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Evidence Based Hand Hygiene in Veterinary Surgery: What Is Holding Us Back?
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Step by step we have adapted our medical decision- making to the light of new scientific evidence. As much as possible, recommended medical protocols should now be evidence-based, which may result in changes in diagnostic methods and treatments in veterinary medicine as in human medicine. Despite this, in the field of hand hygiene, things have evolved slowly. Surely, the field has advanced since 1800’s, when Semmelweis and Lister were making seminal (yet controversial) discoveries of the benefits of hand hygiene and laid foundations for the concepts of asepsis and vigorously fought the disbelief they were facing. Yet, are we open-heartedly embracing evidence today?
According to a survey performed in 2009 amongst ECVS and ACVS diplomates, 6.7% of respondents were following World Health Organisation’s (WHO) guidelines for pre-surgical hand asepsis. Unfortunately, in a survey performed in 2013, still 66% of the 218 respondents did not follow the current WHO guidelines based on the scientific evidence available today in this field. So what do current guidelines and evidence say? Additionally, what is right; current guidelines or current practices? [...]
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