Prevention of bloodstream infections by use of daily chlorhexidine baths for patients at a long-term acute care hospital

Luisa Munoz-Price, Bala Hota, Alexander Stemer, Robert A. Weinstein

Research output: Contribution to journalArticle

82 Citations (Scopus)

Abstract

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 CVCassociated 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.

Original languageEnglish
Pages (from-to)1031-1035
Number of pages5
JournalInfection Control and Hospital Epidemiology
Volume30
Issue number11
DOIs
StatePublished - Nov 1 2009
Externally publishedYes

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Chlorhexidine
Long-Term Care
Vascular Access Devices
Baths
Catheter-Related Infections
Infection
Ventilator-Associated Pneumonia
Soaps
Water

ASJC Scopus subject areas

  • Microbiology (medical)
  • Epidemiology
  • Infectious Diseases
  • Medicine(all)

Cite this

Prevention of bloodstream infections by use of daily chlorhexidine baths for patients at a long-term acute care hospital. / Munoz-Price, Luisa; Hota, Bala; Stemer, Alexander; Weinstein, Robert A.

In: Infection Control and Hospital Epidemiology, Vol. 30, No. 11, 01.11.2009, p. 1031-1035.

Research output: Contribution to journalArticle

Munoz-Price, Luisa ; Hota, Bala ; Stemer, Alexander ; Weinstein, Robert A. / Prevention of bloodstream infections by use of daily chlorhexidine baths for patients at a long-term acute care hospital. In: Infection Control and Hospital Epidemiology. 2009 ; Vol. 30, No. 11. pp. 1031-1035.
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abstract = "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 CVCassociated 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.",
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