Effectiveness of 2% CHG Cloth
Baths for Reducing Surgical
Internet site Infections
PAULA R. GRALING, DrNP, RN, CNS, CNOR; FRANCES W. VASALY, MSN, RN
We executed a possible cohort analyze on the performance of preoperative bathing with chlorhexidine gluconate (CHG) cloths for lowering surgical web page infections. All of us hypothesized that use of CHG cloths as an adjunct to surgical preparation would drastically reduce the endogenous flora of surgical patients and therefore decrease surgical web page infections. Info from a control group of patients who undergone standard, vascular, and orthopedic surgical treatment were employed for comparison. Benefits indicated a general reduction of infection inside the group that received a 2% CHG bath before surgery. Presently there also was a possible decrease in postoperative body organ space contamination, although the sample numbers were extremely tiny. To reduce operative site infections, we suggest a breastfeeding protocol of preoperative baths with a 2% CHG towel for sufferers undergoing basic and vascular surgery, and an additional trial to investigate the utilization of preoperative CHG cloth bathing in all medical patient populations. AORN M 97 (May 2013) 547-551. Г“ AORN, Inc, 2013. http://dx. doi. org/10. 1016/j. aorn. 2013. 02. 009
Key words: preoperative bathing, chlorhexidine gluconate (CHG), CHG material baths, operative site infection.
ealth careeassociated infections are an
crucial area of concern amongst practitioners, managers, and insurance providers, and are regarded as one aspect of patient care on which
nurses can have a significant effect. According
to Anderson et ing, 1 surgical site infections (SSIs)
take place in 2% to 5% of patients having inpatient
surgical procedure, and approximately 500, 1000 patients contract SSIs in the us each year. Operative site infections are associated with increased morbidity, length of hospitalization, and expense of care. Research by Kirkland et al2 found that, depending on
the complications brought on by the infection, the costs
of an SSI could be believed to range from $3, 1000
to $29, 000. Inside the " Guideline for avoidance of
medical site illness, 1999, вЂќ Mangram et al3 reported that SSIs account for 14% to 16% of all well being careeassociated infections. Therefore , it is
imperative that perioperative proper care be effective in
preventing SSIs by reducing microbial contaminants during surgical procedures. The Centers for Disease Control and Prevention
guide for avoidance of SSI states the use of
chlorhexidine gluconate (CHG) reduces microbial
colony counts ninefold and offers prolonged epidermis
antisepsis. several Chlorhexidine gluconate is effective
http://dx. doi. org/10. 1016/j. aorn. 2013. 02. 009
Г“ AORN, Incorporation, 2013
Vol 97 No 5
AORN Log j 547
Vol 97 No your five
against fungus and gram-positive and gram-negative
bacteria, which include methicillin-resistant Staphylococcus aureus, vancomycin-resistant Enterococci, Pseudomonas aeruginosa, and other multidrugresistant pathogens. 4 In addition , CHG is definitely not less effective in the existence of blood, which is
of particular importance for medical patients. 5
The use of CHG to reduce catheter sepsis in
the critical care place is more popular. A
study by Bleasdale et al6 demonstrated that daily
cleansing of patients in a medical intensive care
unit with CHG-impregnated cloths was an effective strategy for decreasing the rate of principal bloodstream attacks.
Based on this info, the surgical outcomes
staff at each of our facility hypothesized that applying a
well-known, uniform power of CHG to the epidermis within
3 hours from the surgical cut would substantially reduce endogenous flora about surgical sufferers and therefore reduce the incidence of SSI. We all
conducted a clinical outcomes study to ascertain
the effectiveness of a 2% CHG no-rinse cloth bath
pertaining to patients within three hours of timetabled surgery
inside the reduction of SSIs.
Concerns regarding multidrug-resistant organism infections inside the...
References: Assail Control Hosp Epidemiol. 2008; 29(Suppl 1):
Standard for prevention of surgical site illness,
Panel. Infect Control Hosp Epidemiol. 1999; 20(4):
. com/HiBiClens. aspx. Accessed February 12, 2013.
your five. Digison MB. A review of anti-septic agents for preoperative epidermis preparation. Plast Surg Nurs. 2007; 27(4):
setting. Am J Infect Control. 2008; 36(5): 309-332.
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