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Chlorhexidine bath

Jackson S Musuuza, Ann Schoofs Hundt, Michele Zimbric, Pascale Carayon, Nasia Safdar
No abstract text is available yet for this article.
September 28, 2016: Infection Control and Hospital Epidemiology
Carolyn Lund
BACKGROUND: Bathing the newborn infant is controversial, ranging from how and when to give the newborn their first bath, whether to bathe newborns at all in the initial days of life, and how to approach bathing the hospitalized premature and full-term infant in the neonatal intensive care unit (NICU). PURPOSE: To review relevant literature about bathing newborn infants, as well as examine the controversies about bathing NICU patients including the use of daily chlorhexidine gluconate (CHG) baths...
October 2016: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
C A Burnham, Patrick G Hogan, Meghan A Wallace, Elena Deych, William Shannon, David K Warren, Stephanie A Fritz
Topical antimicrobials are often employed for decolonization and infection prevention and may alter the endogenous microbiota of the skin. The objective of this study was to compare the microbial community, richness, and diversity in community-dwelling subjects and intensive care unit (ICU) patients before and after the use of topical decolonization protocols. We enrolled 15 adults at risk for Staphylococcus aureus infection. Community subjects (n=8) underwent a 5-day decolonization protocol (twice daily intranasal mupirocin and daily dilute bleach water baths) and ICU patients (n=7) received daily chlorhexidine baths...
September 26, 2016: Antimicrobial Agents and Chemotherapy
Katherine Reyes, Ana Cecilia Bardossy, Marcus Zervos
Vancomycin-resistant enterococci (VRE) infections have acquired prominence as a leading cause of health care-associated infections. Understanding VRE epidemiology, transmission modes in health care settings, risk factors for colonization, and infection is essential to prevention and control of VRE infections. Infection control strategies are pivotal in management of VRE infections and should be based on patient characteristics, hospital needs, and available resources. Hand hygiene is basic to decrease acquisition of VRE...
September 19, 2016: Infectious Disease Clinics of North America
Alexis Diomedi
No abstract text is available yet for this article.
June 2016: Revista Chilena de Infectología: órgano Oficial de la Sociedad Chilena de Infectología
Heather Isenman, Dale Fisher
PURPOSE OF REVIEW: This article reviews data, particularly from the last 2 years, addressing the prevention and treatment of vancomycin-resistant Enterococcus (VRE). We focus on infection control, particularly active screening, use of contact precautions as well as pharmacologic options for therapy. This is timely given the evolving priorities in efforts towards the prevention and treatment of multidrug-resistant organisms globally. RECENT FINDINGS: Key findings include new data regarding the impact of contact precautions on the incidence of VRE colonization and bloodstream infection, new laboratory screening methods, and novel decolonization strategies and treatments...
August 31, 2016: Current Opinion in Infectious Diseases
Jae-Seok Kim, Yun Kyung Chung, Seung Soon Lee, Jeong-A Lee, Han-Sung Kim, Eun Young Park, Kyong-Sok Shin, Bog Soun Kang, Hee Jung Lee, Hyun Joo Kang
BACKGROUND: Universal decolonization is recommended in intensive care units (ICUs) that have unacceptably high rates of methicillin-resistant Staphylococcus aureus (MRSA) despite implementation of basic prevention strategies. METHODS: An interrupted time series study was performed to evaluate the effect of daily chlorhexidine bathing on the acquisition of MRSA in a medical ICU with MRSA endemicity. There was a 14-month control period and a 16-month chlorhexidine bathing period...
August 9, 2016: American Journal of Infection Control
Lance R Peterson, Susan Boehm, Jennifer L Beaumont, Parul A Patel, Donna M Schora, Kari E Peterson, Deborah Burdsall, Carolyn Hines, Maureen Fausone, Ari Robicsek, Becky A Smith
BACKGROUND: Antibiotic resistance is a challenge in long-term care facilities (LTCFs). The objective of this study was to demonstrate that a novel, minimally invasive program not interfering with activities of daily living or socialization could lower methicillin-resistant Staphylococcus aureus (MRSA) disease. METHODS: This was a prospective, cluster-randomized, nonblinded trial initiated at 3 LTCFs. During year 1, units were stratified by type of care and randomized to intervention or control...
August 1, 2016: American Journal of Infection Control
Elise M Martin, Dana Russell, Zachary Rubin, Romney Humphries, Tristan R Grogan, David Elashoff, Daniel Z Uslan
OBJECTIVE To evaluate the impact of discontinuation of contact precautions (CP) for methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant Enterococcus (VRE) and expansion of chlorhexidine gluconate (CHG) use on the health system. DESIGN Retrospective, nonrandomized, observational, quasi-experimental study. SETTING Two California hospitals. PARTICIPANTS Inpatients. METHODS We compared hospital-wide laboratory-identified clinical culture rates (as a marker of healthcare-associated infections) 1 year before and after routine CP for endemic MRSA and VRE were discontinued and CHG bathing was expanded to all units...
July 26, 2016: Infection Control and Hospital Epidemiology
C S Abboud, E E de Souza, E C Zandonadi, L S Borges, L Miglioli, F C Monaco, V L Barbosa, D Cortez, A C Bianco, A Braz, J Monteiro
BACKGROUND: Carbapenem-resistant Enterobacteriaceae (CRE) cause surgical site infections (SSIs) in intensive care units (ICUs). This study aimed to evaluate the impact of intervention and control measures to reduce CRE colonization and infection rates among patients in the ICU of a cardiac surgery hospital following a CRE outbreak. METHODS: An observational study of the pre- and postintervention status of a cohort of colonized or infected patients in the postoperative adult cardiac surgery ICU was performed between April 2013 and December 2014...
September 2016: Journal of Hospital Infection
Joshua T Swan, Carol M Ashton, Lan N Bui, Vy P Pham, Beverly A Shirkey, Jolene E Blackshear, Jimmy B Bersamin, Rubie May L Pomer, Michael L Johnson, Audrey D Magtoto, Michelle O Butler, Shirley K Tran, Leah R Sanchez, Jessica G Patel, Robert A Ochoa, Shaikh A Hai, Karen I Denison, Edward A Graviss, Nelda P Wray
OBJECTIVE: To test the hypothesis that compared with daily soap and water bathing, 2% chlorhexidine gluconate bathing every other day for up to 28 days decreases the risk of hospital-acquired catheter-associated urinary tract infection, ventilator-associated pneumonia, incisional surgical site infection, and primary bloodstream infection in surgical ICU patients. DESIGN: This was a single-center, pragmatic, randomized trial. Patients and clinicians were aware of treatment-group assignment; investigators who determined outcomes were blinded...
October 2016: Critical Care Medicine
Salma Abbas, Sangeeta Sastry
Healthcare-associated infections (HAIs) are an important cause of morbidity and mortality in the USA. They are associated with a substantial increase in health care costs each year. Fortunately, many HAIs are preventable, and their eradication is a national priority. Chlorhexidine (CHG) bathing has been used as an infection prevention measure, either alone or bundled with other interventions, with mostly beneficial results. The recent surge in its use as an agent of choice for skin antisepsis has lead to concerns over emerging resistance among microorganisms...
August 2016: Current Infectious Disease Reports
Bhaveen H Kapadia, Randa K Elmallah, Michael A Mont
BACKGROUND: Periprosthetic infections are devastating postoperative complications of total joint arthroplasty (TJA), with native skin flora commonly identified as causative organisms. We compared 2% chlorhexidine gluconate-impregnated cloths to standard-of-care antiseptic bathing in patients before TJA, to evaluate periprosthetic infection risk at 1-year follow-up. METHODS: This was a prospective, randomized, controlled trial at a single institution of patients undergoing hip or knee arthroplasty...
May 31, 2016: Journal of Arthroplasty
Lindsey M Weiner, Amy K Webb, Maroya S Walters, Margaret A Dudeck, Alexander J Kallen
We examined reported policies for the control of common multidrug-resistant organisms (MDROs) in US healthcare facilities using data from the National Healthcare Safety Network Annual Facility Survey. Policies for the use of Contact Precautions were commonly reported. Chlorhexidine bathing for preventing MDRO transmission was also common among acute care hospitals. Infect Control Hosp Epidemiol 2016:1-4.
September 2016: Infection Control and Hospital Epidemiology
Sina Heimer, Patrick R Schmidlin, Bogna Stawarczyk
INTRODUCTION: To assess the discoloration and stain removal potential of different cleaning methods relevant to individual/professional prophylaxis and laboratory cleaning on polyetheretherketone (PEEK), poly(methyl methacrylate) (PMMA)-based, and composite (COMP) materials after storage in different media for 7 days. METHODS: One thousand three hundred twenty specimens of PEEK, PMMA, and COMP (N = 440 of each group) were prepared and stored in four different media for 7 days to cause stain...
June 25, 2016: Clinical Oral Investigations
Janette Denny, Cindy L Munro
BACKGROUND: Health-care-associated infections (HAIs), infections that patients contract during the course of their hospitalization, are receiving a growing amount of attention. Heavy skin bacterial colonization aids in the transmission and development of HAIs. Nurses frequently use bathing with chlorhexidine gluconate (CHG) to reduce patients' cutaneous microbial burden. This intervention has been shown to have promising but mixed results in the prevention of HAIs. PURPOSE: This article reviews the literature for evidence on the impact of CHG bathing on HAIs...
June 15, 2016: Biological Research for Nursing
Karolin Hijazi, Indrani Mukhopadhya, Felicity Abbott, Kathleen Milne, Zaaima J Al-Jabri, Marco R Oggioni, Ian M Gould
The emergence of Staphylococcus isolates with reduced susceptibility to chlorhexidine is being increasingly reported. We present an update to a previous report showing the continuing efficacy of chlorhexidine-based infection control measures against Staphylococcus aureus over 6 years. In this study, qacA/B genes were screened in Staphylococcus isolates collected over another 6 years in the same intensive care unit in Scotland where chlorhexidine baths form an essential component of long-term control of nosocomial infections...
July 2016: International Journal of Antimicrobial Agents
Adeel Ashfaq, Allen Zhu, Amit Iyengar, Hoover Wu, Romney Humphries, James A McKinnell, Richard Shemin, Peyman Benharash
BACKGROUND: Surgical site infections (SSIs) occur in 1% to 4% of cardiac surgery patients and are associated with significantly reduced survival. The present study evaluated trends in the incidence and bacteriology of SSIs before and after the implementation of an antimicrobial stewardship program. METHODS: Starting in 2010, our institution utilized a protocol that included daily chlorhexidine baths, and strict cessation of prophylactic antibiotics after 48 hours...
June 2016: Journal of Cardiac Surgery
Edward Septimus, Jason Hickok, Julia Moody, Ken Kleinman, Taliser R Avery, Susan S Huang, Richard Platt, Jonathan Perlin
BACKGROUND: Challenges exist in implementing evidence-based strategies, reaching high compliance, and achieving desired outcomes. The rapid adoption of a publicly available toolkit featuring routine universal decolonization of intensive care unit (ICU) patients may affect catheter-related bloodstream infections. METHODS: Implementation of universal decolonization-treatment of all ICU patients with chlorhexidine bathing and nasal mupirocin-used a prerelease version of a publicly available toolkit...
July 15, 2016: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
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