Daily chlorohexidine gluconate bathing with impregnated cloths results in statistically significant reduction in central line-associated bloodstream infections - 11/08/11
, Robin L. Carver, RN, BSN, CIC
Address correspondence to Jessica M. Dixon, RN, BSN, MHA, CCRN, CIC, Project Specialist, Infection Prevention, WakeMed Health & Hospitals, 3000 New Bern Ave, Raleigh, NC 27610.Abstract |
Background |
Central line-associated bloodstream infections (CLABSI) contribute to increased morbidity, mortality, length of stay, and excessive cost of care.
Methods |
This study was an observational cohort study using historical controls in the setting of a 9-bed surgical intensive care unit in a Level I trauma center; all patients admitted or transferred into the unit were enrolled in the study.
Objectives |
A quality improvement intervention protocol was instituted to reduce CLABSI incidence with a 3-month effectiveness study using 2% chlorhexidine gluconate-impregnated cloths for daily patient bathing; education of surgical intensive care unit staff on changes to CLABSI prevention protocol and all existing CLABSI prevention policies and bundles already in place; and compliance monitoring and documentation.
Results |
The 3-month effectiveness study showed a decrease in CLABSI rates from 12.07 CLABSIs per 1000 central line-days to 3.17 CLABSIs per 1000 central line-days (73.7% rate reduction; P = .0358).
Conclusion |
CLABSI incidence rates were reduced in a high-risk patient population using evidence-based prevention bundles and implementing daily bathing with 2% chlorhexidine gluconate nonrinse cloths.
Le texte complet de cet article est disponible en PDF.Key Words : CLABSI, bloodstream infection, chlorhexidine, CHG bathing
Plan
| Supported by an unrestricted educational grant from Sage Products, Inc, for biostatistical analysis and manuscript development. |
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| The authors acknowledge acceptance of this unrestricted educational grant for assistance in the development of the manuscript; however, authors retain full content and editorial control. |
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| Conflicts of interest: None to report. |
Vol 38 - N° 10
P. 817-821 - décembre 2010 Retour au numéro
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