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Prevention of Bloodstream Infections by Use of Daily Chlorhexidine Baths for Patients at a Long‐Term Acute Care Hospital
L. Silvia Munoz‐Price , MD, Bala Hota , MD, MPH, Alexander Stemer , MD and Robert A. Weinstein , MD
Infection Control and Hospital Epidemiology
Vol. 30, No. 11 (November 2009), pp. 1031-1035
Published by: Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America
Stable URL: http://www.jstor.org/stable/10.1086/644751
Page Count: 5
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Objective. To evaluate the effect of bathing patients with 2% chlorhexidine on the rates of central vascular catheter (CVC)–associated bloodstream infection (BSI) at a long‐term acute care hospital (LTACH). Design. Quasi‐experimental study Setting. A 70‐bed LTACH in the greater Chicago area. Patients. All consecutive patients admitted to the LTACH during the period from February 2006 to February 2008. Methods. For patients at the LTACH, daily 2% chlorhexidine baths were instituted during the period from September 2006 until May 2007 (ie, the intervention period). A preintervention period (in which patients were given daily soap‐and‐water baths) and a postintervention period (in which patients were given daily nonmedicated baths and weekly 2% chlorhexidine baths) were also observed. The rates of CVC‐associated BSI and ventilator‐associated pneumonia were analyzed for the intervention period and for the pre‐ and postintervention periods. Results. The rates of CVC‐associated BSI were 9.5, 3.8, and 6.4 cases per 1,000 CVC‐days during the preintervention, intervention, and postintervention periods, respectively. By the end of the intervention period, there was a net reduction of 99% in the CVC‐associated BSI rate. No changes were seen in the rates of ventilator‐associated pneumonia during the preintervention and intervention periods. Conclusion. Daily chlorhexidine baths appeared to be an effective intervention to reduce rates of CVC‐associated BSI in an LTACH.
© 2009 by The Society for Healthcare Epidemiology of America. All rights reserved.