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Efficacy of an alcohol/chlorhexidine hand hygiene program in a hospital with high rates of nosocomial methicillin-resistant Staphylococcus aureus (MRSA) infection

Paul D R Johnson and M Lindsay Grayson
Med J Aust 2006; 184 (5): 253-254.
Published online: 6 March 2006

In reply: Woollard is critical of the lack of randomised controlled data to support the use of alcohol/chlorhexidine hand rub solution (ACHRS). Although a placebo-controlled study would be ideal, it is doubtful whether one could be performed. Apart from the complexity of design and cost, there would be the requirement to ask patients to consent to being treated in a hospital where there was a substantial risk of nosocomial sepsis, but where half the health care workers would not have clean hands when attending them.

  • Paul D R Johnson
  • M Lindsay Grayson

  • Infectious Diseases Department, Austin Health, Studley Road, Heidelberg, VIC 3084.


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