Surgical |

How to fight infections

The key to fighting infection has been found to be intensive infection control and surveillance routines¹ coupled with the use of the right solutions

More than 1.4 million people at any given time suffer from healthcare associated infections, HAIs2, and the financial impact and unnecessary patient suffering is severe. As many as 1 in 11 patients become infected worldwide3 and it can be a potentially life-threatening condition. In Europe the cost of HAI average to 7 billion EUR annually4.

How to prevent HAIs and SSIs

To be successful in infection prevention as well as protecting against HAIs and SSIs, safety procedures and routines need to be put into place. A study on the efficacy of nosocomial chemotherapy (SENIC) found that intensive infection control and surveillance routines resulted in a 32 percent reduction in infection rates over a five-year period1. The key is implementing routines on many levels and using the right products and solutions.

  • Importance of skin preparation
  • Knowing the rates of SSIs
  • Leadership within organisations
  • Choosing the right products and solutions

Importance of skin preparation

Skin preparation is of the utmost importance in the prevention of SSIs. The recommendation is to use a 2-percent chlorhexidine gluconate and 70-percent isopropyl alcohol solution to decolonise the skin prior to surgery. This is based on a substantial body of evidence suggesting that this is the optimal agent for pre-surgical skin antisepsis5. Evidence suggests that it is the patient’s own skin that is the source of most of the pathogens involved in SSIs6. Therefore, to have a greater focus on skin antisepsis may lead to a large impact on infection rates.

Knowing the rates of SSIs

Studies have demonstrated that the incidence of SSIs varies widely between hospitals and between surgical procedures7. Surgical teams that know their SSI rates can undertake measures to reduce them. This can be achieved through the implementation of basic, relatively inexpensive infection-prevention measures8.

Using the right products and solutions for optimal protection

At Mölnlycke Health Care we take great pride in creating the safest possible surgical single-use solutions for the security of both patients and clinicians. Infection prevention is at the core of everything we do and we are continuously developing new products and solutions to provide even better staff and patient protection. Choosing the right products is an essential component in sustaining and developing successful infection control.

Biogel® – surgical gloves


Biogel has a superior indication system for enhanced safety. Up to 97 percent of glove breaches are detected with the Biogel puncture indication system. This is a security feature that helps to minimise the risk for both patient and health care professionals from blood-borne pathogens, including HIV and hepatitis viruses. Overall, Biogel surgical gloves have the best Acceptable Quality Level (AQL) for freedom from holes on the market8.

Double gloving has been found to reduce surgical cross-infection between staff and patients8. Double gloving is recommended by US AORN (Association of Perioperative Registered Nurses) and the RCS (Royal College of Surgeons of England). Studies have shown that the detection of perforation during surgery was a worryingly low 37 percent with single gloves compared to 87 percent with a Biogel puncture indication system. Adding a second pair of surgical gloves significantly reduces perforations to the innermost glove, 34.7 percent for single gloves and only 3.8 percent for double gloves9, 10.

View our range of surgical gloves

BARRIER® – Surgical staff clothing

OR staff


BARRIER surgical staff clothing includes a selection of protection and comfort combinations, adapted to the varying demands of different procedures. BARRIER surgical gowns are procedure-specific products folded for easy aseptic donning. Surgical gowns adds to your infection control by providing a bacteria and liquid protection barrier. BARRIER surgical gowns offer different levels of protection, covering the needs of less invasive operations with fluid-repellent material through to wet surgery with breathable plastic reinforced fronts, impermeable sleeves and impermeable seams. The toughest conditions can be met with a surgical gown that is impermeable all over. BARRIER surgical gowns also have very high comfort levels thanks to the breathable and soft material. BARRIER products provide the right gown for the procedure, thus optimizing cost and reducing environmental and aseptic impact.

Wearing apparel is developed to ensure both patient and OR staff safety and comfort for healthcare professionals. The range of single-patient scrub suits and warm-up jackets provides the comfort and quality of wearing fresh clothes every day. Single-patient scrub suits contribute to hospital infection control6. The clean air suits provide an effective particle and microbial barrier and reduce the flow of skin scales carrying bacteria from staff to the environment5, 7. Our range of staff clothing also includes headwear and masks.

View our range of staff clothing

BARRIER® – surgical drapes

 Surgical drape


All BARRIER drapes are designed to contribute to patient and OR staff protection by providing a barrier against microbial migration. Effective infection control is achieved through impermeable materials where needed while effective fluid control is obtained through absorption or fluid collection pouches – allowing for a drier working area. All foldings are designed for optimal aseptic handling and easy application, which also contributes to infection control. The BARRIER products also come complete with the best available service and support including both training for optimal usage and tailored supply and logistic solutions all according to your need.

View our range of surgical drapes

Mölnlycke ProcedurePak procedure-specific packs

Mölnlycke ProcedurePak


Playing a critical role in reducing the potential for infection is introducing pre-packed surgical procedure packs into the OR. Solutions like ProcedurePak offer a single package that contains everything needed to perform a specific surgery, including all required surgical instruments and procedure-specific surgical drapes and gowns. Not only does the efficiency of a single-packed solution lead to less set-up time13 in the OR with fewer packages to open, it lowers the risk for introducing bacteria into the OR and at the surgical site by creating less possibility for contamination14.

View our ProcedurePak options 

    1. Haley RW, Culver DH, White JW, et al. The efficacy of infection surveillance and control programs in preventing nosocomial infections in US hospitals. Am J Epidemiol. 1985;121(2):182–205.
    2. Ducel G, Fabry J, Nicolle L, editors. Prevention of hospital-acquired infections: a practical guide. 2nd ed. Lyon, France: World Health Organization; 2002 [cited 2017 Sep 14]. Available from: http://apps.who.int/iris/handle/10665/67350
    3. National Audit Office. Improving patient care by reducing the risk of hospital acquired infection: a progress report [Internet]. London, UK: National Audit Office; [cited 2017 Sep 14]. Available from: https://www.nao.org.uk/press-release/improving-patient-care-by-reducing-the-risk-of-hospital-acquired-infection-a-progress-report-2/
    4. European Centre for Disease Prevention and Control. Healthcare-associated infections. In: Annual Epidemiological Report on the Communicable Diseases in Europe 2008 [Internet]. Stockholm, Sweden: ECDC; 2008:2–38 [cited 2017 Sep 14]. Available from: https://ecdc.europa.eu/sites/portal/files/media/en/publications/Publications/0812_SUR_Annual_Epidemiological_Report_2008.pdf
    5. O'Grady NP, Alexander M, Burns LA, et al. Summary of recommendations. Guidelines for the prevention of intravascular catheter-related infections. Clin Infect Dis. 2011;52(9):e162–e193 [cited 2017 Sep 14]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3106267/
    6. Brote L. Wound infections in clean and potentially contaminated surgery. Importance of bacterial and non-bacterial factors. Acta Chir Scand. 1976;142(3):191–200.
    7. Health Protection Agency. Surveillance of surgical site infection in England Oct 1997 – Sep 2005. London, UK: HPA; 2005.
    8. Adams-Howell P, et al. Under the knife: Taking a zero tolerance approach to preventable surgical site infections in UK hospitals [Internet]. San Diego, CA: CareFusion; 2011 [cited 2017 Sep 14]. Available from: http://www.carefusion.co.uk/documents/international/continuing-education/infection-prevention/IP_Under-the-knife_CE_EN.pdf
    9. Mölnlycke Health Care. Report no. REPR0833. Data on file.
    10. Tanner J, Parkinson H, Bayley N. Double gloving to reduce surgical cross-infection. Cochrane Database Syst Rev. 2006;(3):CD003087 [cited 2017 Sep 14]. Available from: http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD003087.pub2/full
    11. World Health Organization. Global guidelines for the prevention of surgical site infection. Geneva: WHO; 2018.
    12. Brote L. Wound infections in clean and potentially contaminated surgery. Acta Chir Scand. 1976;142:191–200.
    13. Greiling M. A multinational case study to evaluate and quantify time-saving by using custom procedure trays for operation room efficiency [poster]. 2010.
    14. Unknown author. Aseptic technique and packaging: A study of potential contamination pathways during the use of sterile packaging in an operating room context. 2016.

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