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Chlorhexidine Skin Antisepsis
6/18/2005 9:48:31 PM
User Comments on Chlorhexidine Skin Antisepsis
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Carol Hoffmann
Total Posts: 1
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Re: Chlorhexidine Skin Antisepsis
8/18/2005 9:39:34 AM
Some of our central lines are placed in surgery and the patient is prepped with betadine not chlorhexidine. I am not counting these insertiion practices, but should surgery be looking to standardize their surgical antisepsis?
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Sandy Freeman
Total Posts: 1
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Re: Chlorhexidine Skin Antisepsis
12/12/2005 4:51:10 PM
The 2%Chlorohexidine and 70%alcohol product is labeled "Do not use with electrocautery procedures". If we are placing a central line in surgery we may need to use electrocautery and often do.
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Jeanne Archer-Smith
Total Posts: 2
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Re: Chlorhexidine Skin Antisepsis
1/18/2006 12:39:19 PM
I would like to know what the acceptable age limits are. As in neonates and infants because of absorption.
What about pediatric line kits. Should it be put in them?
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Jeanne Archer-Smith
Total Posts: 2
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Re: Chlorhexidine Skin Antisepsis
1/18/2006 12:43:24 PM
This is one of the reasons it has not been used in the OR for the majority of preps. I have seen several articles regarding this in the AORN member talk.
Several OR nurses fhave expressed concern about this hazard.
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Total Posts: 2
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Re: Chlorhexidine Skin Antisepsis
2/28/2006 6:12:09 PM
The FDA regulates that you not use CHG solutions in premature or low birth weight infants, or on children less than 2 months of age because of the potential for excessive skin irritation and increased drug absorption. I am aware that there are studies being conducted and published right now that are evaluating the use of CHG in neonates for potential safety concerns. I hope this helps!
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Total Posts: 2
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Re: Chlorhexidine Skin Antisepsis
2/28/2006 6:17:33 PM
Chlorhexidine is clinically proven to be a better agent for skin antisepsis. It should become a standard for both non-OR and OR settings. Its broad spectrum and persistence capability of a minimum of 24 hours post insertion is well worth any added expense over current PVP products. CHG products can be inserted into your CVL kits so that there is a mininmal chance of contamination of the line. You can also check out the American Vascular Association's new SAVE the Line Program that specifically addresses insertion of such lines by visiting their website at: http://www.avainfo.org/website/article.asp?id=40777. It specifically targets any invasive vascular devices. CHG is becoming best practice as it makes its way into the multiple clinical environments for which it is applicable.
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Manal Malkawi
Total Posts: 2
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Re: Chlorhexidine Skin Antisepsis
4/5/2006 4:05:41 AM
skin preperation
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Manal Malkawi
Total Posts: 2
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Re: Chlorhexidine Skin Antisepsis
4/5/2006 4:07:33 AM
BSI LINE RELATED
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Padmani Karna
Total Posts: 1
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Re: Chlorhexidine Skin Antisepsis
8/2/2009 4:01:13 PM
What are the recommendataions for chlorhexadine use in Preterm and Neonates?
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