HiBiScrub® Plus

HiBiScrub Plus kills clinically relevant MRSA strains in one minute (99.99% log reduction)1

Antimicrobial skin cleanser HiBiScrub® Plus contains chlorhexidine gluconate which unlike soaps and gels, binds to the skin and offers withstanding superior protection for six hours.2, 3 The efficacy is strengthened upon repeated application.4 HiBiScrub Plus has a significant proven efficacy killing a wide range of Gram-negative and Gram-positive bacteria, yeasts, fungi and viruses.5 Helping to provide protection against the bacteria known to cause surgical site infections and incision site bacterial growth of microorganisms in less than 60 seconds.1 Using HiBiScrub Plus in conjunction with a nasal antibiotic while whole body washing reduces the risk of HAIs by nearly 60%.6

Helps to reduce the bacteria associated with surgical site infections (SSI)2, 7 and hospital acquired infections (HAIs)8

Provides instant protection13

Provides residual protection, up to 6 hours long-lasting effect9, 10

Kills a wide range of microorganisms1, 5, 9

Is kind to skin, even with frequent use11, 12

HiBiScrub Plus improves cost effectiveness by helping to provide protection against surgical site infections

A recent study from the European Commission shows that an additional 16 million extra hospital days were attributed to treating HAIs at a cost of EUR 435 daily, resulting in additional spend of EUR 7 billion per year14. Implementing a whole body wash procedure can reduce the number of HAIs and therefore unnecessary costs associated with treatment.

Whole body washing – enables a safe procedure

Incorporate whole body washing in infection control guidelines

Incorporating the whole body washing into infection control guidelines can influence surgical procedures to be genuinely clean from the very start. Using HiBi high quality antiseptic products to prepare patients before and after surgery will help to provide protection against SSIs. HiBiScrub Plus for whole body washing is a highly effective antiseptic solution helping surgery to be safer for patients.

HiBiScrub Plus will keep working long after application, continuously killing bacteria for up to 6 hours9, 10. This will reduce the natural bacteria found on 1 in 3 people’s skin by 93%9, 15.

Clinical research on whole body washing

The patient is a source of contamination due to the significant relationship between positive skin culture and wound infection rates8.

A randomised control trial published in the New England Journal of Medicine shows that whole body washing with HiBiScrub Plus in conjunction with mupirocin nasal ointment can reduce infections by up to 60%6.

Each year in the EU every 1 in 20 patients acquire a hospital acquired infection (HAI), leading to 4.5 million infections. According to the Centre for Disease Control (CDC) 2-5% of patients undergoing surgery will acquire a surgical site infection (SSI)14.

Integrating the whole body washing process into your infection control guidelines ensures the bacteria on your patients skin, commonly known to cause an SSI, is removed.

The evidence

• Postoperative infections were down to 8 % from 17.5 % in a study of 341 patients using a chlorhexidine whole body wash16

• Twenty-fold reduction in skin bacteria count after showering three times with 4 % chlorhexidine in a randomized controlled trial17

• HiBiScrub Plus reduces skin flora by 94 % with the first whole body wash and then by a further 77 % with the second18

Use biocides safely. Always read the label and product information before use.

Instructions of how to whole body wash prior to surgery

The whole body wash should be carried out twice, the night before surgery and on the morning of the surgery, using the following procedure*:


1. Wash your face with undiluted HiBiScrub Plus especially around the nose, avoiding your eyes and ears.


2. Use a clean sponge, working downwards, wash your armpits.


3. Continue washing downwards and wash well around the groin area.


4. After washing all these important areas, rinse off under the shower.


5. Now repeat steps 1 to 4, but this time start with your hair.


6. After a final rinse, dry yourself thoroughly with a clean towel and put on clean clothes.

 *For each wash use approximately 25 ml - that is 50 ml per shower. Please see local instructions as variations may occur.

  1. Hibbard S et al : Clinical study comparing the Skin Antisepsis and safety of Chloraprep, 70% Isopropyl Alcohol and 2% Aqueous Chlorhexidine. J of Infusion Nursing : Vol 25, n°4, Juillet / Août 2002, 224 – 249
  2. Wenzel RP. 2010. Minimizing surgical site infections. New Eng Journ of Med. 362:1
  3. Mölnlycke Health Care Report REPR0145
  4. Faogali J et al; 1995. Comparison of the immediate, residual, and cumulative antibacterial effects of Novaderm R, Novascrub R, Betadine Surgical Scrub, Hibiclens, and liquid soap. Vol 23; 337-343
  5. Denton, GW; 2001. Chlorhexidine. Chapter 15 in Disinfection, Sterilization, and Preservation. Ed. Block SS. Fifth Ed. Lippincott Williams and Wilkins.
  6. Bode LGM et al; 2010. NEJM. Preventing Surgical-Site infections in nasal carriers of Staphylococcus aureus. Vol 362; 9-17.
  7. J of Hosp Infec. Vol 11:5-9, Brandberg A, Holm J, Hammarsten J, Schersten T. 1979. Post operative wound infections in vascular surgery: effect of preoperative whole body disinfection by shower-bath with Chlorhexidine soap. Skin microbiology relevance to clinical infections. Chapter 13
  8. Brote L. 1976. Wound infections in clean and potentially contaminated surgery. Acta Chir Scand. 142: 191-200
  9. Bryne DJ, Napier A, Cuschieri A. 1990. Rationalizing whole body disinfection. J Hosp Infect. 15(2):183-7
  10. Mölnlycke Health Care Report REPR0654
  11. Mölnlycke Health Care Report REPR0175
  12. Larson EL, Eke PI, Laughon BE; 1986. American Society for Microbiology. Efficacy of alcohol-based rinses under frequent use conditions. Vol 30, No. 4; 542-544
  13. Mölnlycke Health Care Report REPR0145
  14. European Centre for Disease Prevention and Control. Annual epidemiological report on the communicable diseases in Europe 2008. Chapter 2: Healthcare-associated infections
  15. Health Protection Agency, MRSA information for patients (www.hpa.org.uk)
  16. Brandberg Å and Andersson I. Preoperative whole body disinfection by shower bath with chlorhexidine soap: Effect on transmission of bacteria from skin flora. Skin Microbiology: Relevance to Clinical Infection, New York Springer-Verlag. 1987
  17. Byrne DJ, et al. J Hosp Infect 1991;17:217-22
  18. Byrne DJ, et al. J Hosp Infect 1990;15:183-7
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