study or Trial: Randomized Controlled Clinical Trial/Controlled Clinical Trial
Appears in Collections:Health Service Research

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