open access

Vol 49, No 1 (2017)
Original and clinical articles
Submitted: 2017-03-31
Accepted: 2017-03-31
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Effect of universal chlorhexidine decolonisation on the infection rate in intensive care patients

Wiesława Duszyńska, Barbara Adamik, Karolina Lentka-Bera, Katarzyna Kulpa, Agata Nieckula-Schwarz, Agnieszka Litwin, Łukasz Stróżecki, Andrzej Kübler
DOI: 10.5603/AIT.2017.0007
·
Anaesthesiol Intensive Ther 2017;49(1):28-33.

open access

Vol 49, No 1 (2017)
Original and clinical articles
Submitted: 2017-03-31
Accepted: 2017-03-31

Abstract

BACKGROUND: Healthcare-associated infections (HAIs), particularly intensive care unit-acquired infections (HAI-ICU), are an important cause of morbidity and mortality in hospitals. Most of these infections are caused by multidrugresistant organisms. The results of recent studies have suggested that daily bathing with chlorhexidine (CHX)-universal decolonisation can prevent ICU infections. The purpose of the study was to determine the influence of CHX bathing on the rate and type of HAI-ICU in critically ill patients.

METHODS: This observational study, conducted in a mixed, 16-bed tertiary ICU, compared the following three 3-month periods: I) pre-intervention (traditional soap-water bathing), II) intervention (bathing with 2% CHX clothes), and III) post-intervention (soap-water bathing). The type and rate of HAI-ICU were registered according to the European Centre for Disease Prevention and Control (ECDC) guidelines.

RESULTS: A total of 272 patients were included in the study. During the intervention period, the total infection rate was significantly lower than in the pre-intervention period (12.7% vs 22.2%, respectively). Significant decreases in the rate and density of catheter-related infections (CRI) were observed during the intervention period. A decrease in the isolation rate of multidrug-resistant bacteria was also observed during the intervention and post-intervention periods.

CONCLUSIONS: Daily bathing of ICU patients with chlorhexidine-impregnated clothes significantly decreased the rate of HAI-ICU and the acquisition of CRI. This simple hygienic approach can be an important adjunctive intervention with the capability of reducing the burden of healthcare-associated infections in ICUs.

Abstract

BACKGROUND: Healthcare-associated infections (HAIs), particularly intensive care unit-acquired infections (HAI-ICU), are an important cause of morbidity and mortality in hospitals. Most of these infections are caused by multidrugresistant organisms. The results of recent studies have suggested that daily bathing with chlorhexidine (CHX)-universal decolonisation can prevent ICU infections. The purpose of the study was to determine the influence of CHX bathing on the rate and type of HAI-ICU in critically ill patients.

METHODS: This observational study, conducted in a mixed, 16-bed tertiary ICU, compared the following three 3-month periods: I) pre-intervention (traditional soap-water bathing), II) intervention (bathing with 2% CHX clothes), and III) post-intervention (soap-water bathing). The type and rate of HAI-ICU were registered according to the European Centre for Disease Prevention and Control (ECDC) guidelines.

RESULTS: A total of 272 patients were included in the study. During the intervention period, the total infection rate was significantly lower than in the pre-intervention period (12.7% vs 22.2%, respectively). Significant decreases in the rate and density of catheter-related infections (CRI) were observed during the intervention period. A decrease in the isolation rate of multidrug-resistant bacteria was also observed during the intervention and post-intervention periods.

CONCLUSIONS: Daily bathing of ICU patients with chlorhexidine-impregnated clothes significantly decreased the rate of HAI-ICU and the acquisition of CRI. This simple hygienic approach can be an important adjunctive intervention with the capability of reducing the burden of healthcare-associated infections in ICUs.

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Keywords

intensive care unit; healthcare-associated infections, catheter-related infections; multidrug-resistant pathogens; decolonization, universal; decolonization, skin, antiseptic, chlorhexidine

About this article
Title

Effect of universal chlorhexidine decolonisation on the infection rate in intensive care patients

Journal

Anaesthesiology Intensive Therapy

Issue

Vol 49, No 1 (2017)

Pages

28-33

DOI

10.5603/AIT.2017.0007

Bibliographic record

Anaesthesiol Intensive Ther 2017;49(1):28-33.

Keywords

intensive care unit
healthcare-associated infections
catheter-related infections
multidrug-resistant pathogens
decolonization
universal
decolonization
skin
antiseptic
chlorhexidine

Authors

Wiesława Duszyńska
Barbara Adamik
Karolina Lentka-Bera
Katarzyna Kulpa
Agata Nieckula-Schwarz
Agnieszka Litwin
Łukasz Stróżecki
Andrzej Kübler

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