Journal of Surgery and Anaesthesia is a peer reviewed, open access journal dedicated to publishing research on all aspects of surgery and anaesthesia. This journal aims to keep anaesthesiologists, anaesthetic practitioners, surgeons and surgical researchers up to date by publishing clinical & evidence based research. This scientific Journal leads the specialty in promotion of original research by providing immediate open access to all articles after publication. Journal of Surgery and Anesthesia addresses all aspects of surgery & anesthesia practice, including anesthetic administration, pharmacokinetics, preoperative and postoperative considerations, coexisting disease and other complicating factors, General Surgery, Robotic Surgery, Orthopedic Surgery, GI Surgery, Neurosurgery, Plastic Surgery, Cardiothoracic Surgery, Vascular Surgery, Urology, Surgical Oncology, Radiology, Ophthalmology, Pediatric Surgery, Trauma Services, Minimal Access Surgery, Endocrine Surgery, Colorectal Surgery, Laparoscopic and Endoscopic Techniques and Procedures, Preoperative and Postoperative Patient Management, Complications in Surgery and New Developments in Instrumentation and technology related to surgery, Intra-Operative Regional Anesthesia Administration Techniques, Peri-Operative Pain, Obstetric Anesthesia, Pediatric Anesthesia, General Anesthesia, Sedation, Regional Anesthesia, Outcome Studies and Associated Complications, etc.

It  is  already  known  that  hand  hygiene  is  the  most important  factor  influencing  the  microbiota  of  the skin  and mucous  membranes  and  that  the  emergence  of  infectious diseases  is  directly  correlated  with  it.  Gut flora composition and its modifications due to the unwashed hands are involved in the occurrence of focal infections requiring surgical treatment:  acute cholecystitis , perforated diverticulitis, acute  appendicitis or  primitive peritonitis. This correlation is much more evident in the case of skin and subcutaneous  tissue  infections.  There is therefore a direct link between patient hand hygiene and the mechanism of community-acquired surgical infections. On  the  other  hand,  nosocomial  infections  have  as  their main  transmitter  the  hands,  and  the  implementation of hygiene protocols drastically reduces the incidence of these infections in hospitals, all the more so as staff involvement and  compliance  are  more  rigorous. Germs whose transmission  is  associated  with  deficient  hand  hygiene are  responsible  both  for  surgical  infections  for  which  the patient  is  hospitalized  (community-acquired)  and  for  those associated with health care. This study aims to compare the community-acquired  surgical  infections  (CASI)  with hand-transmitted  infections  associated  with  medical  assistance (IAMA),  treated  over  a  year  in  the  General  Surgery Department  (GSD)  of  the  Baia  Mare  Emergency  County Hospital (BMECH).

Hand  hygiene  forms  the  basis  of  antiseptic  techniques aimed at reducing the incidence of nosocomial  and  surgical  site  infections. The contaminated hands of health workers are known to result in nosocomial and surgical site infections. These infections lead to severe morbidity and mortality, prolonged hospital stay, and increased hospital costs. Surgical  hand  washing  has  an  important  place  in  preventing the development and transfer of nosocomial infections,  and  also  in  the  development  of  surgical  site  infections. The aim of surgical hand washing is to clean up microorganisms,  prevent  their  transfer  or  to  reduce  the  amount  of  permanent  flora  of  the  hands,  which  would  ultimately  prevent  surgical  wound  contamination  from  microorganisms found on the hands of the surgical team. Even  a  small  amount  of  microorganism  found  on  the  hands  can  trigger  the  development  of  infection. 

Povidone iodine and chlorhexidine gluconate are the common solutions used  in  surgical  hand  washing.  Re-cent  RC  experimental  studies  have  demonstrated  that  the scrubbing technique frequently used in conventional surgical  hand  washing  is  not  very  necessary.  Although  the   conventional   brushing/scrubbing   technique   provides  an  effective  antisepsis,  it  has  been  shown  to  in-crease complications such as cracks and scratches of the hand. As a result, scrubbing has been suggested to be un-necessary during surgical hand washing. Scrubbing and particularly  the  use  of  special  apparatus  to  scrub  nails  has  been  shown  not  to  reduce  the  amount  of  bacteria;  hence,  it  has  been  suggested  that  the  scrubbing  technique  may  be  removed  from  the  surgical  hand  washing  guidelines.

Journal of Surgery and Anaesthesia invites authors to submit their valuable research work to publish in our journal. Manuscripts can be submitted at https://www.longdom.org/submissions/surgery-anesthesia.html or as an e-mail attachment to surgery@emedsci.com

Media contact

Kate Williams

Editorial Assistant

Journal of Surgery and Anesthesia.

Email: surgery@emedicalsci.com