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THE POPULARITY OF G-11 soAP has risen phenomenally. Four years ago the product had scarcely been heard of; today only the exceptional hospital is without it. Many advantages are claimed for the new agent. A brief period of lathering with it is alleged to be more effective than the conventional scrub with a brush followed by an antiseptic wash. This time-saving mild toilet of the hands once a day is said greatly to reduce the numbers of bacteria on the skin, and that low flora is thought to persist under gloves and subsequently during the rest of the day. It is noteworthy, however, that in the long history of skin disinfection many antiseptics have received enthusiastic acceptance only to be discarded later, not so much because they failed in clinical trial, but because improved methods of testing showed them to be less effective bacteriologically than had been supposed. G-li is a diphenolic compound having six chlorine ions. Its official name is hexachlorophene. It is a colorless, odorless, white powder, virtually insoluble in water, but soluble in alkalis, alcohol and acetone. The alkalinity of soap is sufficient to keep it in solution. Studies of its germicidal activity are complicated by the fact that extremely minute traces of the substance, as little as one part in many millions, carried over into subcultures, are sufficient to cause significant bacteriostatic effects. Failure to recog-

FALLACY OF A CURRENT SURGICAL FAD — THE THREE-MINUTE PREOPERATIVE SCRUB WITH HEXACHLOROPHENE SOAP*