{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T13:12:26Z","timestamp":1788873146474,"version":"build-2803163510"},"reference-count":27,"publisher":"Cambridge University Press (CUP)","issue":"9","license":[{"start":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T00:00:00Z","timestamp":1784592000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0899823X26105091_as1\">\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>The purpose of surgical hand antisepsis before surgical or invasive procedures is to suppress microbial flora on the hands. This study aimed to evaluate the effect of a modified surgical hand antisepsis technique on recolonization of microbial flora on surgeons\u2019 hands over time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0899823X26105091_as2\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Participating surgeons were randomly assigned to one of two study groups. In both groups, surgical hand antisepsis was performed using 10% povidone-iodine followed by rinsing of the hands and forearms. In Group 1, surgeons dried their hands after rinsing according to the conventional method. In Group 2, surgeons applied an additional layer of 10% povidone-iodine to the still-wet hands and forearms after rinsing and then allowed the solution to dry without further rinsing. Hand cultures were obtained immediately after antisepsis (0 hour) and at 1 and 2 hours thereafter. Colony-forming units (CFUs) were counted and compared between groups and sampling periods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0899823X26105091_as3\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Fourteen surgeons participated in the study, with seven surgeons allocated to each group. No significant difference in bacterial growth was observed between the groups at 0 hour (Group 1: mean CFU 41.59 \u00b1 72.53 vs Group 2: 18.63 \u00b1 24.27,\n                      <jats:italic>P<\/jats:italic>\n                      = .27). At 1 hour, bacterial growth was significantly lower in Group 2 compared with Group 1 (8.43 \u00b1 20.65 vs 25.44 \u00b1 53.62 CFU,\n                      <jats:italic>P<\/jats:italic>\n                      = .001). Similarly, at 2 hours, Group 2 demonstrated significantly lower bacterial growth than Group 1 (16.37 \u00b1 34.25 vs 32.88 \u00b1 52.55 CFU,\n                      <jats:italic>P<\/jats:italic>\n                      = .022).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0899823X26105091_as4\">\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Compared with the conventional surgical handwashing technique, reapplication of povidone-iodine without a final rinse resulted in significantly reduced bacterial recolonization on surgeons\u2019 hands at 1 and 2 hours after hand antisepsis. These findings suggest that this modified technique may provide prolonged antimicrobial activity during surgical procedures. Further large-scale studies are warranted to confirm its clinical utility.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/ice.2026.10509","type":"journal-article","created":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T05:30:12Z","timestamp":1784611812000},"page":"881-884","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of the impact of a novel surgical handwashing method on reformation of microbial flora on surgeons\u2019 hands"],"prefix":"10.1017","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3914-1906","authenticated-orcid":false,"given":"Abbas","family":"Tokyay","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01x18ax09","id-type":"ROR","asserted-by":"publisher"}],"name":"Yalova University Faculty of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9636-5260","authenticated-orcid":false,"given":"\u015eehmuz","family":"Kaya","sequence":"additional","affiliation":[{"name":"Van Y\u00fcz\u00fcnc\u00fc Y\u0131l University Faculty of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4444-6939","authenticated-orcid":false,"given":"Sezai","family":"\u00d6zkan","sequence":"additional","affiliation":[{"name":"Van Y\u00fcz\u00fcnc\u00fc Y\u0131l University Faculty of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0363-1524","authenticated-orcid":false,"given":"Necip","family":"G\u00fcven","sequence":"additional","affiliation":[{"name":"Van Y\u00fcz\u00fcnc\u00fc Y\u0131l University Faculty of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0966-9080","authenticated-orcid":false,"given":"T\u00fclin","family":"T\u00fcrk\u00f6z\u00fc","sequence":"additional","affiliation":[{"name":"Van Y\u00fcz\u00fcnc\u00fc Y\u0131l University Faculty of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3652-6077","authenticated-orcid":false,"given":"Cihan","family":"Adana\u015f","sequence":"additional","affiliation":[{"name":"Van Y\u00fcz\u00fcnc\u00fc Y\u0131l University Faculty of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6030-2244","authenticated-orcid":false,"given":"Mehmet","family":"Parlak","sequence":"additional","affiliation":[{"name":"Van Y\u00fcz\u00fcnc\u00fc Y\u0131l University Faculty of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6963-9177","authenticated-orcid":false,"given":"K\u00fcbra Nur","family":"Do\u011fan","sequence":"additional","affiliation":[{"name":"Van Y\u00fcz\u00fcnc\u00fc Y\u0131l University Faculty of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0317-7365","authenticated-orcid":false,"given":"Mehmet Ata","family":"G\u00f6kalp","sequence":"additional","affiliation":[{"name":"Van Y\u00fcz\u00fcnc\u00fc Y\u0131l University Faculty of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2517-5512","authenticated-orcid":false,"given":"G\u00fcls\u00fcm","family":"Kaya","sequence":"additional","affiliation":[{"name":"Yalova University Faculty of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,7,21]]},"reference":[{"key":"S0899823X26105091_ref14","doi-asserted-by":"publisher","DOI":"10.1086\/600379"},{"key":"S0899823X26105091_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/S0001-2092(06)61580-9"},{"key":"S0899823X26105091_ref2","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD004288.pub3"},{"key":"S0899823X26105091_ref1","unstructured":"1. 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Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}