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Impact of preoperative chlorhexidine gluconate (CHG) application methods on preoperative CHG skin concentration

Published online by Cambridge University Press:  30 September 2020

Bobby G. Warren Open the ORCID record for Bobby G. Warren [Opens in a new window] ,
Alicia Nelson ,
David K. Warren ,
Meghan A. Baker ,
Candace Miller ,
Tracey Habrock ,
Jahnavi Bongu ,
Abinav Gowda ,
Jacob Johnson  and
Deverick J. Anderson
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Bobby G. Warren
Affiliation:
Duke Center for Antimicrobial Stewardship and Infection Prevention, Durham, North Carolina Division of Infectious Diseases, Duke University Medical Center, Durham, North Carolina
Alicia Nelson
Affiliation:
Duke Center for Antimicrobial Stewardship and Infection Prevention, Durham, North Carolina Division of Infectious Diseases, Duke University Medical Center, Durham, North Carolina
David K. Warren*
Affiliation:
Division of Infectious Diseases, Washington University School of Medicine, Saint Louis, Missouri
Meghan A. Baker
Affiliation:
Division of Infectious Disease, Brigham and Women’s Hospital, Boston, Massachusetts Department of Population Medicine, Harvard Medical School/Harvard Pilgrim Health Care Institute, Boston, Massachusetts
Candace Miller
Affiliation:
Division of Infectious Diseases, Washington University School of Medicine, Saint Louis, Missouri
Tracey Habrock
Affiliation:
Division of Infectious Diseases, Washington University School of Medicine, Saint Louis, Missouri
Jahnavi Bongu
Affiliation:
Division of Infectious Diseases, Washington University School of Medicine, Saint Louis, Missouri
Abinav Gowda
Affiliation:
Division of Infectious Disease, Brigham and Women’s Hospital, Boston, Massachusetts
Jacob Johnson
Affiliation:
Division of Infectious Disease, Brigham and Women’s Hospital, Boston, Massachusetts
Deverick J. Anderson
Affiliation:
Duke Center for Antimicrobial Stewardship and Infection Prevention, Durham, North Carolina Division of Infectious Diseases, Duke University Medical Center, Durham, North Carolina
*
Author for correspondence: Bobby G. Warren, E-mail: Bobby.warren@duke.edu
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Abstract

Elective surgical patients routinely bathe with chlorhexidine gluconate (CHG) at home days prior to their procedures. However, the impact of home CHG bathing on surgical site CHG concentration is unclear. We examined 3 different methods of applying CHG and hypothesized that different application methods would impact resulting CHG skin concentration.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 42 , Issue 4 , April 2021 , pp. 464 - 466
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Copyright
© 2020 by The Society for Healthcare Epidemiology of America. All rights reserved.

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Footnotes

PREVIOUS PRESENTATION. These data were submitted and accepted as an abstract for a poster presentation at the SHEA Spring 2019 on April 24, 2019, in Boston, Massachusetts.

References

Zimlichman, E, Henderson, D, Tamir, O, et al. Health care–associated infections: a meta-analysis of costs and financial impact on the US Health Care System: meta-analysis of health care–associated infections. JAMA Intern Med 2013;173:2039–2046.CrossRefGoogle ScholarPubMed
Berríos-Torres, SI, Umscheid, CA, Bratzler, DW, et al. Centers for Disease Control and Prevention guideline for the prevention of surgical site infection, 2017. JAMA Surg 2017;152:784–791.Google ScholarPubMed
Bleasdale, SC, Trick, WE, Gonzalez, IM, Lyles, RD, Hayden, MK, Weinstein, RA. Effectiveness of chlorhexidine bathing to reduce catheter-associated bloodstream infections in medical intensive care unit patients. Arch Intern Med 2007;167:2073.CrossRefGoogle ScholarPubMed
Davies, GE, Martin JF a R, Rose FL, Swain G. 1: 6-DI-4’-chlorophenyldiguanidohexane (“ HIBITANE”*): laboratory investigation of a new antibacterial agent of high potency. Brit J Pharmacol 1954;9:192–196.Google Scholar
Lin, MY, Blom, DW, Hayden, MK, et al. The effectiveness of routine daily chlorhexidine gluconate bathing in reducing Klebsiella pneumoniae carbapenemase–producing Enterobacteriaceae skin burden among long-term acute-care hospital patients. Infect Control Hosp Epidemiol 2014;35:440–442.Google ScholarPubMed
Popovich, KJ, Lyles, R, Hayes, R, et al. Relation of chlorhexidine gluconate skin concentration to microbial density on skin of critically ill patients bathed daily with chlorhexidine gluconate. 2013;33:889–896.Google Scholar
Rhee, Y, Palmer, LJ, Okamoto, K, et al. Differential effects of chlorhexidine skin cleansing methods on residual chlorhexidine skin concentrations and bacterial recovery. Infect Control Hosp Epidemiol 2018;39:405–411.CrossRefGoogle ScholarPubMed
Ritz, J, Pashnik, B, Padula, C, Simmons, K. Effectiveness of 2 methods of chlorhexidine bathing. J Nurs Care Qual 2012;27:171–175.CrossRefGoogle ScholarPubMed
Rhee, Y, Hayden, MK, Simms, A, et al. Impact of measurement and results feedback of chlorhexidine gluconate (CHG) skin concentrations in medical intensive care unit (MICU) patients receiving CHG bathing. Open Forum Infect Dis 2019;6 suppl 2:766–767.Google Scholar