Chlorhexidine Baths - pg.2 | allnurses

Chlorhexidine Baths - page 3

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... Read More

  1. Visit  ICUenthusiast profile page
    0
    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!
  2. Visit  SingaporeICU profile page
    0
    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.
  3. Visit  nikkicoliCCRN profile page
    1
    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.
  4. Visit  clmsngrl82 profile page
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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.
  5. Visit  HannaJo profile page
    0
    Really? Ours are kept in the warmer on our unit.. I'm guessing this is a no no?
  6. Visit  ICUJMB profile page
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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!
  7. Visit  kayern profile page
    0
    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.
  8. Visit  munnin1977 profile page
    0
    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.
  9. Visit  *LadyNurse* profile page
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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.
  10. Visit  Anoetos profile page
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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.
  11. Visit  kayern profile page
    1
    "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.
  12. Visit  CrufflerJJ profile page
    0
    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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