Reply To: Peridex (Chlorhexidine Mouthwash) with Mucositis

  • Kimberly Duback

    June 26, 2018 at 1:17 pm

    ​We use Biotene as well. 

    We looked at chlorhexidine, nystatin, etc a few years ago and chose Biotene.

    Kimberly Duback, MS, APN, PCNS-BC, CPN, CPHON
    Advanced Practice Nurse
    Advocate Children’s Hospital
    United States of America
    Original Message:
    Sent: 06-21-2018 08:00 AM
    From: Chris Donaghey
    Subject: Peridex (Chlorhexidine Mouthwash) with Mucositis

    Hi everyone,

    It is very challenging for certain kids to manage Peridex, especially once mucositis begins. Our current practice does not remove Peridex once mucositis is appreciated, so staff will continue to promote its use, often presenting challenges. I’m biased toward believing that more thorough oral care (covering more areas more frequently with even sterile saline or a like component) could be as effective, if not moreso, than scant Peridex with struggling.

    I have not found literature that supports the use of Peridex as a treatment for mucositis, or to support its use once ulceration begins; only fair evidence to support its use as a preventive measure.

    Are there other facilities that use Peridex continuously?

    Are there differences in treatment for your transplant population?

    Thanks for the info.

    Chris Donaghey, MSN, RN, PCNS-BC, CPN, CPHON
    Clinical Nurse Specialist – Riley Cancer Care
    Riley Hospital for Children at IU Health
    Indianapolis, IN