Prevention of Bloodstream Infections by Use of Daily Chlorhexidine Baths for Patients at a Long-Term Acute Care Hospital

Abstract

Daily chlorhexidine baths appeared to be an effective intervention to reduce rates of CVC-associated BSI in an LTACH.

Chlorhexidine Gluconate Bathing: Does it Decrease Hospital-Acquired Infections?

“…The chlorhexidine gluconate arm. [8][9][10][11] In the fifth study, 12 which was of patients in surgical intensive care units, significant differences were not found.…”

“…Four quasiexperimental studies 8,[10][11][12] and 1 cross-over study 9 in a pre-post study design were retrieved (Table 1). Most studies were set in an intensive care unit, but one study 8 was conducted in a long-term acute care hospital.…”

“…Four quasiexperimental studies 8,[10][11][12] and 1 cross-over study 9 in a pre-post study design were retrieved (Table 1). Most studies were set in an intensive care unit, but one study 8 was conducted in a long-term acute care hospital. In 4 of the 5 studies, results indicated a significant reduction in CLABSI for subjects in the 8 Bleasdale et al 9 Popovich et al 10 Climo et al 11 Popovich et al 12 Ridenour et al 13 Vernon et al 14 Wendt et al 15 Sandri et al 16 Batra et al 17 Darouiche et al 18 Veiga et al 19 Paocharoen et al 20 …”

The Reduction of Catheter-Related Blood Stream Infections through the Implementation of an Interdisciplinary Healthcare Team

“…The maintenance bundle used at NBIMC was based on a previous construct from the CDC 2002 guidelines which includes: assessing the continued need for the catheter every day, performing catheter site care with chlorhexidine at dressing changes and changing gauze dressings every 2 days and clear dressings every 7 days (and more frequently if soiled, damp, or loose). Using a 2% chlorhexidine for daily skin cleansing was established by Munoz-Price et al after they evaluated the effect of chlorhexidine bathing of patients on the rate of CLABSI in a 70-bed long-term acute care hospital [14]. Their work demonstrated that this intervention reduces the rate of CLASBI from 9.5 to 3.8 per 1,000 catheter days.…”

Chlorhexidine gluconate use to prevent hospital acquired infections—a useful tool, not a panacea

“…Bleasdale and colleagues demonstrated, in medical ICU patients, decreased primary BSI infection rates in the CHG intervention group compared to standard treatment, respectively, 4.1 vs. 10.4 infections per 1,000 patient days (5). Munoz-Price et al reported a 99% reduction in the CLA-BSI rate in long-term acute care hospital patients bathed daily with CHG (6). O'Horo's 2012 metaanalysis of one randomized and 11 non-randomized trials showed daily bathing with CHG reduced the incidence of BSIs in medical ICU patients (7); the optimal frequency and method of application were to be determined.…”