Microbial Growth on the Nails of Direct Patient Care Nurses Wearing Nail Polish.

OBJECTIVES: To determine whether nurses wearing nail polish pose a greater infection risk to patients than nurses who are not wearing nail polish. SAMPLE & SETTING: 89 direct patient care oncology nurses at a large midwestern National Cancer Institute-designated comprehensive cancer center. METHODS & VARIABLES: The investigators assigned participants' three middle fingers of their dominant hand to three groups. RESULTS: Comparison of colony-forming units revealed that one-day-old polish exhibited fewer gram-positive microorganisms than the unpolished nail (p = 0.04). The four-day-old polish showed significantly more microorganisms than the one-day-old polish (p = 0.03). The same trend was demonstrated for gram-negative microorganisms, but the difference was not statistically significant (p = 0.3 and p = 0.17, respectively). IMPLICATIONS FOR NURSING: The results should be interpreted and applied to expert nursing practice in the care of vulnerable patient populations. Each institution and practitioner should make their own decisions and interpretation of evidence into practice.

Removal of nail polish and finger rings to prevent surgical infection.

BACKGROUND: Surgical wound infections may be caused by the transfer of bacteria from the hands of surgical teams to patients during operations. Surgical scrubbing prior to surgery reduces the number of bacteria on the skin, but wearing rings and nail polish on the fingers may reduce the efficacy of scrubbing, as bacteria may remain in microscopic imperfections of nail polish and on the skin beneath rings. OBJECTIVES: To assess the effect of the presence or absence of rings and nail polish on the hands of the surgical scrub team on postoperative wound infection rates. SEARCH METHODS: For this fifth update, we searched The Cochrane Wounds Group Specialised Register (searched 23 July 2014); The Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library); Ovid MEDLINE; Ovid MEDLINE (In-Process & Other Non-Indexed Citations); Ovid EMBASE and EBSCO CINAHL. SELECTION CRITERIA: Randomised controlled trials (RCTs) evaluating the effect of wearing or removing finger rings and nail polish on the efficacy of the surgical scrub and postoperative wound infection rate. DATA COLLECTION AND ANALYSIS: All abstracts were checked against a checklist to determine whether they fulfilled the inclusion criteria. Full reports of relevant studies were obtained. Excluded trial reports were checked by all review authors to ensure appropriate exclusion. MAIN RESULTS: We identified: no new trials; no RCTs that compared wearing of rings with the removal of rings; and no trials of nail polish versus no nail polish that measured surgical infection rates. We found one small RCT (102 scrub nurses) that evaluated the effect of nail polish on the number of bacterial colony forming units left on hands after pre-operative surgical scrubbing. Nurses had either unpolished nails, freshly-applied nail polish (less than two days old), or old nail polish (more than four days old). There were no significant differences in the number of bacteria on hands between the groups before and after surgical scrubbing. AUTHORS' CONCLUSIONS: No trials have investigated whether wearing nail polish or finger rings affects the rate of surgical wound infection. There is insufficient evidence to determine whether wearing nail polish affects the number of bacteria on the skin post-scrub.

Is nanotechnology revolutionizing the paint and lacquer industry? A critical opinion.

Many paints for indoor and outdoor applications contain biocides and additives for protection against microbial, physical and chemical deterioration. The biocides should remain active as long as they are incorporated in the paint. Protection against microbial colonization should last at least a decade. Once the biocides are released they should degrade within a short time so that no accumulation in the environment can occur. The paint industry is not only focusing their research in producing better paint formulations with degradable biocides: they also consider using nanomaterials, such as nanosilver, nanocopper, nanozinc oxide, photocatalytic-active nanotitanium dioxide and nanosilica dioxide as additives for the protection of paints, against microbial degradation and physical and chemical deterioration. In the future nanomaterials should replace biodegradable biocides and improve the paint properties as well as impede colonization by microorganisms. At the time there is no guarantee that the nanomaterials in paints and façades will fulfill their task in the long run, since there are no long term studies available. From nanosilver doped paints it is known that silver is easily washed out by rain. Photocatalytic active nanotitanium dioxide adsorbs ultra violet light (UV-light) and generates hydroxyl radicals, which not only inhibit microbial growth but can also initiate or accelerate the photocatalytic degradation of the paint matrix. Thus at this time it is still unknown if it makes sense to incorporate nanomaterials into paints. Intensive research and development are still needed in order to find the answers.