Reply To: CHG study at COG

  • Denise Vermaat

    Member
    September 20, 2019 at 4:11 pm

    We use both soap and water, followed by CHG. Although I do not have the stats, we have had an overall decrease in CLABSI throughout our hospital since use of CHG has become the standard. Chris’s paper presentation was extremely informative regarding this at the APHON conference.

    Denise Vermaat, MSN, CPN, CPHON
    Salah Foundation Children’s Hospital
    Fort Lauderdale, FL

    Sent from my iPhone

    ——Original Message——

    Heard some about it through our MDs.

    It’s still in manuscript phase. But here’s some brief info (second-hand):

    177/400 patients
    CHG vs control (“prepackaged cloth impregnated w mild soap”)

    CLABSI rate w CHG – 5.4
    CLABSI rate w control – 3.1
    IRR – 1.76

    Didn’t say whether MBI-CLABSIs were excluded

    MDRO
    CHG – 15%
    Control – 12%

    Cutaneous adverse events
    CHG – 22 events
    Control -14 events

    My questions/comments that I need answered are many but some offhand I gave were:

    Timeframe
    What is the control soap?
    Those rates aren’t good if MBIs excluded (and aspire to better even with MBIs included)
    That’s a fair amount of cutaneous adverse events for a mild soap
    Type of patients

    ——————————
    Chris Donaghey, MSN, RN, PCNS-BC, CPN, CPHON
    Clinical Nurse Specialist – Riley Cancer Center
    Riley Hospital for Children at IU Health
    Indianapolis, IN 46219
    ——————————