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PubMed · 11971455

Hand decontamination.

D Gould
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Abstract

Hand decontamination is an important intervention in controlling hospital-acquired infections. Dinah Gould examines the issues relating to this, including different decontaminants, the evidence base, the need for improvements in practice, and effective practice.

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AntisepsisAttitude of Health PersonnelCross InfectionEvidence-Based MedicineForecastingHand DisinfectionHumansNursing StaffPractice Guidelines as TopicSkinSoapsJournal ArticleReview

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BibTeXRIS

D Gould. Hand decontamination.. https://doi.org/10.7748/ns2000.10.15.6.45.c2934

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[Carl von Reyher's studies of wound therapy].

Carl von Reyher (1846-1890), a young Russian army surgeon of the late nineteenth century, established the principle of repeated debridements on a scientific basis. After a visit to Lister's clinic, acquainting himself with antiseptic wound management, von Reyher was the first to present a controlled study of debridement in contaminated gunshot wounds. He was able to show that the combination of primary debridement and antiseptic treatment decreased the mortality rate of gunshot injuries from 66% to 23%. Although published in more than 16 papers and presented at international congresses, Reyher's contribution was completely negated. Finally more than 30 years later in World War I, the Inter-allied Surgical Conference officially endorsed primary excision with delayed wound closure as the rule for treatment of gunshot wounds.

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