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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
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 ——————————