To the Editor In the Association of Perioperative Registered Nurses Guideline for Surgical Attire 2019 update, there is no recommendation for covering the arms with long sleeves in the semirestricted and restricted areas other than when performing preoperative patient skin antisepsis. A study by Markel et al1 found that wearing long sleeves specifically appeared to decrease the amount of Micrococcus in the environment, and the researchers recommended wearing attire with long sleeves when performing the intraoperative patient skin prep.
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Spruce L. Use of Disposable Perioperative Jackets and Surgical Site Infections. JAMA Surg. Published online March 04, 2020. doi:10.1001/jamasurg.2019.6377
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