Chlorhexidine Gluconate Bathing Program to Reduce Health Care-Associated Infections in Both Critically Ill and Non-Critically Ill Patients.

Autor: Chapman L; Leigh Chapman is the director of surgical nursing, rehabilitation, and vascular access, University of Maryland St. Joseph Medical Center, Towson, Maryland., Hargett L; Lisa Hargett is the director of infection prevention, University of Maryland St. Joseph Medical Center., Anderson T; Theresa Anderson is a senior coordinator for infection prevention, University of Maryland St. Joseph Medical Center., Galluzzo J; Jacqueline Galluzzo is an infection preventionist, University of Maryland St. Joseph Medical Center., Zimand P; Paul Zimand is a data scientist, University of Maryland Medical System, Baltimore, Maryland.
Jazyk: angličtina
Zdroj: Critical care nurse [Crit Care Nurse] 2021 Oct 01; Vol. 41 (5), pp. e1-e8.
DOI: 10.4037/ccn2021340
Abstrakt: Background: Critical care nurses take care of patients with complicated, comorbid, and compromised conditions. These patients are at risk for health care-associated infections, which affect patients' lives and health care systems in various ways.
Objective: To gauge the impact of routinely bathing patients with 4% chlorhexidine gluconate solution on the incidence of health care-associated infections in a medical-surgical intensive care unit and a postoperative telemetry unit; to outline the framework for a hospital-wide presurgical chlorhexidine gluconate bathing program and share the results.
Methods: A standard bathing protocol using a 4% chlorhexidine gluconate solution was developed. The protocol included time studies, training, monitoring, and surveillance of health care-associated infections.
Results: Consistent patient bathing with 4% chlorhexidine gluconate was associated with a 52% reduction in health care-associated infections in a medical-surgical intensive care unit. The same program in a postoperative telemetry unit yielded a 45% reduction in health care-associated infections.
Conclusion: A comprehensive daily 4% chlorhexidine gluconate bathing program can be implemented with standardized protocols and detailed instructions and can significantly reduce the incidence of health care-associated infections in intensive care unit and non-intensive care unit hospital settings.
(©2021 American Association of Critical-Care Nurses.)
Databáze: MEDLINE
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