Highlights
- •The chlorhexidine gluconate (CHG) bathing practices of 437 non–intensive care unit patients were evaluated.
- •Self-care, non–intensive care unit patients used CHG bathing products incorrectly 81% of the time.
- •Education and assistance by health care workers improved CHG bathing compliance.
- •Medical record documentation was a reliable tool to track CHG bathing compliance.
Many studies indicate that daily chlorhexidine gluconate (CHG) bathing reduces the
risk of hospital-acquired infections. In this study, we found that patient perceptions
can be a barrier to bathing practice, and many independent-care patients do not use
CHG bathing products correctly. Furthermore, electronic medical record documentation
may be a reliable tool to assess CHG bathing compliance.
Key Words
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References
- Effect of daily chlorhexidine bathing on hospital-acquired infection.N Engl J Med. 2013; 368: 533-542
- A multicenter pragmatic interrupted time series analysis of chlorhexidine gluconate bathing in community hospital intensive care units.Infect Control Hosp Epidemiol. 2016; 10: 1-7
- for the CDC Prevention Epicenters Program and the AHRQ DECIDE Network and Healthcare-Associated Infections Program. Targeted versus universal decolonization to prevent ICU infection.N Engl J Med. 2013; 368: 2255-2265
- Multistate pointprevalence survey of health care–associated infections.N Engl J Med. 2014; 370: 1198-1208
- The effects of chlorhexidine gluconate bathing on health care–associated infection in intensive care units: a meta-analysis.J Crit Care. 2016; 32: 126-137
- Effect of daily chlorhexidine bathing on acquisition of carbapenem-resistant Acinetobacter baumannii (CRAB) in the medical intensive care unit with CRAB endemicity.Am J Infect Control. 2015; 43: 1171-1177
- Insights into bacterial colonization of intensive care patients' skin: the effect of chlorhexidine daily bathing.Eur J Clin Microbiol Infect Dis. 2015; 34: 999-1004
Ruiz J, Ramirez P, Villareal E, Gordon M, Saez I, Rodriguez A, et al. Daily bathing strategies and cross-transmission of multidrug-resistant organisms: impact of chlorhexidine-impregnated wipes in a multidrug-resistant gram-negative bacteria endemic intensive care unit. N Engl J Med 2017;45:1069-73.
Article Info
Publication History
Published online: October 12, 2018
Footnotes
Conflicts of interest: None to report.
Identification
Copyright
© 2018 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.