Chlorhexidine Baths - page 2

by ckh23 13,522 Views | 24 Comments

Hey everyone. Our facility just implemented chlorhexidine baths in all the ICU's after a trial on one unit. I have read the research and it seems to indicate a decrease in VRE, MRSA, CRBSI, etc. I'm just curious if any others out... Read More


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    We started using them after evidence showed that MRSA is found (not on those stupid yellow gowns) most often in the basins. My friend counters that by getting a new bath basin each time she bathes someone, but that isn't very practical, landfill wise. I'm not a huge fan of the cholorhexadine because they leave the pt sticky for a few minutes. I just feel like soap and water get a person cleaner. The real source of infection was probably the wet washcloths that I used to find the basins, saved to be used again. Clean, but wet, sitting the dark...a perfect breeding ground.
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    They do. And my hospital just won the national award for having no central line blood stream infections or ventilator aquired pneumonia for the last two Years - pushing three in our 4 ICUs. I swear by them.
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    The last place I worked in we washed everyone in CHG every morning. They actually took all the other soap supplies away. It was a little extreme in my opinion. I was wondering if anyone has ready any studies about resistance or skin issues. I would think that CHG would be very drying to the skin?
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    Quote from Teleflurry
    They do. And my hospital just won the national award for having no central line blood stream infections or ventilator aquired pneumonia for the last two Years - pushing three in our 4 ICUs. I swear by them.
    Where do you work, I wanna know for future reference when I start looking to move onto bigger and better things!
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    We started daily chlorhexidine bath for patients with MRSA, VRE or acinetobacter positive. It is also part of the standard pre-op procedure for all patients.
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    Quote from Teleflurry
    They do. And my hospital just won the national award for having no central line blood stream infections or ventilator aquired pneumonia for the last two Years - pushing three in our 4 ICUs. I swear by them.
    I'm not trying to be cynical, but I worked in an ICU that had no VAP for 2 years. I also believe that they were very good at manipulating the numbers. I have a hard time believing facilities that make this claim without seeing the exclusion numbers. Also curious to see what other things are in place for CBLI and VAP? Find it hard to believe that just the CHG is making the difference. If someone at your facility has written this up I would love to see the data. This would be great evidence based practice.
    libbyliberal likes this.
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    We just recently finished a trial of using the foam kind out of a pump bottle or the liquid from small blue bottles. It did not show a decrease in the number of infections for us and so our unit went back to our regular soap baths. We have not had a VAP in over 2 years, but we have had some CLBIs.
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    Really? Ours are kept in the warmer on our unit.. I'm guessing this is a no no?
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    I have a question. Our facility has not adopted this yet but what is the protocol for giving the bath correctly? What areas do you wash? Do you rinse the solution off? I see how effective this practice is but I have not seen in the articles how to do the bath correctly. Thank You!
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    We bathe everyone who has a central line with clorhexidine washcloths. Our institutions CLABS rate plummeted. We also use a clorhexidine product to "scrub the hub" on the ports. Clorhexidine baths for all pre-op patients as well.


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