Chlorhexidine Baths - page 3

by ckh23 13,504 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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    Our ICU started using clorhexidine wipes about 1.5 years ago and we have seen a substantial decrease in CLABSI. We have a warmer for ours.
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    Our facility has implemented the policy that any patient that has a central line access must be bathed with chlorhexidine to prevent cental line associated infections.
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    Same as LadyNurse, We use it for prevention of catheter associated infections. Anyone getting a central line gets two chlorhexidine baths, one the night before and one the morning of, their procedure

    We're following EBP on this.

    The soap comes in a tube, it's purple.
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    "Same as LadyNurse, We use it for prevention of catheter associated infections. Anyone getting a central line gets two chlorhexidine baths, one the night before and one the morning of, their procedure"

    And.......we require daily clorhexidine baths every day the line is in (EBP) and our catheter associated infections are substantially below benchmark.
    Anoetos likes this.
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    CHG seems to offer the potential to reduce central line infections. There's no free lunch, however. It looks like CHG-resistant strains of S. aureus are becoming more common. See:

    Chlorhexidine-Resistant S. aureus Infections on the Rise*:*Family Practice News

    ...
    In a review of isolates from pediatric cancer patients, an increasing number of S. aureus became resistant to the antiseptic, Dr. J. Chase McNeil said at the annual meeting of the Pediatric Academic Societies. The jump from susceptible to resistant occurred around 2006 – 2 years after the Texas Children’s Hospital began using chlorhexidine in the weekly central line dressing changes for its cancer patients, and a year after the facility introduced chlorhexidine mouthwash up to four times each day for patients with acute myeloid leukemia.


    ..."It’s very interesting to see this upward trend [in resistance]," he said in an interview. "Before 2007, we had none, and since then we’ve seen an increase every year."
    ...


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