J Clin Outcomes Manage
Daily bathing with chlorhexidine in the ICU to prevent central line-associated bloodstream infections
Holder C, Zellinger M
Abstract Objective: To describe a quality initiative to reduce central lineľassociated bloodstream infections (BSIs) and acquisition of multidrug-resistant organisms by using chlorhexidine wipes for daily bathing of intensive care unit patients. Methods: Staff nurses developed a bathing procedure that identified bathing technique, frequency, compatibility with other products, contraindications, and required documentation. An education process for peers, patients, and family members was implemented. Results: BSI rates decreased from 3.6/1000 patient days to 1/1000 patient days 6 months after implementation of the chlorhexidine bath procedure. The rate of MRSA/VRE colonization was 3.6/1000 patient days prior to the implementation of the chlorhexidine daily baths and was reduced to 1/1000 patient days following implementation. Conclusion: The use of chlorhexidine baths reduced BSIs and resistant organism acquisition rates at our hospital.
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