Chlorhexidine Facts

Guidelines for the Prevention of Intravascular Catheter-Related Infections (2011)²⁰

• Skin Antisepsis — A > 0.5% Chlorhexidine Skin Preparation with Alcohol (1A)
• Antimicrobial Catheter — Use of an Antimicrobial Catheter (Chlorhexidine/Silver Sulfadiazine CVC Option) (1A)
• Catheter Site Dressing — Chlorhexidine Impregnated Sponge Dressings (1B)
• Patient Cleansing — Use a 2% Chlorhexidine Wash for Daily Skin Cleansing (II)
• Needleless Connectors — Scrub the Access Port with an Appropriate Antiseptic Chlorhexidine Option) (1A)

Guidelines for Hand Hygiene in Health-Care Settings (2002)³³

• Hand Hygiene — Decontaminate Hands with Non-Antimicrobial or Antimicrobial Soaps (Chlorhexidine Soap Option) (1A)
• Hand Hygiene — Wash Hands Before Eating and After Using the Restroom with a Non-Antimicrobial or Antimicrobial Soap (Chlorhexidine Soap Option) (1B)
• Preoperative Surgical Scrub — Surgical Hand Antisepsis Using Either an Antimicrobial Soap (Chlorhexidine Soap Option) or Other Means of Hand Hygene Before Donning Sterile Gloves (1B)

Guideline for Prevention of Surgical Site Infection (1999)³⁴

• Presurgery Shower or Bath — Use an Antiseptic Agent (Chlorhexidine) (1B)
• Preoperative Skin Preparation — Antiseptic Agent (Chlorhexidine) (1B)
• Preoperative Surgical Scrub — Antiseptic Agent (Chlorhexidine) (1B)

Learn more @ http://www.cdc.gov/HAI/prevent/prevent_pubs.html

Strategies to Prevent Ventilator Associated Pneumonia in Acute Care Hospitals (2008)³⁵

• Antiseptic Oral Care — Perform Regular Oral Care with Antiseptic (Chlorhexidine) (A-I)

Strategies to Prevent Central Line—Associated Bloodstream Infections in Acute Care Hospitals (2008)³⁶

• Skin Antisepsis — Chlorhexidine-Based Antiseptic for Skin Prep in Patients Older than 2 Months of Age (A-I)
• Antimicrobial Catheter — Use of an Antiseptic or Antimicrobial Impregnated CVC (Chlorhexidine/Silver Sulfadiazine Option) for Adult Patients (A-I)
• Catheter Site Dressing — Chlorhexidine-Containing Sponge Dressing for CVCs in Patients Older than 2 Months of Age (B-I)

Strategies to Prevent Transmission of Methicillin‐Resistant Staphylococcus aureus in Acute Care Hospitals (2008)³⁷

• Antiseptic Oral Care (B-III)

Learn more @ http://www.shea-online.org/GuidelinesResources/Guidelines.aspx

How-to Guide: Prevent Central Line-Associated Bloodstream Infection (2012)³⁸

• Skin Antisepsis — Chlorhexidine Skin Antisepsis as Part of a Central Line Bundle

How-to Guide: Prevent Ventilator-Associated Pneumonia (2012)³⁹

• Antiseptic Oral Care — Implement Oral Chlorhexidine Gluconate as Part of Comprehensive Oral Care Protocol.

Learn more @ http://www.ihi.org/knowledge/Pages/Changes/ChangestoPreventHAIs.aspx

WHO Guidelines on Hand Hygiene in Health Care (2009)²⁴

• Hand Hygiene — Perform Hand Hygiene (Chlorhexidine Option)
• Preoperative Surgical Scrub — Preoperative Surgical Scrub (Chlorhexidine Option)

Learn more @ http://whqlibdoc.who.int/publications/2009/9789241597906_eng.pdf

Prevent Central Line Infections: Getting Started Kit (2012)⁴⁰

• Skin Antisepsis — Chlorhexidine Skin Antisepsis (1A)
• Needleless Connectors — Use an Appropriate Antiseptic (Chlorhexidine Option) (1A)
• Catheter Site Dressing — Use a Chlorhexidine-Impregnated Sponge Dressing (1A)

Prevent Ventilator Associated Pneumonia: Getting Started Kit (2012)⁴¹

• Antiseptic Oral Care — Oral Care and Oropharyngeal Cavity Decontamination with Chlorhexidine Gluconate

Learn more @ http://www.saferhealthcarenow.ca/EN/Interventions/Pages/default.aspx

AORN's Perioperative Standards and Recommended Practices (2012)⁴²

• Preoperative Showering — Patients Undergoing Open Class I Surgical Procedures Should Preoperatively Shower with Chlorhexidine
• Preoperative Skin Preparation — An FDA and Health Care Organization Approved Preoperative Skin Antiseptic Agent Should Be Used (Chlorhexidine Option)
• Preoperative Surgical Scrub — Scrub with a Reliable Antimicrobial Agent (Chlorhexidine Option)

Learn more @ the Association of periOperative Registered Nurses

Practice Guidelines for Central Venous Access (2012)⁴³

• Skin Antisepsis — A Chlorhexidine-Containing Solution Should Be Used for Skin Preparation in Adults, Infants and Children.
• Antimicrobial Catheter — Use of an Antimicrobial Catheter (Chlorhexidine/Silver Sulfadiazine CVC Option)
• Catheter Site Dressing — Dressings Containing Chlorhexidine May Be Used in Adults, Infants and Children.

Learn more @ The Journal of American Society of Anesthesiologists, Inc.

Infusion Nursing Standards of Practice (2011)⁴⁴

• Needleless Connectors — Disinfect Needless Connectors with Antiseptic (Chlorhexidine Option)
• Antimicrobial Catheter — Use of an Antimicrobial Catheter (Chlorhexidine/Silver Sulfadiazine CVC Option) (I)
• Skin Antisepsis — Chlorhexidine Solution Is Preferred for Skin Antisepsis (I)
• Note: Chlorhexidine is Not Recommended For Infants Under 2 Months of Age
• Catheter Site Dressing — Chlorhexidine Impregnated Sponge Dressing in Patients Older than 2 Months of Age (I)

Learn more @ http://www.ins1.org/i4a/ams/amsstore/itemview.cfm?ID=192

Measure Oncology Nursing Sensitive Patient Outcomes: Evidence Based Summary Prevention of Infection — Intravenous Therapy (2004)⁴⁵

• Skin Antisepsis — Use Chlorhexidine Skin Preparation at the Insertion Site

Learn more @ the Oncology Nursing Society

Preventing Central Line-Associated Bloodstream Infections (2012)⁴⁶

• Skin Antisepsis — Apply Chlorhexidine/Alcohol in a Concentration Greater than 0.5% in Alcohol.
• Antimicrobial Catheter — Use of an Antimicrobial Catheter (Chlorhexidine/Silver Sulfadiazine Option)
• Catheter Site Dressing — A Chlorhexidine-Impregnated Sponge Dressing for Temporary Short-Term Catheters in Patients Older than 2 Months of Age.
• Needleless Connectors — Scrub the Access Port with an Appropriate Disinfectant (Chlorhexidine Option)

Learn more @ http://www.jointcommission.org/assets/1/18/CLABSI_Monograph.pdf